What to do if pregnant women have bleeding in their lower body

If a woman has threatened miscarriage during pregnancy, the most obvious sign is bleeding from her lower body. The amount of bleeding depends on the situation. At this time, the pregnant woman must go to the hospital for examination in time and try to rest in bed, because bleeding from the lower body is very dangerous. If there is a lot of bleeding, it may cause heavy bleeding in women. So what should pregnant women do when they have bleeding from their lower body?

Causes of vaginal bleeding during pregnancy

If vaginal bleeding occurs during pregnancy, it means that expectant mothers are likely in a dangerous stage. The amount of bleeding varies from a few milliliters to hundreds of milliliters. Generally speaking, the amount of bleeding is directly proportional to the risk index. But this is not the case in all cases, because some bleeding is invisible, so it is unscientific to judge the condition of expectant mothers based solely on the amount of bleeding clinically. In addition, the severity of different diseases cannot be directly linked to the amount of bleeding.

Pregnancy is divided into three stages: early pregnancy, mid-pregnancy, and late pregnancy. The causes and clinical significance of vaginal bleeding in these three periods are different, so there are different treatments for different situations.

1. Early pregnancy

Causes: miscarriage, ectopic pregnancy, etc.

2. Mid-pregnancy

Causes: cervical insufficiency, hydatidiform mole, etc.

3. Late pregnancy

Causes: placenta previa, placental abruption, etc.

4. Note

(1) When the fertilized egg implants, it stimulates the endometrium to a certain extent, which may cause slight punctate bleeding. This is normal and usually occurs during the menstrual cycle.

(2) If miscarriage occurs after the twelfth week of pregnancy, it is basically unrelated to chromosomal abnormalities.

(3) Hydatidiform mole is caused by abnormal fetal development. Most fetuses that are miscarried in the middle or late stages of pregnancy are normal, but the fetus cannot continue to develop due to other reasons, such as if the pregnant woman has uterine fibroids. If the condition is serious, the uterus will be unable to continue to nurture the fetus.

What are the symptoms of vaginal bleeding during pregnancy

1. Symptoms of bleeding in early pregnancy

(1) Miscarriage

When: Usually occurs in the first three months of pregnancy.

Symptoms: The expectant mother has slight bleeding or brown discharge from her lower body. In addition, blood clots and products of pregnancy may or may not flow out at the same time, and sometimes abdominal pain, back pain and other discomforts may occur. The above symptoms are often precursors to miscarriage.

(2) Ectopic pregnancy

Time: It usually occurs around 2 months of pregnancy.

Symptoms: In addition to lower body bleeding, there will be varying degrees of nausea and abdominal pain. If tubal pregnancy ruptures, it can cause abdominal bleeding in the expectant mother, with heavy bleeding and accompanied by severe pain. In severe cases, shock may even occur.

2. Symptoms of bleeding during mid-pregnancy

(1) Cervical insufficiency (cervical insufficiency or cervical relaxation)

When: Often occurs in the second trimester of pregnancy.

Symptoms: The pregnant woman's cervix cannot bear the pressure of fetal development and miscarriage often occurs. If the cervix dilates, expectant mothers often experience bleeding from their lower body, but the amount of bleeding is very small. At the same time, there will be a feeling of falling in the abdomen, but because the contraction of the uterus is not strong, the pain is not obvious.

(2) Hydatidiform mole

Time: Usually found in the second trimester (not found in the early stages).

Symptoms: Initially, vaginal bleeding will occur, and symptoms such as anemia and uterine enlargement may also occur. If the situation is bad, morning sickness will be serious and may cause diseases such as pregnancy-induced hypertension syndrome. In this case, bleeding is generally intermittent and the amount of bleeding is not much. Occasionally, there are repeated heavy bleeding, or blisters can be seen in the flowing blood.

3. Bleeding symptoms in late pregnancy

(1) Placenta previa

When: Late pregnancy or during labor.

Symptoms: Repeated heavy bleeding from the lower body without any inducement, pain, or hardening of the uterus. If this happens, no matter how much bleeding is, it will pose a certain threat to the life and health of the pregnant woman.

(2) Placental abruption

Symptoms: Not only will there be bleeding in the lower body, but there will also be pain, and the tension in the uterus will increase. In the early stages, although a large amount of bleeding has occurred in the uterus, the blood has not flowed out of the lower body. At this time, the abdominal pain is more severe and the uterus becomes hard and tight. If the situation is serious, it may even cause shock in pregnant women.