A little bleeding in the vagina during pregnancy

When a pregnant woman bleeds during pregnancy, it may be a precursor to miscarriage or premature birth, or it may be a factor of bleeding in twins. All the bleeding times and bleeding conditions are factors that doctors need to help us diagnose. Only by finding the reasons can we understand whether this type of bleeding is harmful to the human body, so there is no need to worry too much.

Whether there is any bleeding during pregnancy, the time frame of bleeding, and some related symptoms can help doctors identify the cause. Vaginal bleeding during pregnancy does not necessarily mean that something abnormal has occurred. However, miscarriage, embryonic arrest, ectopic pregnancy, embryo abnormalities, abnormal female hormones, cervicitis, cysts and some chronic diseases can cause abnormal bleeding during pregnancy, so you should go to the hospital. About 30% of women will experience varying degrees of vaginal bleeding during pregnancy. Generally, the probability of bleeding in twins is higher than that in single babies.

Generally, the doctor only needs to do early pregnancy test and B-ultrasound examination to confirm whether it is a pregnancy, and if necessary, test the blood cell HCG and progesterone levels. Some pregnant women bleed in the first two weeks of pregnancy, and the blood is very small. This small amount of bleeding is usually caused by the embryo implanting into the uterine wall. At this time, it is difficult for doctors to make a clinical diagnosis and further observation is needed.

Vaginal bleeding is a common problem in early pregnancy, affecting about 1/4 of pregnant women. The most common type of bleeding in early pregnancy is threatened abortion. At this time, the doctor will decide whether to maintain the pregnancy based on the development of the embryo.

Some patients with early pregnancy bleeding have ectopic pregnancy. Color Doppler ultrasound examination shows no gestational sac in the uterus, a mass is found outside the uterus, there is fetal heartbeat, and some have abdominal blood accumulation. Although ectopic pregnancy can be treated conservatively, once diagnosed the patient should be hospitalized, closely observed, and, if necessary, treated surgically. In very rare cases of early pregnancy bleeding, the patient may have hydatidiform mole. Color Doppler ultrasound examination showed no test tube embryonic tissue in the uterus, only honeycomb-like tissue. Patients with hydatidiform mole require uterine curettage and regular follow-up visits. If a pregnant woman suffers from a sexually transmitted disease (gonorrhea, syphilis, genital warts, etc.), she may also experience varying degrees of bleeding during pregnancy. If it is confirmed that the threatened abortion is caused by a sexually transmitted disease, you should follow the doctor's advice and seek treatment immediately, and terminate the pregnancy if necessary.

There are many reasons for bleeding in the second and third trimesters of pregnancy. It may be a precursor to late miscarriage and premature birth, a low placenta, rupture of the blood sinuses at the edge of the embryo, or placental abruption. Regardless of the reason for the bleeding, you should go to the hospital for treatment immediately. Because even if it is a sign of late miscarriage or premature birth, due to the long gestational age, once the condition develops, internal bleeding may occur at any time. If the bleeding is caused by fetal factors, it will be more serious and may seriously endanger the lives of pregnant women and fetuses.