Bleeding on the third day after miscarriage

Women's physical condition is usually not so good after miscarriage. At this time, they should increase their intake of nutrients. If they still bleed on the third day after miscarriage, they don't need to panic too much. In fact, this problem may occur in the previous week. As long as they take good care of themselves during the period, there will not be much impact. But the most important thing is psychological adjustment.

1. General care: Advise pregnant women to rest in bed and avoid fatigue and mental stress; strengthen nutrition and eat light and easily digestible food; strengthen inspections, closely observe the condition, discover the needs of pregnant women in time, and provide good life care.

2. Psychological care: For pregnant women with threatened miscarriage or habitual miscarriage, nurses should introduce them to relevant knowledge of the disease, stabilize their emotions, obtain their cooperation, and enhance their confidence in treatment. Pregnant women with inevitable miscarriage or incomplete miscarriage may experience anxiety, sadness and other emotions due to bleeding, abdominal pain or loss of the fetus. Nurses should show sympathy and understanding to help pregnant women and their families accept the reality as soon as possible and get through the grieving period.

3. Care for pregnant women with threatened miscarriage and habitual miscarriage: Pregnant women with threatened miscarriage need to stay in bed absolutely and be informed of the importance of bed rest and the need to reduce various stimuli. Assess the pregnant woman's condition at any time, paying special attention to whether there is an increase in vaginal bleeding, aggravation of abdominal pain, and discharge of pregnancy tissue. If any abnormality is found, deal with it promptly. Follow the doctor's advice and give pregnant women sedatives, progestins, etc. that have less impact on the fetus, and cooperate with the treatment.

4. Nursing for those who cannot continue their pregnancy: Nurses should be prepared for termination of pregnancy, including preparation of surgical instruments and supplies before the operation, and active cooperation during the operation to complete the operation. Inevitably, patients with miscarriage greater than 12 weeks, heavy vaginal bleeding, or infection should have intravenous access established, be prepared for infusion and blood transfusion, and closely monitor changes in the condition, observing vital signs and signs of shock. Patients with missed abortion should be prepared for coagulation function tests and blood and fluid infusion.

5. Prevent infection: Nurses closely observe the pregnant woman's body temperature, blood count, vaginal bleeding and the smell and color of secretions. All operations are strictly performed according to aseptic procedures and vulva care is strengthened. Instruct pregnant women to use sterilized perineal pads, keep the vulva clean, and scrub the perineum when necessary, twice a day; wash promptly after each urination and defecation, and maintain good hygiene habits; for those with prolonged bleeding, give antibiotics as prescribed by the doctor.

1. Early miscarriage: often bleeding first and then abdominal pain. Before 8 weeks of pregnancy, the villi are immature and not firmly connected to the maternal decidua. If a miscarriage occurs, the bleeding will not be much. From 8 to 12 weeks of pregnancy, as the connection between the villi and the maternal decidua gradually becomes stronger, heavy bleeding will occur if the separation is incomplete. At the beginning of miscarriage, the chorion and decidua are separated, the blood sinuses open, vaginal bleeding occurs, the uterus contracts, the embryo and other products of conception are expelled, and paroxysmal lower abdominal pain occurs. Afterwards, the uterus contracts, the blood sinuses close, and the bleeding stops. Recurrent miscarriage is mostly early miscarriage.

2. Late abortion: Similar to the process of early abortion, there is often abdominal pain first and then bleeding. The fetus and placenta are expelled in turn, and the bleeding is not much. If the decidua basalis bleeds repeatedly, the fetal mass will be surrounded by blood clots, and the bleeding will often not stop, and even a bloody fetal mass may be retained in the uterine cavity.