Bleeding during pregnancy in the early and later stages - Causes, Symptoms and Treatment .MF .
Bleeding during pregnancy is the most common pathology.And it's not just pathology but serious complication, which unfortunately are not aware of every pregnant.This is due primarily to the common misconception that pregnancy may be monthly.But in fact, no spotting normal during pregnancy should not be.Very rarely (3% of cases out of 100) in some pregnant women appear small smearing bleeding in early pregnancy, when a woman does not even know about her pregnancy.This occurs at the moment of attachment to the uterus of the ovum, and generally corresponds to the intended date of menstruation.Only in this case the bleeding is normal.In other cases, any vaginal bleeding are regarded as pathological
Causes of bleeding during pregnancy
Bleeding can occur at both the early and late in the pregnancy.Depending on what term bleeding occurred - at an early or late, it can be assumed pathology that has caused bleeding.
bleeding in early pregnancy (before 12 weeks gestation), may indicate:
- which began on abortion;
- of ectopic pregnancy;
- about not developing "non-viable" pregnancy;
- a molar pregnancy.
Bleeding at a late stage of pregnancy (after 12 weeks) may be due to the detachment or placenta previa.
should be noted that if there was bleeding in pregnancy, it does not mean that it is connected with fetal pathology.The reason for this can be acute gynecological diseases in the future mother - cervical erosion, uterine fibroids, cervical polyps, and so on.Bleeding can also be caused by trivial trauma genitals.
Bleeding during pregnancy can be of varying intensity - spreadable, moderate or heavy with clots.Quite often bloody discharge accompanied by pain.The pain can be intense and sharp, spreading throughout the abdomen.Often reminiscent of battle, as it happens, for example, in miscarriage.Either may be slightly noticeable dragging pain in the abdomen.In addition to pain and spotting, in pregnancy reduces the pressure, quickens the pulse, weakness appears.But the nature and intensity of pain and bleeding is not possible to put the diagnosis as a disease in the figures differ from woman to woman.
If vaginal bleeding small - this is not mean you have to lie at home and wait until they pass.Any bleeding during pregnancy are cause for emergency treatment from a gynecologist.Such conditions can be dangerous for the fetus life and mother.
Diagnostics causes of bleeding during pregnancy
In order to identify the exact cause of the bleeding, gynecological examination is required and a number of diagnostic tests in a hospital or maternity home.
doctor at survey takes a swab from the vagina.Pregnant delivers general and biochemical blood tests, coagulation, blood tests for HIV, hepatitis, syphilis;general urine analysis.She determined the blood group and Rh faktor.Obyazatelno conduct a pelvic ultrasound and the fetus.
Further, depending on the diagnosed disease, additional studies may be appointed.So, when abortion, developing pregnancy further examine blood HCG (human chorionic gonadotropin), hormones, shall be tested for TORCH-infection (herpes, rubella, cytomegalovirus, toxoplasmosis);smear on an infection, sexually transmitted diseases.If you suspect an ectopic pregnancy do a diagnostic laparoscopy.When molar pregnancy also examine the level of hCG.
To diagnose the cause of bleeding in the late stages of pregnancy more research is usually not required because of the high information content of the ultrasound.
Treatment of bleeding during pregnancy
Treatment is prescribed depending on the pathology and stage of disease.If the abortion has begun activities should be aimed at maintaining pregnancy and stop bleeding.If the results of ultrasound fetus is viable, in early pregnancy appoint hemostatic agents (Dicynonum), antispasmodics to decrease the tone of the uterus (No-spa, candles with papaverine), hormones - progestins (Djufaston or Utrozhestan) to 16 nelel pregnancy to maintain the level of progesterone- "pregnancy hormone", vitamins and minerals (vitamin E, Jodomarin, folic acid, MagneV6).With good effect of bleeding stopped and the pregnancy is maintained.If a miscarriage has occurred yet and copious - produce scraping the uterine cavity with the removal of the remnants of fetal eggs.
