Waiting for a baby without complications is the cherished desire of any woman. During this period, the future mother should take care of her health most of all, because now she is responsible for two lives. Unfortunately, bleeding during pregnancy can darken the happy 9 months, causing a woman to worry about the preservation of the fetus.
Causes of bleeding can be both physiological and pathological.
Norm of discharge
All discharge from the female genital organs can be both normal and a symptom of pathology. Only a doctor after a vaginal smear can determine this.
At the initial stage of pregnancy, the female genitals produce the same discharge as before.:
- discharge of white color - are both a variant of the norm, and a sign of started thrush, more about white discharge in pregnant women →
- yellow discharge - more often they signal inflammation, but they are also quite a normal reaction of the body to changing intimate hygiene products or wearing synthetic clothes, more detail about yellow secretions in expectant mothers →
- discharge with an admixture of blood — testifies both to the embryo attachment and to the failed attempt at conception.
The emergence of light, translucent discharge during pregnancy - the ideal scenario.
This means that the woman’s vagina separates the normal endocervical mucus, replaces the dead epithelium in time, and its microflora does not show signs of the presence of pathological microorganisms. If the discharge changes its character, it is necessary to consult a doctor.
What signals the blood in the first trimester
The first 12 weeks are the most important in the life of the fetus. At this time, there is a laying of systems and organs, and the fetal egg itself is attached to the uterus and begins to receive nutrients from the mother, ensuring its vital activity. In this case, the pregnancy proceeds without problems.
Most often there is bloody discharge in early pregnancy, in the first trimester. This can be a signal of both normal processes and a sign of disturbances.
Consider the causes of the discharge of blood at the initial stage of fetal development.
The introduction of the ovum in the wall of the uterus
The most "normal" cause of blood. The discharge in this case is insignificant and does not last long. A pregnant woman can notice only small bright blood spots on her underwear that no longer appear.
Those women who first met with such secretions at the "right" time, can in a couple of weeks, if menstruation does not begin, go to the clinic - an ultrasound examination almost always confirms the fact of successful attachment of the ovum, which in the picture will look like a slight darkening. Such bleeding during pregnancy in its first days should not cause anxiety.
Very rarely, but still there are such facts in medicine, when there are blood excretions at week 3, but the embryo is normally attached in the uterus. This is triggered by hormonal disruption, when the failure of the corpus luteum does not give the body a signal about the onset of pregnancy.
The situation is twofold: the fetal egg is already normally attached to the uterus, but the female reproductive system still wants to be cleansed from "unused" epithelium. In some cases, such bleeding ends positively - they occur only in the first month, not long, and the epithelium itself exfoliates below the site of attachment of the embryo.
A common pathology that causes bleeding during the first trimester. Often a woman may even feel quite normal, and bleeding becomes the only sign indicating that conception has gone anomalously.
In case of heavy bleeding, it is necessary to urgently contact the clinic. In this case, the fetus can not be saved, but the woman manages to maintain a completely normal reproductive system that is able to carry out a normal pregnancy from conception to childbirth.
If we ignore these signs, then under the influence of the growth of the fetus the tubes may break, and they will have to be removed. Most often such bleeding occurs at the 5th week of pregnancy. It was at this time that the expectant mother needs to control the first symptoms of ectopic pregnancy - the appearance of blood, abdominal pain on the left or right side.
Risk of miscarriage
During pregnancy in the early stages of the threat of spontaneous abortion is expressed in the increased tone of the uterus. This leads to lower abdominal pain, muscle tension, and also provokes contractions. As a result of contractions, the uterus can self-evacuate the fetus, which will be accompanied by rejection of the endometrium and bleeding.
Spotting during pregnancy can be caused by a lack of this hormone. If progesterone is not enough, but the attachment still happened, the thinned endometrium begins to bleed.
With a lack of progesterone, bleeding can occur not only at the very beginning - discharge at 6 weeks and after pregnancy is also provoked by insufficiency of the pregnancy hormone, the level of which increases during the entire 9 months of gestation.
Bloody discharge after sex occurs less frequently and is not a particular danger. The cervix at the onset of pregnancy becomes more friable, edematous, it is most susceptible to any pressure and careless actions. Therefore, blood after intercourse appears because of the microscopic damage that it receives during intimacy.
Similar damage to the cervix can be obtained and when examined by a doctor. The bleeding at 4 weeks of pregnancy may be due to injury mirror, because at this time, most women turn to a gynecologist with suspicion of pregnancy due to lack of menstruation. Such injuries do not carry a threat - at the initial stage, the doctor sees the closed cervix, and will not carry out further manipulations in the vagina.
Pathology of the uterus
Another common cause of discharge during pregnancy. For example, often women have myomatous or fibromatous nodes, and if the embryo is attached close to such a node, bleeding is possible.
As a rule, there are no bright blood stains on underwear, but spotting blood blood secretions can last several hours.
Discharge during pregnancy, similar to menstruation, appear after the procedure of in vitro fertilization. They are called the “endangered twin” - when replanting fertilized eggs, not everyone survives, so the others are rejected naturally. Women undergoing an IVF procedure are warned in advance of such bleeding, so they simply need to consult a doctor.
And in some cases, if the second child ceased to develop in the seventh or eighth week, then it completely dissolves in the amniotic fluid, and the discharge at the 8th week of pregnancy does not occur.
After IVF, there are frequent cases when twins or triplets are born, and only the third or fourth “extra” egg is released.
It may occur at any time, often begin discharge already at 6 weeks of pregnancy. Their reasons lie in the recognition of the body of the dead fetus as a threat to the health of the woman. If the embryo stops developing, toxins begin to be produced, triggering the mechanism of miscarriage.
The appearance of bleeding during pregnancy should be an immediate signal for contacting the clinic, because in 80% of cases the fetus can be saved by timely removing the threat to its development.
The second trimester of pregnancy development: secrets and threats
Most often there is blood discharge in early pregnancy, in the first trimester, but this does not mean that at the 12th week for the mother comes carefree time and you can not worry about the baby. If there is a pathology, then blood discharge during pregnancy occurs in the second trimester.
Most often, bleeding occurs for two reasons: due to improper education of the children's place or premature detachment of the placenta.
When bleeding occurs in this period, hospitalization is necessary, after which the doctor decides on further actions: monitoring the patient, abortion for medical reasons, emergency delivery.
Third Trimester Pathologies
Pathologies in the third trimester are not as terrible as spotting in the 7th week of pregnancy, because even with emergency delivery, the child can be saved by connecting to support devices for basic life functions. And sometimes women with a severe pregnancy already at week 10 know that they cannot stand the baby for the whole term, and you need to prepare for early childbirth, for example, at week 35.
In the third trimester, the following causes of bleeding remain:
- progesterone deficiency,
- abnormal position of the placenta
- early placental abruption.
However, the third trimester has its own characteristics, namely, preeclampsia. The causes of late toxicosis are different, but the manifestations of this condition make doctors worry about the condition of a pregnant woman, so if you have edema, lower abdominal pain, high blood pressure, you should urgently consult a doctor. If you ignore these symptoms, a borderline condition may occur, not only for the mother, but also for the fetus. Bleeding in this case will be evidence of the rejection of the fetus, and you can not save the child.
The birth of a child is invariably associated with the appearance of bleeding. The future mother should not worry about this, because in fact the birth of a baby is not much like scenes from the series, where blood splatters almost a fountain. In fact, during normal labor only about one glass of blood is lost.
Already on the 38th week, the woman has a lower abdomen, which indicates the imminent birth of the baby. Turning the head down, the crumb creates pressure, and the abdominal muscles are no longer able to keep their rounded shape. For these symptoms, doctors warn a woman about the upcoming delivery in the coming weeks.
Usually about the imminent birth of the child is indicated by the discharge of the mucous membrane in which there may be small bloody streaks - in this case, the woman needs to collect things and go to the hospital. Fearing bloody discharge at 40 weeks of pregnancy is not worth it - this is a normal process. By this date, the baby has passed all periods of its development, is sufficiently protected to stay in the new environment, and you should not worry about his life.
Severe bleeding: first aid and danger to the fetus
Severe bleeding during pregnancy occurs at any time. It would seem that the fertilized egg stuck and began its development, but here, for example, at week 9, bleeding opened. What to do?
If significant amounts of blood appear, the following measures should be taken:
- call an ambulance
- provide peace
- go to bed
- in severe pain, take no-shpu,
- apply cold to the lower abdomen
- Do not use tampons, do not use the bathroom.
After being delivered to the hospital, the doctor will determine the cause of the complication and prescribe treatment.
As for the danger to the fetus, in most cases, with timely hospitalization, doctors manage to keep the pregnancy. Now in their arsenal there are a number of hormonal drugs that can replace the deficiency of the main female hormones - thanks to this, doctors successfully bring to the natural end even difficult pregnancies. If there is a real threat of miscarriage, the woman is admitted to hospital and treated.
If the threat of the fetus is so great that it is necessary to take decisive measures, doctors always try to save the child, but still the final choice is made in favor of the life and health of the mother.
Blood excretions during pregnancy are not always a cause for panic. If you find red spots on the underwear should not worry - if you follow all the requirements of the doctor, you can make and give birth to a healthy baby without complications. The main condition - when detecting blood discharge from the vagina during pregnancy, consult a doctor as soon as possible.
Author: Anna Vishnyakova, doctor,
specifically for Mama66.ru
Normal discharge during pregnancy
After fertilization of the egg, the production of progesterone increases, due to this the menstrual cycle changes - monthly periods stop. In the absence of pathology, a bright, translucent discharge is found in a woman - the vagina secretes normal mucus and replaces the epithelial layer. With the course of pregnancy, the viscosity, structure, intensity of secretion from the genital tract changes, this is due to physiological processes.
