Bleeding without abdominal pain during the second trimester

Bleeding during pregnancy, whether in the early, middle or late pregnancy, is a relatively serious symptom and requires sufficient attention from pregnant women and their families. Otherwise, it will bring unimaginable consequences to the pregnant woman and the fetus. If you bleed during the second trimester, you need to consider whether it is caused by hydatidiform mole, ectopic pregnancy or threatened abortion. Below, we will introduce in detail the common causes of bleeding in mid-pregnancy.

1. Hydatidiform mole

If the hydatidiform mole is not discovered in the early stages, symptoms such as vaginal bleeding, anemia, and uterine enlargement will usually begin in the middle of pregnancy. More serious cases may cause severe vomiting during pregnancy, pregnancy-induced hypertension syndrome (proteinuria, hypertension, edema), etc. Most patients with hydatidiform mole have intermittent small amounts of bleeding, but there may be repeated heavy bleeding in the meantime, and sometimes blisters may be found in the blood. The mother should go to the hospital for treatment as soon as possible, mainly through uterine dilatation and curettage to remove the hydatidiform mole. But it is worth noting that hydatidiform mole may undergo malignant changes and develop into choriocarcinoma, so expectant mothers must insist on observation and examination.

2. Ectopic pregnancy

Ectopic pregnancy is also called ectopic pregnancy. Generally, expectant mothers often have a history of short-term amenorrhea or vaginal bleeding during menstruation with a small amount but continuous bleeding. Typically, bleeding begins 6 to 8 weeks after menopause, beginning with a small amount of brown bleeding, and occasionally heavy bleeding, which is often mistaken for menstruation. Sometimes the entire uterus peels off and is discharged. In addition to vaginal bleeding, expectant mothers with ectopic pregnancy also have lower abdominal pain and a feeling of anal distension. In severe cases, the pain radiates to the shoulder blade and finally turns into severe abdominal pain accompanied by shock due to acute massive bleeding.

Ectopic pregnancy is a disease that endangers the life of expectant mothers, and it may occur in the early, middle, or late stages of pregnancy. Therefore, expectant mothers and their families should pay great attention to it and send the case to the hospital for diagnosis and treatment immediately if the above situation is discovered.

3. Threatened abortion

If you find yourself bleeding during pregnancy, even if your stomach doesn't hurt, you should consider the possibility of threatened abortion. Threatened abortion refers to a small amount of vaginal bleeding in early pregnancy that comes and goes, accompanied by mild lower abdominal pain and back pain. It may result in miscarriage, or it may continue the pregnancy after appropriate treatment. It is mainly due to the weak constitution of pregnant women, or caused by fatigue or trauma (including improper vaginal examination and sexual intercourse). Rest in bed more often, avoid sexual intercourse, and avoid unnecessary examinations. Common uses include intramuscular injection of progesterone, oral administration of vitamin E, and Chinese medicine for replenishing qi, nourishing blood, stopping bleeding, strengthening the kidneys and stabilizing pregnancy. Siwu Decoction is often used.