What to do if you have bleeding signs during pregnancy

When pregnant, pregnant women will pay close attention to their physical condition. If there are some abnormal reactions, they will be very nervous, especially if there are signs of bleeding during their pregnancy. This will cause serious consequences to their body and may be threatened abortion. Therefore, you must avoid overwork and go to the hospital in time for detailed examination and treatment.

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.

If vaginal bleeding stops, abdominal pain disappears, and B-ultrasound confirms that the embryo is alive, the pregnancy can continue. If the clinical symptoms worsen, B-ultrasound reveals that the embryo is poorly developed, and blood hCG continues to remain unchanged or decreases, it indicates that miscarriage is inevitable and the pregnancy should be terminated. During the early stages of pregnancy, you should pay attention to rest and avoid excessive fatigue. You should avoid sexual intercourse during the first three months of pregnancy and try to avoid contact with toxic and harmful physical and chemical substances in order to avoid the occurrence of threatened 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. 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.

1. Menopause

Most patients with spontaneous abortion have a history of obvious amenorrhea.

2. Vaginal bleeding and abdominal pain

The first symptom is often vaginal bleeding, which is usually small in amount and often dark red, or bloody leucorrhea, but can sometimes last for 4 to 5 days or more than a week. A few hours to a few weeks after the bleeding occurs, it may be accompanied by mild lower abdominal pain or back pain. After 12 weeks of pregnancy, patients may sometimes feel paroxysmal abdominal pain.

Gynecological examination revealed that the cervix was not dilated, no products of pregnancy were discharged, and the size of the uterus was consistent with the time of amenorrhea.