Can I protect myself from heavy bleeding in early pregnancy?

Pregnant women should pay special attention to their bodies, not only for the babies in their belly, but more importantly for themselves. If they accidentally have a miscarriage, it may bring hidden dangers to their bodies and even lead to infertility. Women in the early stages of pregnancy should pay more attention to their bodies, but there are also women who may experience heavy bleeding. So, can heavy bleeding in early pregnancy be prevented?

1. Miscarriage . Populations at risk: Fetal chromosomal abnormalities, maternal hormone disorders, congenital uterine developmental abnormalities or acquired defects, immune system problems, viral infections, pregnant women with chronic diseases (such as heart disease, kidney disease and blood diseases), overwork, excessive stress, too intense sexual life, external impact, environmental pollution, improper use of medication, smoking, drinking, excessive caffeine intake or other foods that promote uterine contractions, etc. Before the placenta is fully formed, embryo implantation is not stable, so many factors can cause miscarriage.

When miscarriage occurs, the embryo and the uterine wall will separate to varying degrees. Once the blood vessels at the separation surface rupture, vaginal bleeding symptoms will occur. According to a medical research statistic, more than 50% of pregnant women can safely get through the early pregnancy bleeding and successfully continue the pregnancy; about 30% of pregnant women may experience miscarriage; and nearly 10% of pregnant women may have ectopic pregnancy or other problems. Some pregnant women worry that if they have abnormal vaginal bleeding in early pregnancy, the baby will be unhealthy after they successfully preserve the fetus. Many studies have shown that more than half of miscarriages are caused by abnormalities in the embryo itself. This is a kind of natural selection. If the pregnancy can continue, the fetus is generally normal.

2. Ectopic pregnancy . Population at risk: Those who have a history of pelvic inflammation, pelvic adhesions, or have undergone fallopian tube surgery, or had an ectopic pregnancy in the previous pregnancy, etc. . When the fertilized egg implants outside the uterus, it is called an ectopic pregnancy. The incidence rate is about 1%, and 95% of ectopic pregnancies occur in the fallopian tube. Because the wall of the fallopian tube is very thin, it cannot provide enough nutrition to the embryo. The gradually developing fertilized egg causes the wall of the fallopian tube to expand, which can cause the wall to rupture. Abnormal vaginal bleeding will occur at 7 to 8 weeks of pregnancy, and there may even be severe abdominal pain or shock due to massive intra-abdominal bleeding.

3. Cervical polyps, uterine erosion or uterine lesions. Affected population: those with complicated sexual life, poor hygiene habits, irregular lifestyle, poor body resistance, etc. When it comes to early pregnancy bleeding, many people tend to ignore the problem of cervix. If the cervix is ​​severely inflamed and eroded, or if there are already cervical polyps, it is easy for the surface capillaries to rupture and bleed due to hormonal changes after pregnancy. In recent years, the age group in which cervical cancer most commonly occurs has quietly dropped to 30 to 40 years old. Being pregnant does not mean that there is no problem with the cervix. Cervical smear tests should be done regularly before and after pregnancy. If there is vaginal bleeding in early pregnancy, the cervix should also be checked for problems.

4. Hydatidiform mole . Population at risk: mothers under 20 years old or over 40 years old, food lacking carotene and animal fat, with a history of miscarriage, a history of hydatidiform mole, smoking, etc. Hydatidiform mole is a benign chorionic disease with an incidence of approximately 1‰, and the incidence is higher in Asian countries. Because of the abnormal proliferation of trophoblastic cells of the placental villi, the terminal villi turn into blisters, which are connected in clusters and resembling grapes, hence the name "hydatidiform mole". In the early stages of pregnancy, there may be symptoms such as abnormal vaginal bleeding, severe morning sickness and even palpitations.