What should I do if I bleed during the third trimester of pregnancy? ...

Many mothers will experience bleeding during pregnancy. Many mothers will be overly worried and nervous due to lack of experience. Today, I will tell you what are the common situations of bleeding during pregnancy and how to deal with it.

Is bleeding in early pregnancy a problem?

20% of pregnant women may experience symptoms of vaginal bleeding during pregnancy, generally in the following three periods: 1. 30-45 days of pregnancy, the fertilized egg implants, which may cause bleeding 2. 3-4 months of pregnancy, the fetus grows the placenta, which may cause bleeding 3. Late pregnancy, especially in the 1-2 months before delivery, may cause bleeding. As long as there is no large amount of bright red blood and no severe abdominal pain, there will be no problem. Just stay in bed and rest. You may find pink or brown marks on your pants for a few days. Generally, don't worry, it will get better soon~ If you need to see a doctor to preserve the fetus, the doctor will generally prescribe progesterone and vitamin E for you to preserve the fetus. These drugs have no effect on the baby~ Of course, if there is a lot of bright red blood accompanied by severe abdominal pain, you still need to see a doctor immediately, remember~~

First, identify the source of bleeding

Tsai Ke-hsin, chief physician of the Department of Obstetrics and Gynecology at Taian Hospital, said that when a mother finds bleeding, she must first identify the source of the bleeding. Generally speaking, pregnant mothers who seek help from the Department of Obstetrics and Gynecology are almost always suffering from vaginal bleeding, while other cases of abdominal bleeding caused by trauma will be treated in the emergency room. When abnormal vaginal bleeding is found, an internal examination will be performed first to determine the location of the bleeding.

Dr. Cai Kexin explained that blood color represents different conditions. Bright red blood indicates acute bleeding, brown blood indicates chronic bleeding, and pink blood may indicate a small amount of bleeding accompanied by vaginal discharge, which is also chronic bleeding. She reminds mothers to pay attention to the bleeding condition, such as: Is the bleeding continuous? How much is the bleeding? Is it accompanied by abdominal pain? If pregnant mothers experience abdominal pain and bleeding, premature birth or fetal instability may occur, so special attention must be paid.

What to do if you have bleeding during pregnancy

Observe the bleeding and avoid excessive stress

There are different reasons for bleeding at different stages of pregnancy. Most pregnant mothers will be nervous when they see bleeding. If they have seen the embryo and confirmed that there is a heartbeat, they can actually rest assured.

Dr. Cai Kexin mentioned that the most common thing seen in the obstetrics and gynecology clinic is unstable bleeding in early pregnancy (forced abortion). In this case, if the mother is pregnant for the first time and has a nervous personality, she may be very worried when she sees the bleeding, and even go to the emergency room in the middle of the night. Bleeding in early pregnancy is actually very common. The best way to deal with it is to get more rest, supplement progesterone, and observe the bleeding. If there is only a small amount of bleeding, running to the emergency room in the middle of the night due to worry may make the bleeding worse under the dual pressure of mental and physical pressure. Dr. Cai Kexin reminded that if you have confirmed that you have seen the embryo and there is only a little bleeding, try to rest as much as possible, and ask the doctor for diagnosis at the next outpatient clinic. However, if the amount of bleeding is large, you must see a doctor as soon as possible. If you do not see the embryo but the bleeding is abnormal, it may be an ectopic pregnancy.

Generally speaking, if there is no problem with the embryo, the pregnant mother will slowly stabilize as long as she rests more. If there is bleeding in the middle and late stages of pregnancy, in addition to resting, you should also pay attention to fetal movement. If you find that the fetal movement is not good, accompanied by bleeding and abdominal pain, you should be careful. Some mothers may have placenta previa, uterine fibroids, short cervix, poor immune function and coagulation function, etc. The doctor will explain this during the prenatal check-up. You need to be vigilant at ordinary times. If there is bleeding, you should see a doctor as soon as possible to confirm whether there are signs of premature birth or miscarriage.

Effects of bleeding in early pregnancy

There are many reasons why pregnant women may experience bleeding in early pregnancy, and the effects they produce are also different.

1. Bleeding caused by maternal conditions, such as uterine disease or progesterone deficiency, may lead to miscarriage.

2. Bleeding caused by problems with the embryo itself may lead to miscarriage. More than half of miscarriages are caused by abnormalities in the embryo itself. This is a natural selection. If the pregnancy can continue, the fetus is generally normal.

Generally speaking, for pregnant women who experience bleeding in early pregnancy, if they can continue their pregnancy and give birth after the bleeding, the proportion of fetuses with congenital abnormalities does not increase.