What is bleeding in early pregnancy? What should I do if I have bleeding in early pregnancy?

What is bleeding in early pregnancy? What should I do if I have bleeding in early pregnancy?

Bleeding in early pregnancy is a symptom of pregnancy, which belongs to false menstruation. When pregnant mothers encounter vaginal bleeding, it will definitely dispel the original joy and replace it with worry. In fact, bleeding during pregnancy is not necessarily a bad thing.

What causes bleeding in early pregnancy?

1. Implantation bleeding: The fertilized egg slowly swims from the fallopian tube into the uterine cavity and implants in the endometrium. This happens about a week before the next menstruation. When the egg is implanted in the endometrium, there will be a little spotting, which usually does not last more than 2-3 days.

2. Cervical polyps Cervical polyps are pink growths that grow at the cervical opening and are a manifestation of cervicitis. After pregnancy, the pelvic cavity becomes congested, the blood supply to the cervix increases, and the number of small blood vessels also increases, so there will be bleeding.

3. The symptom of threatened abortion is a small amount of vaginal bleeding accompanied by abdominal pain. The amount of bleeding is generally not much. If a miscarriage occurs, the bleeding will increase and the abdominal pain will worsen. At this time, an ultrasound examination is often needed.

4. Inflammation of the cervix or vagina Inflammation of the cervix or vagina can also cause bleeding in pregnant women. It is recommended to go to the hospital for examination in time.

5. Another possibility after ectopic pregnancy is that the embryo does not implant in the uterine cavity, but implants in the fallopian tube or even other locations outside the uterine cavity. This situation is also called ectopic pregnancy.

What to do if you have bleeding in early pregnancy

1. Timely medical treatment can help you understand where the bleeding is coming from through internal examination, whether it is the vagina, cervix or uterine cavity.

2. Ultrasound examination can first determine whether it is an intrauterine pregnancy or an ectopic pregnancy. If it is an intrauterine pregnancy, it can further determine whether it is a live fetus or embryonic arrest.

3. Blood sampling for monitoring: If necessary, blood sampling for monitoring hcg and progesterone levels can further help determine the cause of bleeding and the quality of the embryo.

4. Pay attention to rest, stay in bed, avoid overwork, refrain from sexual activity, refrain from lifting heavy objects, eat a light diet, and keep bowel and bladder functions unobstructed.

How to judge miscarriage in early pregnancy

1. Vaginal bleeding and increased abdominal pain, beware of miscarriage: It develops from threatened abortion, at this time the amount of vaginal bleeding increases, paroxysmal lower abdominal pain worsens or vaginal discharge (rupture of membranes) occurs. Gynecological examination shows that the cervix has dilated, sometimes embryonic tissue or fetal sac can be seen blocking the cervix, and the size of the uterus is consistent with the number of weeks of amenorrhea or slightly smaller.

2. Be careful of incomplete abortion in early pregnancy: the products of conception have been partially expelled from the body, but some remain in the uterine cavity, which is a development of inevitable abortion. The remaining products of conception in the uterine cavity affect uterine contraction, causing continuous uterine bleeding, and even hemorrhagic shock due to excessive bleeding.

3. Threatened abortion: A small amount of vaginal bleeding occurs first, followed by paroxysmal lower abdominal pain or back pain. Gynecological examination shows that the cervix is ​​not open, the fetal membrane is not ruptured, the products of conception are not discharged, the size of the uterus is consistent with the number of weeks of amenorrhea, and there is hope for the pregnancy to continue. After rest and treatment, if the bleeding stops and the lower abdominal pain disappears, the pregnancy can continue; if the amount of vaginal bleeding increases or the lower abdominal pain worsens, it may develop into inevitable abortion.

Is bleeding normal during early pregnancy?

The fertilized egg will implant in the uterus within 6-12 days after conception, which may cause slight vaginal bleeding in pregnant women. If this happens, if the amount of vaginal bleeding is mild and there are no serious discomfort symptoms, pregnant women do not need to worry, as this is a normal physiological reaction when the fertilized egg implants and is harmless to the human body. Fertilized egg implantation bleeding manifests as a small amount of blood or blood spots, which can be seen several times a day. The bleeding lasts for about three days, and there is no discomfort during menstruation. Fertilized egg implantation bleeding needs to be distinguished from menstruation to prevent pregnant women from being pregnant without knowing it.

Ectopic pregnancy can also cause vaginal bleeding after menopause, but it should be distinguished from threatened abortion. Because the treatment principles after diagnosis of the two are completely different, once an ectopic pregnancy is confirmed, surgical treatment should be performed immediately. Do not waste time, otherwise there will be massive intra-abdominal bleeding or even shock.

After excluding the possibility of bleeding caused by miscarriage, overdue injection, or ectopic pregnancy, doctors believe that this is a physiological reaction to the implantation of the fertilized egg, or a small amount of bleeding in the early stages of pregnancy that is suppressed by the body. For most pregnant women, the placenta begins to function properly after three months of pregnancy, and this bleeding will stop.

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