45 days pregnant, some bleeding

Pregnancy is a matter of great concern. Although it is the normal natural reproduction law of humans as biological beings, in modern life, more and more women are affected by abnormal pregnancy conditions, resulting in various adverse situations during pregnancy, and even leading to serious events such as miscarriage, seriously disrupting normal life. Let’s take a look at what happens if there is a little bleeding down there at 45 days of pregnancy?

Considering this situation, it is more likely to be a threatened miscarriage.

Threatened abortion refers to a small amount of vaginal bleeding before 28 weeks of pregnancy, followed by paroxysmal lower abdominal pain or back pain. Pelvic examination shows that the cervix is ​​not dilated, the fetal membranes are intact, no products of pregnancy are expelled, and the size of the uterus is consistent with the gestational age. If symptoms worsen, miscarriage may become inevitable.

For early pregnancy, especially threatened miscarriage shortly after menopause, the main focus is to observe the possibility of continuing the pregnancy. The main auxiliary diagnostic methods are B-ultrasound and blood hCG level testing. In normal early pregnancy, the blood hCG level has a doubling time, and blood hCG can be measured continuously to understand the condition of the fetus. If the blood hCG level increases by less than 65% every 48 hours, it may indicate a poor prognosis for the pregnancy. At the same time, continuous monitoring by B-ultrasound is also of great significance. For example, if only the gestational sac is seen but the fetus is not seen for a long time or if the fetus is present but the fetal heartbeat is not seen for a long time, it may indicate a poor prognosis.

treat

In addition to bed rest and strictly prohibiting sexual intercourse, the treatment of threatened abortion should create an environment that is conducive to stabilizing the patient's mood and relieving tension. For those with a history of miscarriage, more spiritual support should be given. If the pregnant woman's progesterone level is low, progesterone supportive therapy can be used.

Prognosis and prevention

If vaginal bleeding stops, abdominal pain disappears, and B-ultrasound confirms that the embryo is alive, the pregnancy can continue. If the clinical symptoms worsen, B-ultrasound reveals that the embryo is poorly developed, and blood hCG continues to remain unchanged or decreases, it indicates that miscarriage is inevitable and the pregnancy should be terminated. During the early stages of pregnancy, you should pay attention to rest and avoid excessive fatigue. You should avoid sexual intercourse during the first three months of pregnancy and try to avoid contact with toxic and harmful physical and chemical substances in order to avoid the occurrence of threatened abortion.