In the first trimester, progesterone is responsible for the functioning of the reproductive system, in the second and third - estrogen. These hormones are responsible for the nature of vaginal secretions. There are rates of discharge by week:
- 1 week - conditional period, it starts from the first day of the last menstruation, the body prepares for fertilization, the discharge is identical to menstrual secretion,
- 2 week - discharge becomes mucous, can be detected blood impurities - the period of attachment of the egg to the walls of the uterus,
- 3 week - maybe a small bleeding, indicating implantation, another variant of the norm - pink, brown, yellow discharge, lasting several days,
- 4 week - the completion of implantation is accompanied by a thick secret of white, odorless, blood can be detected,
- 5 week - a transparent secret, no smell, any change is a sign of the pathological process,
- 6 week - transparent or white odorless discharge,
- 7 week - liquid abundant discharge,
- Week 8 - light discharge of the usual consistency and color, a slightly sour smell is possible,
- 9-10 week - liquid watery secret, odorless,
- Week 11 - a discharge of normal consistency, colorless or light,
- 12 week - perhaps the addition of a sour smell,
- Week 13-25 - clear, fluid discharge, more volume compared to the first trimester,
- 25-36 - the amount of secretion is moderate or abundant, white, the smell is sour,
- 36-40 week - moderate amount, whitish color,
- before childbirth mucus is detected, sometimes with streaks of blood - discharge of mucus plug.
Any abnormalities should be reported to the doctor. Especially if they are accompanied by pain, other unpleasant symptoms or detection of blood - this can be a sign of the onset of the pathological process. The faster assistance is provided, the more favorable the outlook. Up to 70% of women face bleeding during pregnancy. In some cases, they are observed in the early stages of carrying a child, sometimes before birth. Allocation may be physiological or pathological. Only a specialist can determine this.
First Trimester Spotting
The first 12 weeks are the most important, since it is during this period that all organs and systems of the fetus are laid down. Most often, the selection of blood is found in the first trimester. Such processes may be a variant of the norm:
- the attachment of the fetus to the wall of the uterus in a week after conception may manifest itself in small bleeding,
- bleeding in the days of the alleged menstrual period with hormonal failure or growth of placental tissue.
Such bleeding is not dangerous, they are short, of small volume and pass on their own. The physiological causes of bleeding end there. In other cases, bleeding occurs as a symptom of a pathology or a disorder during pregnancy.
It is important at the planning stage of pregnancy to diagnose and treat pathology, including diseases of the reproductive system.
If a fibroid or fibromatosis is diagnosed in a pregnant woman, the embryo can adhere next to the nodes, its growth causes stretching of the tissues, and as a result bleeding can begin. The excretions in this case are of a drab character and last for several hours.
Insufficient progesterone secretion
Progesterone is a hormone synthesized by the ovaries that controls pregnancy. Its additional source is the placenta, increasing its level supports attachment of the fetus to the uterine wall and growth. An insufficient amount of progesterone synthesis may be due to hereditary ovarian failure (hypoplasia or aplasia), inflammatory diseases, injuries, cysts of postoperative disorders. With a hormone deficiency, the endometrium becomes thinner and bleeds. Это возможно не только в первом триместре, но и на более поздних сроках – с течением беременности уровень прогестерона должен увеличиваться.
Женщины, перенесшие кровотечения на ранних сроках беременности, имеют высокий риск предлежания, отслойки плаценты, позднего токсикоза и родов раньше срока.
Second Trimester Spotting
In the second trimester of pregnancy, the cause of bleeding most often is premature placental abruption - partial or complete rejection. Similar processes should occur at the end of the generic period, but sometimes under the influence of pathogenic factors (heart and vascular diseases, renal pathology, endocrine disorders, inflammatory, dystrophic changes of the uterus), this process can begin during pregnancy. The placenta is moved as a result of the accumulation of blood between it and the wall of the uterus. Most often, such a pathology is experienced by women who are not coming to the first birth - this is due to changes in the endometrium.
Symptoms of placental abruption:
- bloody issues,
- hypertonus of the uterus,
With the detachment of the edges, brown discharge is detected, but if the process starts from the center, the fluid accumulates between the uterus and the placenta, a hematoma is formed. If the fluid cannot find a way out, blood soaks the surrounding tissues.
Third Trimester Spotting
The main cause of bleeding in the last trimester is placental abruption. This condition is most dangerous in the second half of pregnancy. In the early stages of the placenta has a reserve of growth. Such processes can cause death of the fetus and mother, therefore women with such a diagnosis are hospitalized in the hospital.
Spotting during pregnancy appear in the case of placenta previa. In some cases, it is low, overlapping the uterus. Such a situation creates a risk of prematurity and hypoxia of the fetus, as well as premature birth. The leading symptom is repeated bleeding of varying intensity, depending on the degree of presentation. This can develop at any stage of pregnancy, but more often after 30 weeks. From a placental abruption, this condition is distinguished by the absence of pain.
Small bloody discharge at week 37-40 is a sign that the cervix is starting to open. As a rule, this happens the day before the birth, along with a small amount of blood comes mucus plug.
If a pregnant woman is diagnosed with a placenta previa or placental abruption, a cesarean section is performed - giving birth in a natural way is dangerous.
Detection of bleeding during pregnancy should be the reason for an emergency visit to the doctor. First of all, it is necessary to identify the cause of this state. If the bleeding is not related to the physiological processes in the body of a pregnant woman, then treatment begins immediately after the diagnosis is established. Depending on the nature of the revealed pathology, conservative and surgical methods can be applied.
Most often, for the treatment of conditions that entailed bleeding during the child's pregnancy, medications are used. Drugs are selected based on the diagnosis, the patient's condition and medical history. By prescribing any drug, the doctor takes into account the effect of the drug on the fetus.
Used drugs in the following groups:
- antispasmodics (no-shpa),
- hemostatics (aminocaproic acid),
- progesterone drugs
- tocolytics (partusisten),
- glucocorticosteroids (Dexamethasone),
- plasma replacement therapy with the loss of a large amount of blood (Reopoliglyukin),
- iron preparations (ferrum-lek) for anemia,
- antibiotics for infection of the genital tract (Amoxicillin).
In most cases, with timely provision of qualified assistance, it is possible to maintain the pregnancy. The prognosis depends on the cause of the appearance of blood. A wide range of hormonal drugs can replace the deficiency of progesterone, treatment of concomitant diseases reduces the risk of threatened abortion.
In addition to drugs, physiotherapy methods are widely used. Electrophoresis with magnesia reduces the tone of the uterus, electro-relaxation has a relaxing effect, ozone therapy reduces fetal hypoxia.
The operation is carried out if conservative therapy can not have the desired effect. The decision to conduct surgery is made on the basis of the clinical situation. When abortion is in progress, curettage of the uterus is performed, and in ectopic pregnancy, the ovum is removed using endoscopic surgery. Polyps can be removed without harming the child, and cauterization of cervical erosion is also possible. Surgical treatment in pregnant women is carried out in advanced cases, timely access to a doctor makes possible the successful use of medicines in the early stages of the disease.
First to help with bleeding
To save pregnancy, it is urgent to take a number of measures:
- call an ambulance
- provide a pregnant woman rest
- take a horizontal position with raised legs,
- with a strong pain syndrome, take an antispasmodic (No-shpa),
- apply cold to the lower abdomen,
- don't take a bath
- Do not insert a tampon into the vagina.
Women who have preserved a pregnancy on the background of blood discharge should observe complete emotional peace, as well as temporarily give up sex. During the rehabilitation period, sedatives, physiotherapy and other non-drug methods of treatment are prescribed. If there is evidence, the drugs used for treatment in the hospital are prescribed for admission and after discharge of the pregnant woman. It is important to exclude stressful situations, healthy food, walks in the fresh air.
The female body is designed in such a way that the secret of different structure and quantity is constantly released from the genital tract. In many cases, they allow one to assess the patient's condition, the presence of pathological processes, especially during pregnancy. Detection of bleeding in the period of childbearing is not a reason for panic, however, you should see a doctor as soon as possible. By following the treatment guidelines, complications can be avoided.
The onset of pregnancy is accompanied by endocrine and metabolic restructuring of the female body, aimed at the favorable bearing of the child and its proper development in the womb. By increasing the production of progesterone, a change in the menstrual cycle occurs - menstruation stops, the uterine mucosa prepares to receive the ovum.
Immediately after fertilization, there may be small reddish discharge, but they should not become abundant and accompanied by other unpleasant sensations.
This is due to the reaction of the endometrium to the implantation of the embryo.
Sometimes women notice that there is a bloody brownish discharge in the period of the next menstruation and regard them as a sign of a failed pregnancy. However, this may be the result of detachment of individual sections of the mucous membrane located below the attached fetal egg.
Any discharge at the onset of pregnancy should alert the woman, especially if they are sufficiently abundant and have a pronounced bloody character.
Miscarriage of pregnancy
The most unpleasant situation for a woman in early pregnancy is spontaneous abortion, which can lead to miscarriage. But, in time paying attention to all the symptoms, it can be prevented. So, in the first 22 weeks an abortion can proceed in the form of several stages:
- Abortion in progress.
- Incomplete and complete.
Spotting appears at the stage of threatened abortion. At the same time, they will be non-abundant, dark in color and may appear even during the periods of the proposed menstruation. In addition, abortion is characterized by the appearance of other symptoms that need to be paid close attention to:
- The aching pains in the lower abdomen, which, as the process progresses, become more and more severe and become cramping.
- Feeling of pressure on the bladder and rectum.
- Increased urination and defecation.
- Increasing the tone of the uterus.
- The softening of the neck and the opening of uterine throat.
With the beginning abortion, it is still possible to save the pregnancy, but if the detachment of the ovum begins, it will not work. In some cases, there is a delay of a non-viable embryo in the uterus. Then the woman's body temperature rises, there is a risk of pronounced bleeding.
Preterm labor is accompanied by similar clinical signs, given the fact that contractions appear, the amniotic fluid is poured out and the child moves along the mother's birth canal.
Miscarriage miscarriage is a serious problem that should be remembered when bleeding occurs.
Pathology of the placenta
Spotting during pregnancy can be the result of placental complications - its presentation or detachment. Such conditions are related to complex obstetric pathology, requiring timely medical intervention.
The location of the placenta in the uterine throat is always accompanied by bleeding, the intensity of which depends on the type of presentation: full, partial or marginal. Scarlet secretions, as a rule, appear among complete well-being or after physical exertion (defecation, sexual intercourse). Recurrence of bleeding is characteristic.
In case of premature detachment spotting does not always occur.
This is most often observed in the peripheral type, when the edges of the placenta begin to tear away. If the central part of the placenta exfoliates, blood is first collected in the formed pocket, and then soaks the uterine wall. In any case, such signs will be characteristic:
- Pain in place of detachment.
- Increasing the tone of the uterus.
- Disruption of the fetus.
- The admixture of blood in the amniotic fluid.
