Bleeding at 9 weeks of pregnancy

If you experience bleeding during the ninth week of pregnancy, do not waste any more time at home. You must go to the hospital for a detailed examination in time to prevent miscarriage. Otherwise, heavy blood loss will endanger the life of pregnant women. In addition, if you are not careful during bleeding, infection may occur, which is more troublesome and requires longer treatment.

1. Heavy blood loss

Sometimes unavoidable miscarriage or incomplete miscarriage can cause severe blood loss or even shock. So it should be dealt with proactively. Various measures can be implemented simultaneously. Administer 10 U of oxytocin or vasopressin intravenously or intramuscularly. Try to get a blood transfusion for the patient. In the absence of a blood bank, medical staff or their families can be mobilized to donate blood. If blood cannot be obtained for the time being, dextran can be temporarily administered by intravenous drip. At the same time, curettage is performed. Bleeding often stops after the fetal tissue is removed. Large pieces of fetal tissue should be removed even if infection exists. Subsequently, we should actively create conditions for blood transfusion.

2. Infection

All types of abortion may be complicated by infection, which is more common in incomplete abortions. Infection often occurs when abortion is performed with instruments that have not been strictly sterilized; the instruments damage the cervix; or there are original infected lesions in the uterine cavity, which can cause the infection to spread after surgical abortion or spontaneous abortion. In addition, not paying attention to hygiene after abortion (natural or artificial) and premature sexual intercourse can cause infection. Infectious pathogens are often multiple bacteria, mixed infections of anaerobic and aerobic bacteria

The infection can be confined to the uterine cavity or spread to the area around the uterus, causing salpingitis, salpingo-oophoritis, pelvic connective tissue inflammation, and even beyond the reproductive organs to cause peritonitis and sepsis. The patient has chills and fever, abdominal pain, vaginal bleeding, sometimes with foul-smelling discharge, tenderness of the uterus and appendages, poor uterine involution, leukocytosis and other inflammatory manifestations. In severe cases, septic shock may occur. Blood, cervical or uterine secretion smears and cultures (aerobic and anaerobic bacteria) can be done. B-ultrasound examination to check whether there is any residual tissue in the uterine cavity.

For early pregnancy, especially threatened miscarriage shortly after menopause, the main focus is to observe the possibility of continuing the pregnancy. The main auxiliary diagnostic methods are B-ultrasound and blood hCG level testing. In normal early pregnancy, the blood hCG level has a doubling time, and blood hCG can be measured continuously to understand the condition of the fetus. If the blood hCG level increases by less than 65% every 48 hours, it may indicate a poor prognosis for the pregnancy. At the same time, continuous monitoring by B-ultrasound is also of great significance. For example, if only the gestational sac is seen but the fetus is not seen for a long time or if the fetus is present but the fetal heartbeat is not seen for a long time, it may indicate a poor prognosis.