Many pregnant women will suffer from mild or severe vaginal bleeding during pregnancy. According to different gestational weeks, the degree of bleeding varies, suggesting that the causes of bleeding are also different.
After the bleeding, Attention should be paid to it, But don’t panic, Observe the color, amount, Compared with your menstruation before pregnancy, Pay attention to abdominal pain, So as to better help doctors make diagnosis when they see a doctor. Below, Depending on the different stages of pregnancy, Briefly introduce the diseases that may cause vaginal bleeding. Vaginal bleeding occurs in the first trimester of pregnancy. Most vaginal bleeding or intravenous bleeding occurs within the 12th week of pregnancy. A small amount of bleeding intravenous bleeding is the slight bleeding marks on underpants. Or blood on toilet paper after going to the toilet. If it happens very early, For example, when I just found out that I was pregnant, It may be bleeding caused by implantation of fertilized eggs. It may also be that pregnancy causes the cervix to become more fragile. Slight stimulation or exercise can cause a small amount of vaginal bleeding. The amount of bleeding caused by these conditions is very small. Usually it’s drip bleeding, The color of blood is similar to that of menstruation, This is the time to pay attention to cleaning. If the amount of bleeding increases, Or it does not relieve continuously for 1-2 days, Or abdominal pain, Be sure to go to the hospital in time, As well as early detection of threatened abortion and ectopic pregnancy. When seeking medical treatment, The doctor will ask about the bleeding, Abdominal pain, Gentle gynecological tests will be carried out to help diagnose. Hematological tests such as hCG, progesterone, thyroid hormone and B-ultrasound tests can also help diagnose. Instruct follow-up treatment. Abortion About 80% of spontaneous abortions occur in the first trimester of pregnancy. Vaginal bleeding caused by abortion, The general amount is slightly smaller than the normal amount of menstruation, But more than the above-mentioned drip bleeding, The color is dark red, Lower abdominal pain can occur within hours to days after bleeding. If early abortion is inevitable, Doctors will perform curettage to ensure that the embryonic tissue in the uterus is completely discharged. Otherwise, it may lead to bleeding or infection in the uterus. Most early abortions occur due to problems with the embryo itself. Is the result of natural elimination, There is no need to be blind, As far as possible, conduct a comprehensive examination before the next pregnancy. Pay attention to avoid teratogenic factors. Ectopic pregnancy ectopic pregnancy, Also known as ectopic pregnancy, Is that the fertilized egg is not implanted in the normal place. Under normal circumstances, The fertilized egg should be implanted in the endometrium, The most common ectopic pregnancy is tubal pregnancy, Is that the fertilized egg is implanted in the fallopian tube. The amount of vaginal bleeding caused by ectopic pregnancy is slightly more than drip bleeding. Dark red or brown in color, There will be slight abdominal pain. In our country, The incidence of ectopic pregnancy is about 2%, Among them, women who have had a history of ectopic pregnancy, pelvic inflammation and fallopian tube surgery have a higher risk of ectopic pregnancy than other women. Once ectopic pregnancy is discovered, We must deal with it as soon as possible. In the event of a rupture, It is very likely that there will be massive intraperitoneal hemorrhage, Hemorrhagic shock, Pregnant women’s lives are endangered. All pregnant women, It is recommended to carry out B-ultrasound examination at about 6 weeks of pregnancy, Make sure that the fertilized egg is implanted in the normal position, Excluding ectopic pregnancy. Vaginal bleeding in the third trimester of pregnancy. The cause of slight vaginal bleeding in the third trimester of pregnancy may be cervical changes. But it may also be a sign of labor. Any vaginal bleeding in the third trimester of pregnancy, Should go to the hospital in time. If in the third trimester of pregnancy with normal menstrual volume is equivalent, Even more vaginal bleeding than menstruation, It is suggested that there is probably an abnormality in the placenta. The most common conditions are placenta previa and placental abruption. Placenta previa is an abnormality in the position of the placenta. The place where the placenta is attached to the uterus is too low, Causing a part of the placenta to extend to the cervical orifice, In front of the fetus. In the third trimester of pregnancy or in labor, The changes of placenta and uterus with too low attachment position cannot be consistent. Causing the blood vessels of the placenta to rupture, Causing bleeding. Vaginal bleeding caused by placenta previa, Generally, there is no abdominal pain, The amount of bleeding varies according to the degree of placenta previa, When vaginal bleeding without abdominal pain occurs in the third trimester of pregnancy, Be sure to go to the hospital in time. Placenta abruption under normal circumstances, when the umbilical cord is disconnected, the placenta will be separated from the uterine wall. If the placenta and uterine wall are separated before the delivery of the fetus, it is placenta abruption. Once it occurs, the normal blood exchange between the mother and the fetus will be disconnected, seriously affecting the blood supply of the fetus, resulting in fetal hypoxia and other conditions; At the same time, the mother’s blood is accumulated in large quantities between the placenta and the uterine wall, Causing hemorrhagic shock in the mother. Placental abruption is a very urgent condition. Lack of timely treatment can endanger the lives of the mother and fetus. Unlike placenta previa, Bleeding from placental abruption may be less or no vaginal bleeding, But the mother’s abdominal pain symptoms may be more severe, Sometimes there is blood loss such as pale complexion. Once the doctor suspects placental abruption, Will take various ways to get the fetus to give birth as soon as possible, To protect the health of the mother and the fetus. Before giving birth, A small amount of mucus and blood will flow out of the vagina, Is commonly known as [see red], This vaginal bleeding is mostly brown, Less than menstruation, If this happens, At the same time, if there is regular abdominal pain, It means that she is likely to be in labor. At this time, expectant mothers should hurry to the hospital. Remind everyone, if vaginal bleeding occurs during pregnancy, no matter when in what, you must go to the hospital. Perhaps your situation is very similar to the normal situation described in the article, but you cannot take it lightly, no matter normal or abnormal, you must be judged by the doctor. Responsible editor: Chuyang