With massive blood loss, there are signs of hemorrhagic shock and coagulation disorders, and if more than half of the placenta has exfoliated, death of the fetus.
Placental complications can cause threatening conditions for the life of the mother and fetus. Therefore, it is important to diagnose pathology in time to take effective measures to eliminate it.
Spotting during pregnancy can also be the result of another pathology - cervical erosion, trauma, tumors or inflammatory diseases. Most of them existed in women before conceiving a child, but were not promptly treated.
Depending on the disease, there is a slight brownish discharge (with erosion), and uterine bleeding (with injuries, tumors).
With the appearance of bleeding at any stage of pregnancy, it is first necessary to establish their cause.
If this condition is not related to physiological factors, it is necessary to start treatment immediately after the diagnosis is established, since the life of the unborn child and the health of the woman may depend on it.
In view of the revealed pathology, conservative and surgical treatment methods are used.
Conservative methods mainly involve the use of drugs. Reception of drugs should be based on the standards of treatment of obstetric and gynecological pathology, the individual characteristics of the organism of the pregnant woman and clinical expediency.
In all cases, it is necessary to consider the effect of drugs on the condition of the fetus. Depending on the situation, the use of such drugs is justified:
- Antispasmodics (No-shpa).
- Hemostatic (etamzilat, aminocaproic acid).
- Progesterone Drugs.
- Tokolitikov (Partusisten).
- Corticosteroids (Dexamethasone).
- Vitamins (E, folic acid).
In case of severe blood loss, plasma substitutes are administered (Hemodez, Rheopoliglyukin), and in case of anemia, iron preparations (Ferrum-lek, Globiron) are administered. If a woman has a genital tract infection diagnosed, antibiotics should be used (Amoxicillin, Azithromycin).
Some medicines during pregnancy are best used in the form of vaginal or rectal suppositories.
Any drug can only be prescribed by a doctor. Independent use of drugs during pregnancy is unacceptable.
In addition to drug treatment, in case of miscarriage, some physical procedures can also be applied:
- Electrophoresis with magnesia.
- Ozone and barotherapy.
With the ineffectiveness or inappropriateness of conservative measures, surgical treatment is carried out. The decision on its necessity is made on the basis of the clinical situation. If an abortion is diagnosed in the course, curettage of the uterus is performed to extract the remains of the embryo.
In ectopic pregnancy, endoscopic surgery can be performed with removal of the ovum from the abdominal cavity or the lumen of the tube. However, in the case of pronounced internal bleeding, the intervention is performed by open access - by means of the lower laparotomy.
If the pregnant woman has late complications of the placenta, especially complete presentation or severe detachment, it is necessary to perform a cesarean section, since in these cases it is impossible to deliver the baby naturally.
Of particular danger is a cervical pregnancy, the development of which can be a threat to the life of the mother due to massive and uncontrolled bleeding. In this case, unfortunately, to save the uterus will not succeed.
If uterus polyps are detected in the first trimester, their endoscopic removal is possible without harm to the fetus. If a woman is bothered by bleeding due to erosion, you can use such minimally invasive techniques:
- Laser treatment.
- Radio wave therapy.
In many advanced cases, the operation becomes the only treatment for pathology. Therefore, it is necessary to consult a doctor in a timely manner when it is still possible to achieve success from conservative therapy.
A bloody discharge from a pregnant woman is an insidious sign that requires careful examination to determine the true cause. Correct and timely medical tactics will preserve the health of the mother and the life of the future baby.
The main causes of bleeding
Not always bleeding during pregnancy indicate pathological processes. If you take the period from 2 weeks to 10, then such secretion should not cause strong feelings. Provided that the bleeding during pregnancy have the following characteristics:
- homogeneous consistency
- a small amount (smearing red discharge),
- total absence of a characteristic smell,
- short duration (run out on the second or third day),
- no unpleasant sensations (slight pulling pains in the abdomen are allowed, although this is already a reason to visit the gynecologist).
Natural discharge with blood may appear for the following reasons:
- attachment of the ovum (implant bleeding),
- hormonal changes,
- active replenishment of the blood vessels of the genitals.
Among the causes of attention to blood discharge at the beginning of pregnancy are:
- minor damage due to vaginal transducer or gynecological speculum,
- bad douching
- exposure after intercourse,
- disappearing twin.
In these cases, brown or slight red whites may appear on the twelfth week. No need to worry, but once again to consult a doctor will not interfere.
The consequence of bleeding in the first trimester of pregnancy can also be:
- lack of progesterone,
- gynecological diseases
- problems with the fetus,
- placental abruption,
- placenta previa
- spontaneous abortion,
- chorion flaking,
- bubble skid
- cervical erosion,
In this case, the secretion may have a smell, it does not stop for a very long time and is accompanied by severe pain. Doctors advise to pay attention to additional symptoms of pathology.
Variety of secretion by color
The bleeding at 4 weeks of pregnancy and until the end of the first trimester is normal, can have the following options:
- transparent with a few drops of blood
- brown discharge of a spotting character,
- Pink colour,
- scarlet color.
If in the first trimester of pregnancy such secretion occurs once and does not cause unpleasant sensations, then there is no reason to worry.
Consider the causes of red discharge during pregnancy in more detail, analyzing some of the issues and comments of women in the forums.
Olya, 27 years old: “Hello! I suppose that I have a pregnancy of 2 or 3 weeks, there was a pink discharge. Tell me, does this happen or is it a month delayed by 2 weeks? ”
Very often, the presence of bleeding at 3 weeks of pregnancy, women are taken for regular menstruation. It is worth noting that the implantation of the ovum may occur both earlier and later, so minor bloody streaks may also indicate a successful conception.
During this period, brown or red marks on the laundry appear as a result of the embryo entering the uterine mucosa. It turns out that it is minor damage to blood vessels that cause bleeding in the first trimester of pregnancy. It can be:
- mucous whites with bloody veins,
- small drops of blood on the daily strip,
- brown footprints.
Поэтому на третьей недели и раньше подобная секреция без дополнительных симптомов считается нормой. But nevertheless, the bloody streaks in belyah should not be ignored with any suspicion.
After visiting the gynecologist
On the Internet, questions about discharge after a gynecologist's examination are quite popular:
Anna, 30 years old: “Pregnancy 6 weeks did not disturb the bleeding earlier, but after yesterday’s examination at the gynecologist I noticed a couple of red drops on the pad. What to do? Is it a miscarriage? ”
Blood discharge at 6 weeks gestation can sometimes occur as a result of micro injuries. Naturally, in such a case, women begin to worry, since it is too late for implant bleeding. During pregnancy at 6 weeks, bleeding may appear due to damage to the blood vessels and capillaries by a vaginal probe or gynecological speculum. They will not be of a systematic nature, so they will immediately disappear almost on the same day. If you observe a similar secret for longer than a couple of hours or their intensity increases, then the phenomenon is most likely not related to a medical examination. In this case, you should immediately seek medical help.
Spotting in early pregnancy after sex is not considered a pathology, but in this case it is better to refuse sexual contact and consult a doctor, because you need to determine exactly the cause of their occurrence, and whether there is a threat to the fetus. But in most cases, such secretion is the result of careless intercourse, so it makes sense to revise the postures and stick to a more relaxed rhythm. The full answer to the question: “What do discharge during pregnancy after sex mean?”, You will find in one of our articles.
"The Vanishing Twin"
Doctors found that almost every eighth person had a twin in the womb, whose development stopped at a certain point. Note that this process is very characteristic of artificial insemination. Here is what women write on the forums about this:
Zinaida, 36 years old: “I went through the IVF procedure because I lost faith in becoming a mother. Everything was good, but soon there was a spotting in the 12th week of pregnancy. Went to the ultrasound - set the fading of one of the twins. I hope that everything will be all right with the second child, and the appearance of such a secretion will not harm nursing. ”
In this case, we recommend turning to additional symptoms that may indicate a similar process in the body:
- in the lower abdomen, cramping
- convulsions may occur.
Confirm or deny such a condition can only be a doctor with an ultrasound. With regard to the time of occurrence of secretion, the bleeding at 10 weeks of pregnancy, but not earlier, may indicate a “disappearing twin”.
Such a phenomenon most often passes without consequences for the health of the woman and the unborn child.
Possible pathologies with bloody discharge in the early stages
Unfortunately, bleeding at the beginning of pregnancy can be dangerous not only for the fetus, but also for the mother. That is why doctors advise in case of any doubts and ailments contact the hospital. The first trimester of pregnancy allows in most cases to correct the situation, but only with timely diagnosis.
In some patients, doctors note a shortage of progesterone, which calls into question the normal delivery of the fetus before the deadline.
Victoria, 22 years old: “Pregnancy 5 weeks, bleeding began to smear. I went to the hospital where the doctor prescribed Duphaston. After taking the drug, everything stopped, but still scary. "
Valentina, 31: “At the 7th week of pregnancy, daubing began. Will I be able to save the child with only progesterone shots? ”
The bleeding from 5 to 12 weeks may well be caused by a shortage of progesterone, but you cannot take drugs without permission, because the wrong dose may be useless or even aggravate the situation.
If the discharge at the 5th week of pregnancy began to disturb, and there are traces of blood on the daily, then you should immediately contact a doctor who will prescribe such drugs as: Duphaston, Utrogestan, and also selects the optimal dosage. Additional treatment may be prescribed. In this case, it is better not to engage in self-treatment, but if you do not pay attention to this problem, then the situation may end in a spontaneous abortion. Before using the listed drugs, find out what may be the discharge from Utrozhestan during pregnancy in the article by reference.
Larisa, 35 years old: “8 weeks of pregnancy and bleeding suddenly occurred, and they are more scarlet. At the hospital, did an ultrasound. Diagnosis - minor placental abruption. It used to hurt the stomach, but now it has stopped. Of the drugs pricked only papaverine. I worry and I do not know what will happen next. "
Spotting in the 8th week of pregnancy, especially those with a scarlet hue, may indicate a placental abruption.
This negative process is caused by stress, trauma, allergies, high blood pressure, and bad habits.
As for the intensity of secretion, everything will depend on the area and place of detachment.
It is worth noting that the 7th week of pregnancy is an early period in which timely medical care can correct the situation and save the child.
