What causes vaginal bleeding after pregnancy?

Pregnancy is a physiological process that many women will experience, but there are some situations that may occur during pregnancy, especially the symptoms of spotting in the early pregnancy. Many women don’t know what is going on with vaginal bleeding after pregnancy? In fact, vaginal bleeding after pregnancy is not that scary. Doctors believe that due to individual differences among pregnant women, the causes and timing of bleeding will be different. In some cases, there is no need to worry too much. As long as the root cause of the bleeding is found out and symptomatic treatment is carried out, there will usually not be any major problems.

One of the reasons: miscarriage. Miscarriage refers to the phenomenon that the pregnancy process is terminated 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.

Reason 2: ectopic pregnancy. Ectopic pregnancy refers to pregnancy outside the uterus. A normal pregnancy refers to the implantation of the fertilized egg 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.

Reason three: 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.

Through the above introduction, you will have a general understanding of what vaginal bleeding after pregnancy is and how to deal with it. After pregnancy, many women will have a small amount of menstrual-like bleeding during the menstrual period, generally without other symptoms such as abdominal pain and menstrual discomfort. This is just a normal physiological reaction to the implantation of the fertilized egg. There is no need to panic or treat it. Just keep the vulva clean.