Bleeding during pregnancy

If bleeding still occurs after seven months of pregnancy, it may be a threatened abortion or premature birth, both of which are very serious and will completely affect the life safety of yourself and the fetus in your womb. Therefore, once bleeding occurs, you should go to the hospital for examination and try to rest in bed. You can take some therapeutic drugs, which can relieve the symptoms appropriately, but you should listen to the doctor's advice on the choice of drugs.

abortion

▲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: Expectant mothers 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.

Measures: If the amount of vaginal bleeding is not much (less than the menstrual volume) and threatened abortion is confirmed, treatment to preserve the pregnancy is recommended. Principles: absolute bed rest; use of sedatives; endocrine therapy with progesterone; vitamin E treatment, and close observation.

However, if there is heavy vaginal bleeding (exceeding the menstrual volume), contractions become more severe, there is severe abdominal pain and a mass is passed, and bleeding does not stop, it is diagnosed as inevitable miscarriage or uncertain miscarriage with retained mass, and the patient should be admitted to the hospital immediately for treatment to prevent heavy bleeding from causing death and endangering life.

When the fertilized egg develops to a certain extent, the wall of the fallopian tube will rupture and cause bleeding in ectopic pregnancy. Because this type of bleeding occurs in the abdominal cavity, vaginal bleeding may not be excessive, but it is often accompanied by severe cramping pain.

Ectopic pregnancy

▲Symptoms: Bleeding caused by ectopic pregnancy usually occurs around the second month 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.

Measures: If vaginal bleeding and lower abdominal pain occur after menopause, you should pay close attention and go to the hospital to rule out ectopic pregnancy. If you experience severe lower abdominal pain at home, call 120. Before the ambulance arrives, you should keep your head down, feet high, and stay quiet to prevent bleeding, as bleeding can cause anemia and shock. It is also important to keep warm with blankets and other items.

Molar pregnancy miscarriage usually begins 2-3 months after menopause. Most of the bleeding is intermittent and small, but some people may bleed heavily and repeatedly.