At 44 days of pregnancy, if a pregnant woman has dark brown secretions, it indicates symptoms of mild threatened miscarriage. In this case, B-ultrasound should be done first to see whether the location of the gestational sac is normal and to rule out ectopic pregnancy. Secondly, we need to see whether the shape and size of the gestational sac are within the normal range, and whether the yolk sac, fetal heartbeat, and fetal bud have appeared. In addition, blood tests are required to check the levels of progesterone and human chorionic gonadotropin. If the baby is developing normally and all test indicators are within the normal range, it is recommended to take good care of the fetus and maintain a stable mood. However, if the embryo is not developing well, or there are obvious signs of inevitable miscarriage, there is no need to force the fetus to be preserved. It is recommended to let things take their course. Brown discharge actually refers to stubborn secretions. Due to the relatively small amount of bleeding, the ferrous ions in the blood and the acidic and alkaline environment in the vagina form ferric chloride, which appears dark brown. Bleeding after pregnancy should first be considered as a symptom of threatened miscarriage, or the possibility of embryonic development arrest, and medical treatment is recommended. Complete relevant examinations to find out the source of bleeding. If it is indeed intrauterine discharge, confirmed threatened abortion is established and active tocolytic treatment is given. Bed rest is required, intramuscular injection of lutein copper 20 mg/d, oral administration of granular progesterone capsules 200 mg every night, and avoid sexual intercourse. If the embryo does stop developing and a missed abortion occurs, a uterine curettage should be performed immediately. The presence of dark brown secretions during pregnancy may indicate threatened miscarriage. First of all, it is recommended to go to the hospital to test the progesterone level and HCG in the blood, and carry out fetal preservation treatment based on the results of progesterone level and blood HCG. In addition, if the menstruation is relatively advanced, around 42 days, an abdominal B-ultrasound can be done to determine whether there is blood accumulation around the gestational sac, and fetal preservation treatment may be required depending on the situation. When you come back, you must not do strenuous activities, do not be overly tired, rest in bed, and maintain smooth bowel movements to prevent brown discharge or even bleeding when straining during bowel movements. If the pregnancy has exceeded three months, B-ultrasound examination is still required to determine the distance between the embryo and the cervix. If the position is too low, there is a possibility of placenta previa, and tocolytic treatment is also required. As for when to maintain the pregnancy, it is enough time when there is no brown discharge and the progesterone and HCG values return to normal. |
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