What to do if you have bleeding during the fifth week of pregnancy

Some pregnant women will experience bleeding during the fifth week of pregnancy, which is quite critical. If the bleeding continues, it is very likely to result in miscarriage. In this case, relevant pregnancy-preserving drugs must be used for treatment in time. Pregnant women should try not to walk around casually and should rest more. They are absolutely not allowed to have any sexual intercourse during this period.

In addition to bed rest and strictly prohibiting sexual intercourse, the treatment of threatened abortion should create an environment that is conducive to stabilizing the patient's mood and relieving tension. For those with a history of miscarriage, more spiritual support should be given. If the pregnant woman's progesterone level is low, progesterone supportive therapy can be used.

1. For unplanned pregnancies or those with estimated poor prognosis, artificial abortion should be performed as soon as possible.

2. For those who meet the requirements of family planning, if ultrasound examination or continuous HCG measurement indicates that the fetus is alive, pregnancy preservation should be provided.

(1) Rest in bed, avoid sexual intercourse, and avoid unnecessary pelvic examinations.

(2) Sedatives: phenobarbital 0.03 g, orally, 3/d or diazepam 5 mg 2 to 3/d.

(3) Progesterone 10-20 mg 1/d, intramuscular injection, discontinue use 5-7 days after symptoms disappear.

(4) Vitamin E 20 mg, 3/d.

(5) The principle of Chinese herbal medicine is to nourish qi and blood, stop bleeding, strengthen the kidneys and stabilize the fetus.

3. If the above treatment is effective, avoid sexual intercourse and physical labor within 2 months. If the treatment is ineffective, the pregnancy should be terminated.

The first three months of pregnancy are an unstable period, and the placenta will not function fully until about three months. Therefore, the placental function and ovarian function in the early stage of pregnancy are not yet complete, and the secretion of progesterone is insufficient. Progesterone is the so-called tocolytic hormone. In the case of insufficient tocolytic hormone, the first three months of pregnancy are in an unstable period. In addition, the first three months is an important period for the development of the fetal neural brain pipeline. Expectant mothers must also pay special attention to avoid hindering the development of the fetus's central nervous system. The following four points are the general principles that need to be paid attention to in the early stages of pregnancy:

1. Pay attention to fatigue

It is generally hoped that expectant mothers do not engage in too much activity in the first three months of pregnancy, as it may cause threatened miscarriage. If vaginal bleeding, abdominal pain, etc. occur, these are warning signs of threatened miscarriage and you need to seek medical attention as soon as possible. In addition, this situation may be caused by being too tired or doing too much activity, and the expectant mother also needs to rest in bed more.

2. Use of drugs

The first three months of pregnancy are the critical period for the development of the fetus's central nervous system. Therefore, you should be particularly careful when using medications and inform your doctor that you are pregnant when seeing a doctor.

3. Avoid radiation

During the first three months of pregnancy, activities should be limited to the minimum possible effect on the fetal nervous system development. Therefore, if X-rays are necessary, doctors should be asked to prescribe the lowest dose.

When irradiating, remember to cover your stomach with a protective shield.

4. Balanced Diet

During pregnancy, you need to consume a balanced diet of the six major food groups. If the expectant mother has anemia, she can take iron supplements after diagnosis by a doctor. In the first three months of pregnancy, morning sickness is severe due to hormonal changes, and vitamin B6 can be taken to alleviate the symptoms.