Upon confirmation of the diagnosis of "frozen" or molar pregnancy, a miscarriage and an accomplished, shown scraping the uterine cavity.After scraping the uterine contractions to prescribe hormone Oxytocin and hemostatic agents.Blood discharge after scraping stopped a week.
If ectopic pregnancy treatment operative.Do laparoscopy or laparotomy and remove the affected fallopian tube or extruded tube of the fertilized egg.
In placenta previa, if the allocation of a minor, to save the pregnancy prescribe antispasmodics, dropper with magnesium, beta-agonists (ginipral) desagregants (Trental or Curantil) and vitamins.When placenta previa bleeding may continue until delivery.All this time the woman is put in the hospital.Upon reaching full-term period (38 weeks gestation) is performed cesarean section.If the bleeding is profuse, a cesarean section is performed on an emergency basis, even if the fetus is aborted.To compensate for blood loss spend infusion therapy (transfusions of fresh frozen plasma and packed red blood cells).
If you suspect placental abruption emergency cesarean section is performed regardless of the gestational age and viability of the fetus.Parallel conduct infusion therapy.
All women with Rh-negative blood immediately after curettage, surgery for an ectopic pregnancy and cesarean section is introduced antirezus D-immunoglobulin for the prevention of Rh conflict between mother and fetus when entering the fetal blood in the mother's bloodstream.
All pregnant women who have emerged bleeding and managed to keep the pregnancy is recommended abstinence and emotional peace.Many drugs that are administered in a hospital, you need to apply and after discharge, even if there is no spotting, to protect themselves from the repeated threat of termination of pregnancy.Repeated occurrence of spotting pregnant should also immediately contact your gynecologist.
The rehabilitation period after stopping the bleeding is used sedatives - tincture of motherwort or valerian.Recommend non-pharmacological and physiotherapy - Acupuncture, endonasal galvanization and so on.
As for traditional medicine but infusions Motherwort and valerian, which is very long been used in obstetrics, other herbs it is better not to apply the bleeding, because in most cases they are ineffective, and at worst harmful during pregnancy and may further aggravate the situation.
bleeding complications during pregnancy:
- miscarriages, not treatable;
- fetal death;
- infectious complications, septic shock, which occurs due to the presence of residual dead tissues of the fetus in the uterus;
- with a large blood loss may develop hemorrhagic shock, which can lead to death;
- choriocarcinoma - a rare malignant cancer that can occur after scraping over hydatidiform mole.
Prevention of bleeding:
- natural family planning - the rejection of abortion;
- limiting physical and sexual activity during pregnancy;
- timely treatment of chronic gynecological diseases (especially sexually transmitted infections) before pregnancy;
- implementation of the reproductive function of up to 35 years.
Doctor's consultation on bleeding during pregnancy
1. Can I use any drugs to stop bleeding at home?
can not, you must urgently seek medical advice.
2. How fast can you get pregnant again after scraping?
3-6 months after the relevant survey and hormonal treatment.
3. Are there any menstruating during pregnancy?
4. Can cause bleeding during pregnancy because of the sex?
5. lay on the preservation of 5 weeks.Bleeding and did not pass and had a miscarriage, but saw hormones.Tell me, can hormone dose was insufficient?
Maybe, but unlikely.We need to find the reason why you had a miscarriage after the test.Hormones doctor probably appointed to compensate for a lack of progesterone in the body, which is often the case with abortions.However, miscarriage can occur due to genetic defects of the fetus (75%) and then the hormones have nothing to do with it.
6. How to understand the nature of spotting - a miscarriage or frozen pregnancy?
any way, just be able to install only a doctor after examination and ultrasound.
7. I have placenta previa.Spotting anymore.Can I have sex?
can not.Abstain from sexual intercourse necessary to the delivery.
8. I appeared smearing of bleeding after a delay monthly for a week.What is it?
do a pregnancy test and consult a gynecologist.Either this is a pregnancy or ovarian dysfunction.
9. Could it be due to bleeding from a bath?
Maybe all heat treatments are undesirable during pregnancy, particularly in small terms.