Olga, 26 years old: “I was 7 weeks pregnant, and I fell. She did not go to the hospital, because there was no pain or bleeding. What a fool I was, because then I had to lie for almost the whole period on preservation. ”
Such a situation can occur at any period of childbearing, because during pregnancy a slight injury or blow can cause damage to the blood vessels. In this case, consultation with a doctor who will examine the fetus and give recommendations will not prevent.
Svetlana, 34 years old: “I have only the ninth week in this, but the gynecologist diagnosed - placenta previa. Is the placenta already formed by this time? ”
Many women think that placenta previa can occur only at a later date. In fact, bleeding at 9 weeks of gestation, and at any time, can be caused precisely by placenta previa. The main difference is systematic bleeding, which may initially be painless. In the first trimester, bleeding is mild, but it is at this time that actions must be taken to eliminate the threat to the life of both the mother and the child.
The rejection of the embryo can be caused by stress, infections, injuries, etc. Also, spontaneous abortion can occur if the body finds the embryo incapable, especially in the presence of genetic abnormalities.
Blood may appear in small quantities without additional sensations, and sometimes severe bleeding may occur. If you go to the doctor at the first spotting, the probability of preserving the fetus is very high. At the late stage of this process, practically nothing can be done.
Very rare pathology, which is accompanied by the growth of placental tissue. A woman may not feel anything until the development of the fetus stops.
Soon there is an abundant secretion of red. Save the fruit in this case is impossible. This deviation is believed to be genetic. As a rule, it appears from the 11th week of pregnancy.
Erosion of the cervix and polyps
Increased blood flow to the uterus can cause vascular damage. As a result, there is minor bleeding that can appear without cause or after sex. If this process is quickly and spontaneously stopped, then it can be cervical erosion, which is exacerbated during the carrying of the fetus.
All about this pathology and secretions during erosion during pregnancy, read by clicking on the link.
Another cause may be polyps of the cervical canal and decidual polyps. These growths most often disappear themselves, but if removal is prescribed, the doctor also prescribes concomitant treatment.
If you are planning a pregnancy or are already in position, it will not hurt to familiarize yourself with all the causes of red secretion. It is very difficult for a woman to link the discharge during pregnancy in the early stages with a certain disorder, therefore, to remain calm, it is necessary to go to the hospital at the very first ailments. Remember that self-treatment is dangerous for your health.
First Trimester Highlights
The first trimester is the most dangerous for preserving the fetus, during this period the majority of miscarriages occur.
Blood discharge in early pregnancy can occur for the following reasons:
- Fastening of the ovum is accompanied by the appearance of a small amount of blood, this is a physiological process.
- During pregnancy, cervical erosion is exacerbated due to increased blood flow, it does not pose a threat.
- Pathological conditions in the uterus - a cyst or neoplasm. Need constant monitoring by a doctor.
- Low progesterone levels. This hormone is necessary for the proper development of the fetus. Its deficiency is the cause of whiter with an admixture of blood.
- Ectopic pregnancy. The diagnosis requires immediate surgical intervention.
- Endometriosis. Changes in hormonal levels cause its exacerbation, requires constant monitoring and treatment.
The discovery of blood in the secretion is necessary to notify your doctor. Bloody bleeding at 6 weeks of gestation, accompanied by pain, may signal spontaneous abortion or ectopic pregnancy
Late bloody discharge
Spotting after the 37th week of pregnancy may indicate the onset of labor. There is a process of softening of the cervix and preparation for its disclosure. Removed mucus plug with streaks of blood, covering the neck from the moment of conception. This is a physiological phenomenon indicating that labor is close.
Abundant bleeding in the later stages can be caused by the following pathological processes:
- placenta previa
- premature detachment of a normally located placenta,
- rupture of the uterus.
In case of bleeding, an emergency appeal for medical care in a hospital is necessary.
Treatment of secretions during pregnancy
Pathological bleeding during pregnancy is an alarming symptom. In the early stages, this signals a miscarriage, in the later period, the onset of preterm labor. If the bleeding is accompanied by severe pulling pains in the lower abdomen and lower back or sharp pain, contact the hospital immediately. Without accurate diagnosis and treatment is difficult to save the baby. Based on the test results, the doctor will assess the condition of the woman and the unborn child, select a treatment method - conservative or operational.
If the situation is dangerous for the fetus, you should immediately consult your doctor, because the health and the life of the child and the mother are at stake.
Causes of bleeding during pregnancy
Possible causes of bleeding during pregnancy:
- Minor placental abruption.
- Minor brown discharge may be on the days when you had your period. Typically, such a discharge is accompanied by back pain, slight, not forcing to go to bed.
- With some STDs.
In the first trimester of pregnancy, the most dangerous in terms of the threat of termination is embryogenesis. At this time, the further fate of the pregnancy is decided. The determining factor is the state of the mother’s immune and endocrine systems. The immune system does not allow the body to reject the fetus, and the endocrine system produces hormones that lower immunity. This is a very complex process, any violation of which can lead to tragic consequences for the embryo. Hormone progesterone promotes the growth of myometrium. In normal pregnancy, progesterone receptors are present in the blood lymphocytes.
Causes of miscarriage:
- Disruption of hormonal levels, lack of progesterone.
- STDs (chlamydia, mycoplasma, herpes).
- Viral hepatitis, influenza, transferred during pregnancy, pneumonia, pyelonephritis, toxoplasmosis, tonsillitis.
- Genetic anomalies of fetal development.
- Heart defects and anemia in the mother.
- Toxicosis of the second half of pregnancy, polyhydramnios, placenta previa.
- Impaired immunity.
- Physical injuries - accidents, bruises.
- Violations of the menstrual cycle before pregnancy.
- Professional and domestic hazards.
- Malformations of the uterus.
- Strong nervous shock, neurosis and mental illness.
- Metroendometrit (a consequence of abortion).
- Folic acid deficiency.
- Temperature rise.
- Intoxication with poisoning.
- Cervical insufficiency (ICN).
Spotting during pregnancy - the first alarm bell, in which you can suspect a miscarriage. Then join the strongest pulling pains in the lower abdomen, in the lower back, with nausea and dizziness. A sharp pain in the abdomen without bleeding is also a very bad signal. It happens during a missed abortion. The pressure in the uterus increases with miscarriage, you can feel a strong feeling of heaviness in the lower abdomen. It is important to know that a miscarriage does not occur suddenly, spontaneously. Miscarriage has 5 stages: threatened abortion, started abortion, abortion in progress, complete and incomplete abortion. In the first two stages, pregnancy can still be saved. But the problem is that a woman often ignores minor pulling pains, and when bleeding develops, it becomes too late to do something. Contractions of the uterus, pain in the region of the heart should not be ignored. In the second trimester and later, in preterm labor, everything can begin with the discharge of amniotic fluid. The pain of threatened preterm labor is cramping.
Also on intravaginal ultrasound, a doctor can determine uterine hypertonus. Sometimes it can be a reaction to the conduct of the ultrasound itself or the psychological stress that a pregnant woman is experiencing while waiting for research in the queue. If this situation is repeated again, the doctor prescribes antispasmodic drugs. Hypertonus can be felt as a sharp uterus protrusion. With local hypertonus, hospital treatment is not necessary. In later periods, if there is a threat of premature birth, you will be treated in the hospital, not at home, and you cannot refuse hospitalization in any case.
The body of the future mother rejects the fetus with heavy defects. Do not ignore the role of bad habits and stresses in the occurrence of bleeding during pregnancy.
Any infection of the body as a whole, even the common cold, and the genital organs, can cause an abortion or a missed abortion. Even dental caries can play a role. All infectious foci should ideally be eliminated when planning a pregnancy.
If before pregnancy you have signs of hormonal imbalance, it is also necessary to eliminate it.
Two-horned uterus, baby uterus, uterine fibroids - all these pathologies can cause the fertilized egg to not be properly attached to the wall of the uterus.
Stress, noise, radiation, alcohol are also risk factors.
If the discharge is abundant and long, do not delay, ask for help. Now in the arsenal of gynecologists there are all ways to save pregnancy.
Bloody mucous discharge during pregnancy
Bloody mucous discharge during pregnancy after week 36 suggests that a mucus plug with streaks of blood flows away, which protected the uterus during the entire pregnancy. This is - one of the faithful harbingers of childbirth. The mucus plug comes out in parts or all at once. In this case, the expectant mother needs to be alert and collect things in the hospital. After discharge of the mucous membrane, amniotic fluid is poured. Their volume is usually about 2 glasses. They can also pour out drop by drop or go all at once. After the waters discharge, childbirth begins very rapidly, you are unlikely to have time to get to the hospital, call an ambulance.
Dark bleeding during pregnancy
At the time of implantation in the uterus of the ovum, you may not know about your pregnancy and regard the brownish discharge as a failure in the menstrual cycle. Slight bleeding causes embryo attachment - vascular rupture occurs in the uterine mucosa.
Minor hormonal disruptions can also be the reason why there is bloody discharge during pregnancy brown. There is no danger in this case, such discharge occurs in those days when a woman had menstruation before pregnancy. Such a phenomenon may disturb the first 3-4 months of pregnancy.
Dark bleeding during pregnancy is also observed in the case of the detachment of the ovum. This is a life threatening condition. Most often, the detachment of the ovum occurs when there is a shortage of progesterone. Progesterone is a female hormone that supports pregnancy. The exfoliated placenta does not supply the baby’s blood with oxygen, and it can die in utero. Smoking increases the risk of placental abruption.
Also, bleeding during pregnancy are observed with a blistering. Cysts with fluid form on the walls of the uterus. В тканях плаценты происходят необратимые изменения. Диагноз подтверждается при проведении анализа на ХГЧ. Плод при пузырном заносе гибнет, сердцебиение не прослушивается.If time does not remove the fetus from the uterus, it is necessary to remove the uterus itself. Some women may develop cancer after the blistering.
The cause of brown secretions may be cervical erosion. During pregnancy, erosion is not cauterized, and treated with medication, so as not to complicate childbirth.
In case of dark secretions, it is very important to find out with the doctor their exact cause.
Spotting in pregnancy
Blood spotting during pregnancy is especially dangerous during the first trimester. When the fetus is only fixed in the endometrium, you need to be very vigilant. Spotting can be both safe and evidence that there are problems with pregnancy.
The cause of bloody spotting can be a detachment of the ovum, ectopic pregnancy. These conditions are life threatening. Also cause may be cervical erosion. Before pregnancy, it can proceed without symptoms.
