What should I do if I bleed from below during pregnancy?

Women will always have some early pregnancy reactions in the early stages of pregnancy, and the body will become particularly weak during this period. However, everyone's physique is different after all, and there will always be some different symptoms in the early stages of pregnancy. Among them, many women will have symptoms such as bleeding down there when they are one month pregnant. Many women often think that this is a symptom of threatened abortion, so they are always particularly worried that there will be some problems with the fetus. So let's find out what to do if you have bleeding down there one month into pregnancy.

What should I do if I bleed from below during pregnancy?

If vaginal bleeding occurs one month into your pregnancy, you must seek medical attention as soon as possible.

The doctor will first assess the amount of bleeding and measure blood pressure and pulse to determine whether immediate hospitalization is needed. The patient will then be asked some relevant information, such as the date of the last menstrual period, whether the menstrual period is regular, whether she has ever experienced morning sickness and breast tenderness and whether these symptoms still exist, and whether she has symptoms of lower abdominal pain. Then further physical examination will be carried out and a preliminary judgment will be made. If necessary, an ultrasound examination and blood test for serum levels of "beta-human chorionic gonadotropin" (abbreviated as chorionic hormone) or progesterone will be arranged to help diagnose whether it is a normal intrauterine pregnancy, spontaneous abortion, ectopic pregnancy or hydatidiform mole.

Regarding the examination of chorionic villus, it is usually more valuable to compare the values ​​of two blood draws 48 hours apart. In patients with normal intrauterine pregnancy, the second value will usually be more than 66% higher than the first. If the increase is not enough or there is a decrease, it may be an ectopic pregnancy or incomplete abortion. At this time, uterine dilatation and curettage or laparoscopy should be arranged for further diagnosis.

In recent years, due to the development of vaginal ultrasound, its resolution has greatly increased, which can help doctors detect intrauterine gestational sac earlier. If an intrauterine gestational sac is found, the chance of ectopic pregnancy at the same time is very low, about only one in forty thousand. If no gestational sac is found in the uterus and the chorionic hormone is higher than 1500 IU/L, the possibility of ectopic pregnancy must be considered.

The above is an introduction to what to do if you have bleeding one month into your pregnancy. After understanding it, we know that women must maintain a good mood during pregnancy. In addition, there may be some early pregnancy reactions in the early stages of pregnancy, which must be overcome as much as possible. Taking more walks outdoors can effectively distract attention and reduce these early pregnancy reactions. In addition, you must pay attention to nutritional balance in your diet and go to the hospital regularly for prenatal check-ups.