Vaginal bleeding at 38 weeks of pregnancy

Many women have a relatively stable pregnancy after 38 weeks of pregnancy, and the chance of miscarriage is relatively low in this case. However, some women do not have a smooth pregnancy throughout their pregnancy and may experience symptoms such as vaginal bleeding before giving birth. Of course, there are also women who experience vaginal bleeding after 38 weeks of pregnancy. This is related to many factors. In this case, conditioning and treatment are also very important for pregnant women.

1. Vaginal bleeding in pregnant women

Vaginal bleeding in pregnant women should not be ignored. Vaginal bleeding during pregnancy is a sign that the pregnancy is in a dangerous state. The amount of bleeding may be as much as hundreds of milliliters or as little as a few milliliters. Generally, the greater the amount of bleeding, the more critical the situation, but not all bleeding is visible, so clinically the patient's condition is not assessed solely based on the amount of bleeding that can be seen. In addition, the amount of bleeding of different diseases is sometimes not proportional to their actual severity.

2. Bleeding in late pregnancy

Common causes include placenta previa and placental abruption. When the fertilized egg implants in the endometrium, it affects the tiny blood vessels in the endometrium and causes punctate implantation bleeding. This usually occurs during the menstrual cycle and is mostly normal. Light vaginal bleeding or brown discharge during the first three months of pregnancy, sometimes accompanied by abdominal or back pain, is often a sign of miscarriage. Late miscarriage after 12 weeks of pregnancy is rarely associated with chromosomal abnormalities. A molar pregnancy is a condition in which the fetus does not develop normally. Most miscarriages in the middle or late stages are caused by a normal fetus that cannot continue to develop due to various reasons. For example, severe uterine fibroids can make the uterus unable to maintain pregnancy.

3. Others

A premature detachment of the placenta can cause pain and bleeding, and the tension of the uterus can increase. Sometimes in the early stages of placental detachment, a large amount of intrauterine bleeding may occur, but the blood has not yet flowed out of the vaginal opening. The abdominal pain will be more severe, the uterus will become tight, hard and tender, and there may even be a possibility of shock.