Once a month every woman has ovulation. It happens, of course, several cycles a year, when there is no release of an egg from the ovary, but this is more the exception than the rule. When a female cell leaves its habitat, it can meet a male cell in its path. This is how fertilization takes place. Later, sharing and multiplying, the lump of chromosome fusion moves into the uterine cavity. It is there, having attached to its wall, that the fertilized egg will develop during the following months.
Sometimes girls may be disturbed by the release of a certain fluid from the genital tract. Their consistency, color and intensity depend on many factors. Pregnancy excretions are normally neither odor nor large in volume. It should be recalled that women's discharge during the entire menstrual cycle is quite modified. In its first days you can observe copious bloody discharge, after which mucus becomes rather slippery and copious. This is done in order to facilitate the promotion of male cells as much as possible for subsequent fertilization. Immediately after ovulation, a change in the acting hormones occurs, due to which the excretions acquire a minimal volume and a sufficiently sticky, sticky consistency. Toward the end of the menstrual cycle, the cervical mucus becomes like a thick cream.
With the onset of conception, discharge in early pregnancy continues to be quite scarce and creamy. This happens because of the large release of progesterone, which relaxes the uterine muscle and prevents it from contracting. But after 3 months of embryo development, the production of this hormone begins to decrease, which leads to an increase in the amount of mucus. Transparent discharge during pregnancy appear in this time period. Do not worry because of this, it is absolutely normal, not requiring the intervention of doctors.
It is worth remembering what should be healthy cervical mucus during pregnancy. Usually it has neither color nor odor. Its consistency is watery, the amount is moderate.
Of course, there should be no blood impurities. Also, yellowish discharge during pregnancy should alert the expectant mother and get to see a doctor, as an infection that is dangerous for the fetus can be detected.
Make sure that there is no unpleasant smell from the cervical mucus, it can also speak about the existing inflammation. Transparent discharge during pregnancy can be quite abundant. There is no pathology in it. For comfort, doctors recommend using hygienic panty liners.
There are cases when a pregnant woman discovers quite bright, fresh blood in the cervical mucus. Such discharge during pregnancy can speak of such a phenomenon as progressive detachment of the ovum. This situation is quite dangerous for the life of the future baby. When under the influence of certain factors begins the discharge of the embryo from the uterine wall, the smallest blood vessels are damaged. It is their content that stains cervical mucus in scarlet color.
Such a pathology requires immediate treatment to the doctor. If you ignore this condition, the fertilized egg can be completely exfoliated, and pregnancy will be impossible to save. With quick access to a doctor, a woman has every chance to bear and give birth to a healthy baby.
Some women have to deal with a little bleeding at the time of attachment of the ovum to the wall of the uterus. But they still do not know that they are pregnant, and take similar blood for the begun menstruation. At this early stage of pregnancy, the bleeding is scarce and ends quickly.
A similar phenomenon occurs due to the fact that the fertilized egg wants to penetrate into the uterine wall as deeply as possible, thereby causing minor damage to the smallest capillaries. Treatment in this case is not required. Yes, and the future mother herself does not usually refer to the doctor, because she still does not know about her position.
Abundant discharge in early pregnancy can give damaged cervical mucosa. When injuring her during intercourse, there may be a so-called "daub." This condition certainly requires treatment, but not during childbirth. Most likely, immediately after birth, you will be offered several methods for eliminating erosion.
Sometimes a pregnant woman can observe in her unusual, not peculiar to her state of discharge. Usually they are characterized by an unusual color and strong smell. In this case, most likely there is an infection or inflammation.
Bright green or yellow discharge during pregnancy suggests that sexually transmitted diseases are present in the genital tract. They can be very dangerous for the fetus and have the most unforeseen consequences. When untreated infections complications can occur during childbirth, and during the formation of organs of the embryo.
If you find a discharge in early pregnancy that does not fit the description of the norm, you should immediately consult a doctor. Only a doctor can correctly diagnose and find out the cause of the existing pathology. After that, antibacterial therapy will be conducted at the maximum safe period for the development of the fetus.
Absolutely all secretions during pregnancy are divided into two types. Some of them require treatment and medical correction, while others pass on their own. It is worth more to consider the category that should be subject to the intervention of a doctor.
Discharge in the early stages of pregnancy in the form of blood requires an ultrasound probe to be examined to determine the cause of their appearance. Further, depending on the diagnosis, a correction method is chosen. If the threat of interruption is detected, then measures are taken to preserve the fetus and the further development of pregnancy. If an ectopic pregnancy is detected, an emergency surgical operation is indicated.
Discharge during pregnancy, with abundant mass and sour odor, can speak about the beginning of thrush because of reduced immunity. In this case, the doctor prescribes antifungal agents that are safe for the baby.
When secretions of green color with an unpleasant pungent odor, most likely you are dealing with inflammation in the vagina or, as it is also called, bacterial vaginosis. In this case, a pregnant woman needs antibiotics. What exactly when and in what dosage - decides only the doctor.
If you detect bleeding in the later stages of pregnancy, it may be even more dangerous than the appearance of blood at the very beginning of the development of the fetus. Perhaps there is a placental abruption. This pathological phenomenon is a threat not only to the life of the child, but also for the most pregnant woman.
When planning a pregnancy, do not be lazy and visit a doctor. You may have to undergo a certain examination and pass a series of tests, but by doing so you insure yourself against possible pathologies while carrying your baby.
If suddenly you find a discharge during pregnancy that is alarming, you should consult with your doctor as soon as possible. Now, when your new life grows and develops under your heart, you should be as responsible and attentive as possible towards your well-being. Do not hesitate to ask questions at the next appointment with an obstetrician-gynecologist. Ask about everything that bothers you, and then your pregnancy will proceed easily and without complications.
Spotting during pregnancy: is it normal?
The bleeding is very similar to the menstrual flow, but much smaller, and it may have a different color - from bright red to brown. Although the appearance of bleeding and is not the norm, but during the first trimester of pregnancy, this happens quite often. From 15% to 25% of surveyed pregnant women noted that similar phenomena were present in their first three months.
However, the resulting bleeding may indicate both a normal course of pregnancy (albeit with some minor deviations from the norm), and a possible threat to the mother and the unborn child. That is why it is necessary to consult a gynecologist if insignificant but persistent vaginal discharge begins to appear or serious bleeding often occurs.
What if bleeding occurs during pregnancy?
Even if the bleeding quickly stopped or was not very abundant, it is necessary as soon as possible to seek help from a gynecologist or a gynecological emergency. To determine the causes of bleeding, numerous procedures may be necessary, since the cause of bleeding can be many diseases and pathologies, ranging from the development of a malignant tumor to erosion and the presence of infectious diseases.
They can order colposcopy and ultrasound in order to determine the condition of the pregnant woman and the fetus. The doctor may prescribe a blood and urine test, so you can check the level of hormones.
The most reliable information about the causes of the appearance of bleeding during pregnancy can give a transvaginal ultrasound. During this procedure, an ultrasound transducer is carefully inserted into the vagina in order to determine the placenta attachment site and look at the development of the embryo.
If constant and severe abdominal pain occurs along with bleeding, this may be a sign of ectopic pregnancy. In this case, hospitalization and surgical treatment may be required, which involves removal of the embryo.
Why are there bloody discharge in early pregnancy?
There are quite a number of reasons that can lead to bleeding in early pregnancy. Some of them may indicate a serious pathology, while others are not. There are two situations when treatment is not required and bleeding passes without negative consequences:
- Menstrual bleeding. There are hormones that control the menstrual cycle. They can cause bleeding at the right time for him. In some women, bleeding may coincide with the onset of menstruation, even during pregnancy.
- Attachment of the egg to the wall of the uterus. Such a phenomenon may occur, which will be accompanied by short (1-2 days) bloody discharge.
One of the most rare causes is a bubble skid. It is formed during abnormal development of the placenta and the formation of the embryo. In the event of a blistering or ectopic pregnancy, it is necessary to terminate the pregnancy as soon as possible. If the bleeding is caused by the following reasons, it is necessary to treat or take precautions during the entire period of pregnancy:
- Infection of the vagina or cervix,
- Cervical irritation,
- The formation of a small growth on the mucous membrane of the cervix - polyp,
- Hereditary diseases that lead to heavy bleeding during pregnancy. These include Willibrand disease
- Bleeding can be caused by various exogenous factors: pressure change, fall, violent actions, and so on.
- The Disappearing Twin. This is a process that is characterized by the rejection of several embryos during multiple pregnancies. Often found in artificial insemination.
What can indicate bleeding in early pregnancy?
The worst option is the occurrence of bleeding as one of the symptoms of a beginning miscarriage.
Abundant bleeding can occur due to a blistering or miscarriage, especially if they are accompanied by cramps and pain in the abdomen.
You need to be prepared for such a turn of events, but excessive excitement is unnecessary - as a rule, most pregnancies occur normally, even with heavy bleeding.
Causes of bleeding in late pregnancy
Bleeding and bleeding during the third trimester of pregnancy may indicate detachment of the placenta or preterm labor. If discharge began to appear after 37 weeks of gestation, then this may indicate a softening of the cervix and its preparation for disclosure. In this case, there may be mucous discharge, in which there are streaks of blood. This suggests a waste of mucus plug, which closed the entrance to the uterus. Such secretions are evidence that labor can begin soon.
Is there a danger to the child?
It is difficult to predict whether bleeding can lead to miscarriage. But if the following signs are present, then we can say that the risk of losing a fetus is much higher than in all other cases:
- Bleeding gradually increases. and become more abundant
- Age. The optimal age for carrying a child is from 25 to 35 years. Women with greater or lesser age may fall into the risk category
- Smoking. Active or passive smoking can cause miscarriage
- Frequent abortions in young years,
- Previous miscarriages.
Those who complained of bleeding in the early stages of pregnancy have a slightly greater risk of developing pre-eclampsia and premature birth when the baby comes to light before the onset of the 37th week of pregnancy. Those women who have experienced bleeding in early pregnancy may have placental abruption in the later stages.
The appearance of bleeding can be associated with a variety of placental problems, which include placental abruption, placenta previa or intrauterine growth retardation.
After conducting all the necessary studies, the doctor will be able to determine the cause of bleeding and prescribe the correct treatment, which will help to eliminate possible complications. Spotting or bleeding is a rather frightening and unpleasant diagnosis, but in most cases it does not cause harm and disappears without any negative consequences.
