Principles of treatment for bleeding in the third month of pregnancy

One of the symptoms that pregnant women are prone to during pregnancy is bleeding. Bleeding during pregnancy is not only easy to cause pain to pregnant women, but also easy to bring great psychological pressure to pregnant women. Therefore, we recommend that pregnant friends must pay attention to their bodies in daily life. Once the symptoms of bleeding appear, they must be taken seriously. Below we will introduce to you the principles for dealing with bleeding in the third month of pregnancy.

Whether in the early stages of pregnancy or at any time during pregnancy, you should tell your doctor about any bleeding symptoms; usually, light bleeding is not considered a serious problem. However, if you experience spotting or fresh bleeding, especially if it is accompanied by abdominal pain or cramps, it is best to see a doctor right away, as this may be a sign of miscarriage or ectopic pregnancy. In late pregnancy, such bleeding symptoms may also mean that there is a problem with the placenta.

If vaginal bleeding occurs, 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 they 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' (chorionic hormone for short) 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.

With the development of vaginal ultrasound, its resolution has been greatly improved, 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.

In the above article, we introduced a symptom that pregnant women are more likely to experience during pregnancy, that is, bleeding. We recommend that pregnant friends should do a good job of preventing bleeding in their daily lives. The above article introduces in detail the principles for dealing with bleeding in the third month of pregnancy.