Pregnant woman with stomach pain and bleeding

Women often experience abdominal pain after pregnancy, which is quite serious and requires timely observation. Because women who have just become pregnant are particularly prone to miscarriage, you should be aware that if you have stomach pain and bleeding, it may be a sign of miscarriage. After becoming pregnant, women should avoid strenuous exercise, or eat foods that are suitable for their physical conditions. But I’m pregnant and have stomach pain and bleeding, what should I do?

1. What to do if you have abdominal pain and bleeding in early pregnancy

Bright red blood is not good for expectant mothers and they must go to the hospital for treatment immediately. If the vaginal discharge is brown, it is recommended to rest in bed. Generally speaking, bleeding can be improved, but whether the blood is brown or bright red, you must let your doctor know so that you can provide timely assistance.

Expectant mothers should pay attention to one thing. No matter the color of the blood, as long as abnormal bleeding occurs once a day, they must rest in bed for three days, avoid sit-ups and other exercises that involve the abdomen, and avoid holding urine, constipation and other situations that will increase intra-abdominal pressure.

2. What causes abdominal pain and bleeding in early pregnancy?

1. Miscarriage

Abortion refers to the phenomenon that the pregnancy ends before 28 weeks of pregnancy when the fetus cannot survive after leaving the mother's body. Miscarriage is most likely to occur in the early stages of pregnancy, which may be related to chromosomal abnormalities of the fertilized egg, poor embryo development, etc.

Symptoms: In the first 3 months of pregnancy, there is slight vaginal bleeding or brown discharge, with or without the discharge of blood clots and products of conception, sometimes accompanied by abdominal or back pain, which is often a sign of miscarriage.

Response: The expectant mother should seek medical attention immediately. The doctor will perform an ultrasound examination based on your situation to understand the development of the embryo. If the amount of bleeding is heavy, it means that miscarriage is inevitable, and a curettage surgery will be required in time. If the pregnant mother bleeds less, it may only be a threatened abortion. After treatment by a doctor and bed rest, most embryos can survive.

2. Ectopic pregnancy

An ectopic pregnancy is a pregnancy outside the uterus, and a normal pregnancy is one in which the fertilized egg implants in the endometrium. It is also possible that the fertilized egg implants in the fallopian tube, ovary, abdominal cavity or other parts outside the uterine cavity. This kind of ectopic pregnancy is commonly known as ectopic pregnancy.

Symptoms: Bleeding caused by ectopic pregnancy usually occurs around 2 months of pregnancy, accompanied by varying degrees of nausea and abdominal pain. Once tubal pregnancy ruptures, massive intra-abdominal bleeding and severe abdominal pain will occur, which may lead to shock.

Response: If ectopic pregnancy is not treated promptly, it may endanger the life of the expectant mother. Therefore, if vaginal bleeding occurs in early pregnancy and is accompanied by abdominal pain, you should seek medical attention immediately without delay. Expectant mothers who have had a history of ectopic pregnancy should be more careful and undergo careful B-ultrasound examinations in the early stages of pregnancy. Determine whether the pregnancy is intrauterine.

3. Hydatidiform mole

Hydatidiform mole refers to a disease in which the villi that form the placenta grow and multiply abnormally, and the uterus is filled with grape-like blister-like particles.

Symptoms: If the hydatidiform mole is not discovered in the early stages, symptoms such as vaginal bleeding, anemia, and uterine enlargement will usually begin in the middle of pregnancy. More serious symptoms may cause hyperemesis gravidarum, pregnancy-induced hypertension syndrome (proteinuria, hypertension, edema), etc. Most patients with hydatidiform mole have intermittent small amounts of bleeding, but there may be repeated heavy bleeding in the meantime, and sometimes blisters may be found in the blood.

Response: The mother should go to the hospital for treatment as soon as possible, mainly through uterine dilatation and curettage to remove the hydatidiform mole. But it is worth noting that hydatidiform mole may undergo malignant changes and develop into choriocarcinoma, so expectant mothers must insist on observation and examination. Whether it is a hydatidiform mole can be determined through B-ultrasound examination, blood test, etc. If it is confirmed to be a hydatidiform mole, the pregnancy must be terminated and the abnormally proliferative tissue in the uterus must be removed through curettage, followed by a second curettage.