Abundant bleeding during pregnancy
Abundant bleeding during pregnancy may be accompanied by abdominal pain. In this case, you need as soon as possible to get to the hospital itself or by ambulance. To confirm or refute the threat of miscarriage, doctors do an ultrasound.
Another cause of bleeding is characteristic of those who have gone through IVF. Sometimes one of the embryos is rejected. This is called the “disappearing twin”.
Early discharge bloody discharge
Early bleeding in pregnancy is not always a pathology, especially if they are brown rather than scarlet. The reason is the attachment of the ovum to the wall of the uterus. Small fragments of the mucous membrane are rejected when this occurs. Such discharge is a common thing on the 7-10th day after conception. Early bleeding in pregnancy can also be caused by cervical erosion. Such bleeding is never accompanied by pain. Another cause of bleeding is genital infections.
Spotting at 4 weeks gestation does not always indicate danger. A common cause of blood discharge is cervical erosion and vaginal infection. During pregnancy, the lining of the uterus may bleed. Such bleeding is not accompanied by pain and quickly stops. In addition to erosion, the cause of bleeding can be polyps - benign tumors of the cervix. The doctor usually waits for the polyp to fall away.
Spontaneous miscarriage may also begin with bleeding. At first, the bleeding may be quite insignificant. At the first stage of miscarriage - threatening miscarriage - bleeding is scarce and there is no pain. The uterus at this stage is not changed, and this pregnancy can be saved.
Spotting at 5 weeks gestation can be an ordinary menstruation. У 10% женщин первые 2 месяца у женщин продолжаются менструации.
Отличить менструальные выделения от крови при выкидыше можно по окраске и длительности кровотечения.
In case of miscarriage, in order to save the child, the woman is placed in the hospital and prescribed medications that reduce the tone of the uterus.
Spotting during pregnancy at week 6 is almost always a sign of trouble. It can be either spotting or significant bleeding. If the stomach hurts, it is a starting miscarriage.
Spotting in the 7th week of pregnancy almost always suggests that such a pregnancy is threatened with interruption.
If you visit the doctor in time, he will conduct a gynecological examination to determine the size of the uterus and the condition of the cervix, take smears. To see what happens inside the uterus, you will be given a referral to an ultrasound.
Women who have been threatened with abortion are recommended bed rest and abstinence.
In any case, bleeding during pregnancy is a reason for increased medical control.
A bloody discharge at week 8 of gestation is likely to indicate a threatened miscarriage. Slight bleeding is the first sign of a threatening abortion. Consult your doctor and follow his recommendations in a disciplined manner. You need peace, no stress and stress, you can not lift a weight of more than 2 kg. If you do not take action on time, the cervix will shrink, and the fetus will be pushed out.
Mild brown discharge at 8 weeks gestation can be the first sign of ectopic pregnancy. In an ectopic pregnancy, the embryo attaches to the tube. Abdominal pain and bleeding - a consequence of overstretching the fallopian tube.
Spotting at 9 weeks gestation may be due to the threat of miscarriage or ectopic pregnancy. Also at this time may be a variant of the norm, in the days of menstruation. Also, the cause may be improper development of the embryo. Aggressive sexual intercourse or careless gynecological examination may also lead to bleeding. Sometimes during pregnancy, polyps can occur on the cervix.
More than half of the women who had bleeding during pregnancy, safely nursed her. Particularly high risk of miscarriage in late pregnancy. If you have already had miscarriages, be sure to notify your doctor and at the slightest suspicion go to an extraordinary reception. Spotting during pregnancy is often combined with a condition called “pre-eclampsia”.
Preeclampsia is a disease that occurs most often in the second trimester of pregnancy. Its symptoms: the appearance of edema and protein in the urine. Preeclampsia of the mother leads to malnutrition of the placenta. Preeclampsia can develop into eclampsia. Eclampsia causes convulsions and is dangerous to the life of the mother and child. Particularly at risk for women after 40 years with kidney disease. Therefore, at risk, the physician at risk examines the risk and takes urine for analysis.
Half of the pregnancies are accompanied by minor bleeding. But if there are abdominal pains like contractions, your pregnancy may be at risk. Timely medical intervention will help save the child.
Do not forget also that an ectopic pregnancy can be “masked” as usual. By the time of week 10, the embryo becomes large enough to break the tube. Ectopic pregnancy is accompanied by severe pain and bleeding. A woman needs a blood transfusion in this case, and the affected tube must be removed.
If even minor bleeding occurs at the 11th week of pregnancy, call an ambulance. By the 11th week of pregnancy, the risk of termination is reduced. Spotting during pregnancy at week 11 may be due to careless intercourse. In order not to provoke a threat, do not visit the sauna, do not start pets. During this period (and the whole pregnancy) it is especially dangerous to get rubella. After it, children are born with congenital blindness and deafness and other malformations. Reduce consumption of tea, coffee, cola - caffeine increases the tone of the uterus.
Spotting at the end of pregnancy
Spotting at the end of pregnancy occurs in women on the last day before childbirth. During pregnancy, mucus is contained in the cervix. When opened, it stands out with blood streaks.
But all the abundant scarlet bleeding during pregnancy, even at the end - a reason to be concerned and call the doctor at home. The culprit is often the placenta. She exfoliates. In stationary conditions, this can be eliminated, and for a period of more than 30 weeks, if it is not possible to stop childbirth, stimulate labor or make a cesarean section. But in this case, the child is born prematurely, he needs special care, he is in the department of prematurely, until he matures. Such children do not always survive. The appearance of brown discharge in late pregnancy suggests that childbirth will begin on the same day.
The spotting at 30 weeks gestation is a sign that the placenta has exfoliated. Even with small brown secretions do not postpone the visit to the doctor. The watery discharge is leaking amniotic fluid, which is also a precursor to preterm labor.
Spotting at 34 weeks gestation may appear after a gynecological vaginal examination. But it can also be a symptom of placental abruption. Along with blood, mucus can also be secreted. This is the precursor of childbirth. At this stage, the child is no longer considered premature, just born early.
Spotting at 36 weeks gestation occurs due to placental abruption and is accompanied by the development of labor.
When vaginal examination, the doctor finds a tight fetal bladder. If the placenta does not take action in time, the child suffers greatly, and fetal hypoxia develops. Causes of premature placental abruption: kidney disease, diabetes mellitus, thyroid disease, uterine myoma, smoking, drug use, lupus erythematosus, severe fright.
Spotting at 37 weeks gestation is most often caused by placental abruption. Placental abruption is provoked by urinary tract infections. If the child is born at this time, he will be fully viable.
At 37 weeks, precursors of childbirth most often appear: the exit of mucus plug with blood-streaked, thinning stools, the stomach goes down, it becomes easier to breathe. You empty your bladder more often.
Spotting in the 40th week of pregnancy should not cause you to panic. Lie down and call an ambulance. Most likely, is about to begin childbirth. Brown discharge with blood contains mucus, which the uterus was covered with during pregnancy.
Spotting at 41 weeks gestation with a mixture of mucus is a sign of beginning labor. Brown, bloody discharge begins the day before birth. At 41 weeks, you do an ultrasound to understand how to conduct childbirth. Decide which of your loved ones will be present at birth: mother, mother-in-law or husband.
Husband support may be very necessary for you, he may be with you for the entire period of labor, massage, give water if you suddenly want to drink. He can cut the umbilical cord. You will give birth to her husband if:
- In your family, it is customary to openly share experiences.
- No taboo order, full confidence.
- The husband does not panic, is always extremely collected.
Joint deliveries are sure to bring you closer. The husband will feel responsibility for the child from the first minutes of life. It is so beautiful when a man holds his not yet washed child in his arms!
Treatment of bleeding during pregnancy
The threat of miscarriage is much more common in women who work, especially in hazardous industries. It is undesirable to use household chemicals during pregnancy, poison cockroaches and rodents. Wear gloves when cleaning. Do not inhale the vapors of detergents, do not use the "thermonuclear" perfume and low-quality decorative cosmetics - all this may not please the crumbs at all. For these 9 months, forget about yourself, and think only about the baby, about that wonderful day, when at last you will see him.
Avoid excessive exercise in sports and weight lifting more than 4 kg.
Diseases of the ovaries and thyroid gland must be treated before conception. Treat also infections of the bladder and kidneys, chronic tonsillitis. Rubella, if you have not had it in childhood, also poses a particular danger to you during pregnancy.
The most dangerous days when the threat of interruption is much higher are the days when you were menstruating in a “non-pregnant” state. These days it is better to postpone trips and flights.
Bleeding with placenta previa at any time - an indication for cesarean section. Often you need a blood transfusion. If the placenta previa is insignificant and the bleeding is not strong, open the fetal bladder. When placenta previa always need medical supervision, you may need to be in the hospital the second half of pregnancy. In the hospital, all the experts and medicines are nearby. If the doctor insists, lie down to save. At the hospital, the pregnant woman experiences stress. If there is no severe pain, home treatment can be allowed.
Hormones are responsible in the body of a woman for the normal growth of the fetus. With pathologies of the thyroid gland or excessive production of male hormones, progesterone is not enough, and pregnancy may be interrupted. Hormonal insufficiency can develop with inflammation of the ovaries, endometritis, after abortion.
When a violation of the adrenal glands in women increases the level of male hormones, which can also cause miscarriage.
Cervical insufficiency can cause abortion. With ICN, the cervix opens and does not hold the fertilized egg. This happens for a period of 16-18 weeks. Surgical treatment of this condition - in 12-14 weeks on the cervix suture under general anesthesia. Such an operation is contraindicated in cases of marked hypertonia of the uterus. Stitches are removed before childbirth.
Bruises and tremors also provoke interruption.
Remember that diseases that “do not show signs of life” before pregnancy can “wake up” during pregnancy. This is due to the fact that pregnant women lowered immunity. Pregnant women are very limited set of drugs that can be used. Many medicines can harm a baby.
Pregnancy complicates anemia and diabetes, especially if you have bad habits. Alcoholics and drug addicts are more likely to have premature and sick children.
The drugs Utrozhestan and Duphaston are usually prescribed when a threat of miscarriage arises. These drugs contain the hormone progesterone. Progesterone deficiency can cause termination of pregnancy in the first trimester.
