What to do with bleeding during pregnancy?Does bleeding mean a miscarriage??
Pregnant mothers will be extremely nervous when they encounter bleeding during pregnancy. After all, if you see a scene of a pregnant woman bleeding in a TV movie, you will basically have a miscarriage...
But in fact, bleeding is not 100% miscarriage. There are many causes of bleeding (such as implantation bleeding, uterine infection, etc.). There are also some bleedings that cannot be found, and they will get better in a few days.
Bleeding during pregnancy needs to be paid attention to, but it is not necessary to be too nervous. There are many reasons for bleeding. In the end, it is basically impossible to find the cause of bleeding, but it does not affect the adult and the fetus and heals itself.Of course, there are some special conditions that may cause dangerous bleeding, such as ectopic pregnancy.
XNUMX. Is bleeding normal during pregnancy?What can cause bleeding?
Bleeding during pregnancy is not uncommon. Bleeding may occur at any stage of pregnancy. There may be bleeding in the first, second, and third trimesters.
First trimester bleeding
Approximately 20% of mothers will bleed during the first trimester.In some cases, the cause of the bleeding can be found, butThere are also many times when you can’t find out what the reason is.It won't have much impact, after all, the body is undergoing more complicated changes in the first trimester.
Generally speaking, if the bleeding is brown, it's mostly "old blood", don't worry too much; bright red blood needs to be more vigilant.Of course, blood does not mean that there must be a problem. Some pregnant mothers suddenly had blood in the 11th week, and the amount was still relatively large, but in the end, the cause was not found.
The possible causes of bleeding in the first trimester are mainly as follows:
- Implantation bleeding:After the fertilized egg is implanted into the endometrium, there may be a little bleeding in the first 6 to 12 days. Many mothers may not realize that they are pregnant at this time.
The amount of implantation bleeding is very, very small, and usually gets better within a few days. - Miscarriage:In addition to bleeding, other signs of miscarriage include severe cramps in the lower abdomen and the feeling of cellular tissue flowing out of the vagina. Therefore, bleeding in the first trimester cannot be directly judged as a miscarriage.
- Ectopic pregnancy:Ectopic pregnancy may also cause bleeding, which is rare but also more dangerous. If it is not treated in time, it may endanger the mother's life.In addition to bleeding, ectopic pregnancy also has signs of dizziness and severe pain in the lower abdomen.
- Gestational trophoblastic disease:It refers to the growth of abnormal tissues in the uterus, not the growth of the fetus. This is what many people often refer to as "hydatidiform mole".
This condition is also very rare. In addition to bleeding, there are symptoms such as severe nausea and vomiting, and rapid uterine enlargement. - Cervical changes:After pregnancy, more blood will flow to the cervix, so some tests such as pap smear, which will come into contact with the cervix, and sex, may also cause partial bleeding. There is no need to worry about this situation.
- Infection:Cervical, vaginal or other sexually transmitted infections can also cause bleeding in the first trimester. These conditions require further examination in the hospital for treatment.
Second trimester & third trimester bleeding
Bleeding in the second trimester and the third trimester should also be paid attention to. The possible reasons are as follows:
- Placenta previa:The probability of occurrence of placenta previa is about 1/200. There will be no pain when bleeding, and you need to go to the hospital urgently.
- Placental abruption:In addition to bleeding, placental abruption may also be accompanied by signs of abdominal pain and uterine pain. It also requires urgent medical attention.
- Premature labor:Bleeding in the third trimester is also likely to be a sign of premature birth. If mothers start bleeding before 37 weeks of gestation and feel contractions in the abdomen (uterine contractions), they must contact a doctor immediately.
In addition to these common causes, injuries to the cervix or vagina, uterine polyps, Uterine rupture, and Vasa previa may also cause bleeding in the second and third trimesters.
Regardless of the cause of the bleeding, it is best for mothers to contact the doctor as soon as possible.
XNUMX. What should I do about bleeding during pregnancy in the United States?Under what circumstances need to contact a doctor?
Although some bleeding during pregnancy is normal, mothers don't need to be too nervous.But there are also many situations of bleeding during pregnancy that are actually more dangerous, such as ectopic pregnancy, premature delivery, abruption of placenta, etc. If they are not dealt with in time, both mother and baby may be unsafe.
Therefore, it is recommended that once bleeding is found during pregnancy, regardless of the cause, pregnant mothers need to do two things:
1. If it is bleeding, put an aunt's towel (do not use cotton sliver).
This allows you to observe the amount and color of the bleeding, so that you can describe the situation when you call the doctor.If there is any cell tissue expelled, be sure to find a bag or other container to store it and bring it to the doctor for examination.
2. Call the doctor as soon as possible.
Regardless of the cause of the bleeding, it is best to contact the doctor and see how the doctor can give advice.Generally, doctors will arrange B-ultrasound as soon as possible to confirm whether the fetus is normal and to see if the bleeding point and cause of the bleeding can be found.
In addition, pregnant mothers need to pay special attention.If you still have the following conditions while bleeding, go to the emergency department or call 911 as soon as possible:
- Feeling of severe pain or severe cramping in the abdomen (most likely abruption of the placenta);
- Bleeding is extremely heavy and heavy (regardless of whether the abdomen is painful or not);
- Feeling of cell tissue being discharged from the vagina (it may be a miscarriage);
- Feeling dizzy or fainting (may be an ectopic pregnancy);
- Fever exceeds 100.4°F or higher, or feels cold all over.
XNUMX. What do doctors usually deal with during pregnancy bleeding in the United States?
When going to see a doctor, the doctor usually asks some questions to find out the cause of the bleeding, such as whether you have had sex recently, whether you have fallen, whether it is accompanied by other symptoms of nausea and vomiting...
It is usually arranged to do a B-ultrasound to find the bleeding point and try to find the cause of the blood, and at the same time to determine whether the fetal heartbeat is normal.
Bleeding in the first trimester (within 12 weeks), unless there is a history of miscarriage, American doctors seldom “prevent the pregnancy”, butMore inclined to the natural selection of the survival of the fittest embryos in the first trimester.
Of course, if the b-ultrasound finds the above-mentioned special conditions such as abnormal fetal position, placental problems or cervical problems, etc.; or if the bleeding is serious, or even cell tissue is discharged, you may need to stay Observed by the hospital or even hospitalized for surgery.The specific treatment method still depends on the pregnant mothers' own situation and examination results.