What to do if you bleed one month into pregnancy

Pregnancy is very important for every female friend. There are many things that you cannot do during pregnancy, otherwise it will affect the health of yourself and the fetus in your womb, especially in the first month of pregnancy, which is very critical. If bleeding occurs in this situation, you must pay special attention to avoid miscarriage if it is not treated at this time.

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.

Threatened abortion refers to a small amount of vaginal bleeding before 28 weeks of pregnancy, followed by paroxysmal lower abdominal pain or back pain. Pelvic examination shows that the cervix is ​​not dilated, the fetal membranes are intact, no products of pregnancy are expelled, and the size of the uterus is consistent with the gestational age. If symptoms worsen, miscarriage may become inevitable.

Termination of pregnancy before 28 weeks is called miscarriage. If the pregnancy ends naturally before 12 weeks, it is called early miscarriage, and if the pregnancy ends naturally between 13 and 27 weeks, it is called late miscarriage. According to statistics from different regions, different classes and different ages, the incidence of spontaneous abortion is between 15% and 40%. About 75% occur before 16 weeks of pregnancy, and 62% occur before 12 weeks of pregnancy.

Abortion goes through a series of processes from its beginning to its end. According to its different stages, it can be given different diagnostic names, namely: threatened abortion, inevitable abortion, incomplete abortion, complete abortion, and missed abortion.

The diagnosis can be made based on medical history and clinical manifestations. Sometimes, physical examinations or auxiliary examinations such as gynecological examination, B-ultrasound, and blood hCG are needed to make a clear diagnosis and classify the type of abortion.

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. 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.