Duphaston is a potent hormone progestin. Which is close to endogenous (i.e., produced by the body) progesterone. Not a derivative of testosterone.
The only significant contraindication for taking Duphaston is an increased sensitivity to the components of the drug.
With a threatening abortion, 40 mg of duphaston is taken at one time. Then they switch to taking 10 mg of Duphaston every 8 hours.
Progesterone has an immunomodulatory effect, not allowing the ovum to be rejected. Thanks to Duphaston, a stronger bond arises between the embryo and the uterine wall.
In the world lives 7 million people who have experienced the effect of the drug in the womb, no negative impact on their health was found.
Therapy with gestagen preparations should be started when preparing for pregnancy with its habitual miscarriage. Duphaston reduces the risk of chorionitis, chorionic detachment, preterm labor and the threat of interruption, of the carriage of the teeth.
Utrozhestan - the only progesterone in the world, produced from plant materials. It is produced in the form of capsules for oral and intravaginal use.
The usual dose of Utrogestan is 200-300 mg per day.
Duphaston and Utrozhestan drink up to the 20th week of pregnancy.
Among the causes of bleeding during pregnancy, you can also select polyps on the cervix or erosion. In this case, the bleeding is short, does not cause pain and occurs after careless intercourse. Polyp can be removed if it does not disappear by itself.
All women with bleeding during pregnancy shows physical and sexual peace.
Magnesium sulfate for bleeding during pregnancy is used for antispasmodic and sedative effects. The route of administration is intravenous and intramuscular. Of the side effects of respiratory depression. The dosage is selected for each case individually. Magnesia improves uteroplacental blood flow.
Magnesium is a necessary component of the internal environment of the body. During pregnancy, the need for it increases several times. Symptom of magnesium deficiency during pregnancy may be insomnia and an increase in uterine tone. Increasing the tone of the uterus prevents the entry of oxygen into the body crumbs. Placental insufficiency occurs.
The active substance of the drug Magne B6 - magnesium and vitamin B6. In the complex, they have on the pregnant woman's body an anti-stress, antispasmodic effect, prevents the formation of blood clots. Daily dose of Magne B6 - 4 tablets. Duration of use: the drug may be used throughout the pregnancy. As a result of taking the drug, sleep is normalized, a sedative effect is observed, the gastrointestinal tract is normalized, the stool becomes more regular and constipation disappears. Magne B6 is successfully used in obstetric practice in inpatient and outpatient settings.
According to the results of clinical studies of 25 pregnancies in the clinic of pathology of pregnant women of the Moscow Regional Research Institute of Obstetrics, it was concluded that most of the cases of the threat are associated with severe hypomagne.
Tazepam for bleeding during pregnancy is used if a woman has signs of a nervous breakdown: irritability, anxiety, sleep disturbance, fear. Dosage: 1 tablet 1 time per day. Contraindications: I trimester of pregnancy, impaired liver and kidney function. Side effects: drowsiness, fatigue, poor coordination of movements.
To prevent hormonal effects on the fetus with antiphospholipid syndrome, dexamethasone is used in 1 / 4–1 table. overnight courses of 2-3 weeks, aspirin for 1 month at a dose of 0.05 g (50 mg) once a day (from the 2nd trimester of pregnancy).
Up to 12 weeks, folic acid is very useful - at 4 mg / day. Especially important is the appointment of folic acid, if the woman was born inferior children.
Vitamin E is prescribed at a dose of 200 mg per day.
Of physiotherapy, the most justified in women with the threat of abortion is the electric. Low frequency electric current has a specific effect on the central nervous system. Electrosleep has antispastic effect. Electrical impulses during this procedure directly affect the cerebral cortex. Electrosleep restores the emotional balance of pregnant. Electrosleep has a positive effect on blood clotting rates. The duration of electrosleep sessions is up to 2 hours. Sessions spend every other day. Elektrosna course - 10-15 procedures.
Bleeding can also occur during ectopic pregnancy. If the fertilized egg is implanted in the tube, sooner or later it breaks down and massive bleeding threatens the life of the mother. Ectopic pregnancy requires mandatory surgical intervention. Postoperative rehabilitation takes 10 days. Unfortunately, the pipe is removed, and the chances of getting pregnant after this are halved.
Spotting during pregnancy can appear at any time. Even if you have a premature baby, remember that even babies weighing 1000 g are being nursed. A child with a weight of 350 g is known to survive, though this is the only child in the entire history of medical observations who has survived with such a low weight.
Do not wind yourself, your pregnancy outcome depends on your emotional state. Experiences and unreasonable panic should not be. Enjoy this new state. Pregnancy is an interesting time that you will remember with a smile. Pregnancy every day will bring you new emotions. You will notice that you are increasingly listening to what is happening inside you. If your emotions are going wild, and you cannot cope with mood swings, the doctor can prescribe you soothing herbal preparations that do not affect your baby. Sometimes consultation of the neurologist, the psychologist, psychotherapy sessions is shown. Careful attention to your health, nutrition and walks will help you to see the long-awaited smile of your baby during any pregnancy. This day will be the most important day of your life.
Many women are very worried about a possible miscarriage. You can prevent miscarriages by doing everything that depends on you for the normal course of pregnancy. Women, sooner or later you will all want to be mothers. Therefore, do not have an abortion. Микротравмы и спайки, которые обязательно возникают при аборте внутри матки, травмируют эндометрий, и ребеночек не может прикрепиться к матке. А все, потому что однажды вы поддались страсти и сделали аборт, посчитав, что быть одинокой мамой трудно или стыдно.Or that a child may interfere with your progress at work. Work will not smile to you in the morning, will not say the word "mom". Think ...
The same can be said about drinking and smoking, not to mention taking drugs. If you harm your baby, you are unlikely to really worry about the possibility of miscarriage. But even if the child is born, he can be weak, sick, mentally retarded. And this is a burden for life. Again, it is worth considering. There are very wide possibilities for the treatment of any addiction, including without the use of medicines, with the help of psychotherapy and hypnosis.
In most cases, miscarriages occur in very short periods when a woman is unaware that she is pregnant. It is quite possible to be saved from this problem. When two strips appear on the test, listen to what the doctors say to you and everything will be fine.
Spotting during pregnancy does not always mean that you lose a child - it all depends on your attitude to pregnancy.
The development of blood discharge from the genital tract can contribute to various conditions. Each period of pregnancy has a number of unique physiological features. As a rule, the causes leading to the appearance of blood from the genital tract in pregnant women are different.
In the first weeks since the conception took place, a huge number of important biological processes take place in the developing children's organism. So, the fertilized egg rather quickly begins to divide and turns into a small embryo. The appearance of bloody discharge from the genital tract in the early stage of pregnancy is often found at 6-8 days from the moment of fertilization. The development of this symptom in this situation has a completely physiological feature and is due to implantation - the attachment of the ovum to the uterine wall.
In order to secure a strong fixation, the fertilized egg must firmly “join” to the wall of the uterus. During implantation, there is a slight physiological damage to the endometrium (internal uterine lining), which is manifested by the appearance of bleeding. As a rule, this symptom disappears rather quickly.
Many women often do not even notice this or do not pay any special attention to this event. It also happens that they simply do not realize that in the body implantation of the ovum occurs.
If a woman did not plan a pregnancy, then in that case she does not even suspect that she is already pregnant. The appearance of pink or reddish vaginal discharge, she can "write off" on the arrival of menstruation or the exacerbation of a chronic disease. Severe implant bleeding can also be a manifestation of abnormal attachment of the ovum.
In the presence of a number of chronic diseases of the uterus (endometritis, endometriosis) bleeding may be more pronounced and abundant in quantity. Usually, in such a case, a pregnant woman develops the associated symptoms: the appearance of pain in the lower abdomen, slight weakness, and sometimes dizziness.
With the development of multiple pregnancy
It also happens that during conception several eggs are fertilized at once. Thus occurs the conception of twins. During implantation it may happen that one fertilized egg attaches and the second does not. In this case, the pregnant woman may also have a bleeding or even a slight bleeding. It should be noted that the death of one of the embryos can occur after implantation.
In this case, the woman may also have blood discharge from the genital tract. Usually they appear suddenly. To determine the death of one of the embryos in this case is possible through ultrasound.
During pregnancy, the hormonal background of the future mother is almost always changing. In the blood increases the concentration of some hormones, then others. Such a constant hormonal rearrangement is necessary in order for the embryo to fully develop.
A lack of certain hormones during pregnancy can lead to the development of dangerous pathologies. Thus, a significant shortage of progesterone in the blood can lead to the appearance of specific secretions.
Dishormonal disorders occurring with the development of adverse symptoms can significantly worsen the prognosis of the course of pregnancy.
This condition is characterized by detachment of the placenta from the uterine wall. Normally, the placental tissue is firmly fixed to the uterine wall. This is necessary so that the baby, who “lives” in the womb during his intrauterine life, could receive all the necessary nutritional components for his development. Many blood vessels pass through the placenta, through which oxygen dissolved in the blood is carried.
The detachment of the placenta from the uterine walls occurs due to various reasons. The most prominent symptom of this pathology is usually bleeding. Most often it develops suddenly. However, it is not always the woman who notices exactly the bleeding. Sometimes placental abruption develops gradually. This contributes to the fact that the woman begins to appear reddish spotting from the vagina.
Placental abruption may be preceded by some mechanical effects. Thus, the detachment of placental tissue may begin after intense exercise or lifting too heavy objects. In some cases, the pathology develops rapidly and may even be accompanied by the development of massive blood loss.
Exacerbation of cervical erosion
The presence of an eroded area on the cervix can also cause blood-smearing discharge from the genital tract. During pregnancy, the body is constantly changing hormones. Some hormones affect the cellular layers of the cervix, which can lead to increased erosion. The color of the vaginal discharge may vary from red to brown. Discharges are usually scant or minor.
The danger of exacerbation of cervical erosion lies elsewhere - permanent blood loss. Even small but systematic blood loss can lead to the development of an anemic condition, which is unfavorable for both the expectant mother and her baby.
On the walls of the uterus can grow polypous tissue. In practice, there are often cases when pregnant women suffering from this pathology did not even know about it before the onset of pregnancy. The growth of polyps in the uterus is usually not accompanied by any uncomfortable symptoms. Often the first unfavorable symptoms appear in the period of pregnancy. This is largely due to the active growth of the baby.
As the fetus grows, damage can occur to a certain part of the uterus where the polyp is located. This leads to his trauma, and hence the appearance of a small bleeding.
If the polyp is quite small in size, the woman will not notice the pronounced bleeding. In this case, it may appear only a small bloody discharge from the genital tract.
At any time
Some causes of bloody discharge from the genital tract can cause adverse symptoms at any time during pregnancy. They are mainly associated with traumatic damage to the delicate mucous membranes of the female genital tract. As a rule, install them simply. Many of them are preceded by some kind of mechanical action, which contributes to damage.
The appearance of bloody discharge may occur after having sex. In the first weeks of pregnancy, mucous membranes lining the genital tract, a little "loosened." It is intended by nature to successfully complete the process of implantation of the ovum to the uterus. Sexual intercourse in this case can cause injury and slight damage to the vulnerable mucous membranes. It can also cause a woman to notice the appearance of blood drops or reddish discharge in her underwear.
Sexual intercourse can contribute to damage to the mucous and late pregnancy. In order to avoid this, the pair should choose the most gentle poses.
After transvaginal ultrasound
Ultrasound examinations during pregnancy are carried out several times. For the first time, an ultrasound scan is assigned to verify the occurrence of pregnancy, as well as to determine the location of the attachment of the ovum to the uterine wall. Also during such a diagnosis, the doctor assesses the state of the reproductive organs of the expectant mother.
Transvaginal ultrasound is performed by inserting a sensor into the vagina. With such an introduction, microdamages of the mucous membrane are also possible. In this case, as a rule, the woman has a slight vaginal discharge with a reddish tint.
They usually appear without pain. Such vaginal discharge, as a rule, pass independently.
After performing a gynecological examination
In some cases, bleeding from the genital tract may appear after an examination by a gynecologist. The appearance of this symptom leads to the introduction into the genital tract instruments for inspection. In this case, a pregnant woman may also notice the appearance of drops of blood in her underwear. This symptom, as a rule, passes on its own after a couple of days from the date of the gynecological examination.
After unsuccessfully performed douching
Violation of the technique of this procedure may contribute to damage to the mucous membranes of the genital tract. This contributes to the fact that a woman may develop bleeding or blood flow will appear. Usually they occur almost immediately after unsuccessful douching. It should be noted that it is worth resorting to carrying out syringing during pregnancy only after consultation with the doctor.
Independent use of drugs may have an adverse effect on the fetus. Before the introduction of any funds into the vagina, it is necessary to discuss the appropriateness of their use with your obstetrician-gynecologist.
With exacerbation of chronic diseases of the genital organs
Many pregnant women have certain pathologies before pregnancy. This is confirmed by gynecological statistics. Doctors say that healthy women of reproductive age are quite few. Exacerbation of diseases of the reproductive organs contribute to various factors. One of these is the physiological decline in immunity. Changes in the immune system during pregnancy are found in every pregnant woman and are completely normal.
The risk of exacerbation of chronic salpingitis, cervicitis, endometritis and other diseases during pregnancy is quite high. In some situations with such pathologies, spotting may also appear. Exacerbation of chronic diseases of the intimate organs can develop at any time during pregnancy. Usually they are accompanied by the appearance of pain in the abdomen, and can also occur with an increase in body temperature.
What might they look like?
Spotting may have a different appearance. So, they can be liquid and uniform or clotted. Coloring also varies. It can be from pinkish to dark brown. With the development of uterine bleeding, the blood does not have time to "coagulate", which leads to the fact that the discharge from the genital tract becomes bright red and even crimson.
The amount of discharge is a very important clinical indicator.. Doctors necessarily evaluate this symptom when establishing a diagnosis and performing differential diagnostics. For example, when exacerbation of cervical erosion, the amount of discharge is usually insignificant. With placenta previa, more blood is released. Complete placental abruption is characterized by the development of massive bleeding.
What could be dangerous?
The appearance of bloody discharge from the genital tract means that blood loss occurs. Its severity is different and depends on the initial reason, which led to its development. Complications in this case depend on how often and long-term mother loses blood.
If bleeding worries a future mother several times during the entire period of pregnancy, then the risk of anemia is quite high. When anemic condition in the blood decreases the amount of hemoglobin and (or) red blood cells. Such a decrease in red blood cells, which are responsible for the transfer of dissolved oxygen, leads to the development of a dangerous state - hypoxia (oxygen starvation) of the internal organs.
It is important to note that hypoxia in this condition develops in both the most pregnant woman and her baby.
A child who is in the womb will necessarily react to the oxygen deficiency that has arisen. This is usually manifested by the fact that the fetus significantly increases the heart rate, and also increases motor activity. These characteristic changes are also determined on the cardiotogram.
To compensate for the resulting functional disorders, doctors usually resort to prescribing iron-containing drugs. The systematic reception of these funds helps to normalize the level of red blood cells in the blood. The positive effect of such therapy is significantly higher if it is carried out on condition that the loss of blood is stopped. If a pregnant woman continues to lose blood due to frequent bleeding, but receives iron-containing drugs, then the effect of their use will be much lower.
Massive blood loss, for example, in case of spontaneous abortion, is dangerous even for a woman’s life. In this situation, there is a sharp decrease in the volume of circulating blood, and, therefore, the total fluid content in the body. In such a situation, the work of vital organs - the brain and the heart - is deteriorating. With massive blood loss, a woman carrying a baby can even lose consciousness. In this case, it is very important to provide timely medical care, including the appointment of anti-shock drugs, if necessary.
In addition to the adverse effects on the body of the future mother, the fetus may suffer.
Pathologies that are accompanied by the development of bleeding, can lead to the formation of various intrauterine developmental defects and in the fetus. This is largely due to impaired uteroplacental blood flow, which can develop in a number of pathologies.
Is it possible to save pregnancy in case of bleeding?
The appearance of blood from the genital tract can be an extremely dangerous sign. However, this does not always mean a sad outcome of pregnancy. The prognosis in this situation can be very different and depends largely on the cause that influenced the development of severe bleeding, as well as on the initial state of the organisms of the expectant mother. Abundant, breakthrough bleeding can be dangerous in the development of massive blood loss. In this case, the timely provision of specialized medical care is very important.
If a pregnant woman has bleeding, then it is not worth delaying the call of the ambulance crew. It happens that every minute of delay can be decisive.
How is the diagnosis?
It is worth noting immediately that only a doctor can determine the severity of the violations. A pregnant woman may suggest why she had a bloody discharge from the genital tract, but only a doctor can determine the final pathology. To do this, he first needs to conduct a clinical examination. During such a simple study, the doctor determines the condition of the mucous membranes, assesses the state of health of the fetus, and also takes smears for analysis.
The examination on the gynecological chair is carried out in this case rather accurately and carefully. Inaccurate inspection may increase bleeding.
A woman who has bloody vaginal discharge during pregnancy will be prescribed by a doctor to be tested. The simplest, but quite informative is a complete blood count. Using this routine laboratory test, you can determine the presence of inflammation, as well as assess the degree of blood loss by reducing the number of red blood cells and hemoglobin.
In some cases, the doctor also prescribes a biochemical study. It allows you to determine the indicators of blood clotting. This analysis helps the doctor to understand whether there are any pathologies of hemostasis and, if necessary, to prescribe the appropriate therapy.
Another method of research, which is assigned to women suffering from the appearance of bloody discharge from the genital tract, is an ultrasound. Such a survey is conducted mainly transabdominal method. В этом случае специалист изучает состояние матки и находящегося в ней малыша специальным датчиком, которым проводит по передней брюшной стенке. Трансвагинальное УЗИ может привести к дополнительной травматизации слизистых, что лишь спровоцирует повторное кровотечение.
It is important to remember that before trying to cope with the discharge, you should establish the reason that led to their appearance. This can be done only through various surveys that are carried out in medical institutions.
It often happens that a woman who is faced with the appearance of bleeding during childbirth is afraid to consult a doctor. This often leads to the fact that the diagnosis of various pathologies is carried out out of time. With such a delay, the prognosis of the course of pregnancy may change and become unfavorable.
An obstetrician-gynecologist, who is referred to by a woman suffering from the appearance of bleeding, first of all establishes the diagnosis and the cause of the developed disorders. Then he chooses the tactics of further observation of pregnancy. If necessary, the doctor sends the expectant mother to the hospital in the hospital.
The choice of medical tactics
The main task in case of bloody discharge from the genital tract is to carry out measures aimed at stopping the bleeding that has occurred. For this, various techniques can be used. Their choice is largely determined by the underlying cause, which led to the development of adverse symptoms. If the condition of the future mother is rather severe and there is a threat to the life of the fetus, then in such a situation it may even be necessary to have an emergency obstetric aid. Caesarean section in this situation is carried out for health reasons.
Drug treatment of pathologies of pregnancy, accompanied by the development of bleeding, usually complex and multicomponent. In some cases, in order to stop bleeding, doctors may resort to the appointment of hemostatic agents. One of these drugs is Tranexam. It helps to cope with the resulting bleeding and improve the well-being of a pregnant woman. This remedy is prescribed by a doctor, as it has a number of contraindications.
In case of pathologies involving the development of severe bleeding, it may be necessary to administer solutions through droppers. Such treatment is designed to fill the volume of circulating fluid in the body. Together with the solution can be administered and drugs that affect blood clotting.
For disorders associated with dyshormonal disorders, drugs may be prescribed that affect the level of certain hormones in the blood. One of these tools is Duphaston. The use of this tool allows you to normalize low blood levels of one of the important pregnancy hormones - progesterone.
Discharged means the attending physician. It is important to remember that self-administration of hormonal drugs can be dangerous by the development of terrible complications. The duration of treatment and the course dosage is selected individually.
Surgical obstetric aid
With severe bleeding, especially with the development of severe fetal hypoxia, doctors may resort to cesarean section. In some cases, this method of delivery helps to save the life of a woman and her baby.
Before a cesarean section, a doctor must evaluate the state of the mother and fetus. If the general condition of the pregnant woman is critical, then it is impossible to delay the caesarean section. If the condition allows for the possibility of conservative therapy, then it is first carried out. If the general condition of the pregnant woman does not improve against the background of the medicinal therapy, then the doctors will have to resort to emergency obstetrics.
About what the bleeding during pregnancy means and what the pregnant woman needs to do in order to bear and give birth to a healthy baby, look further.