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If the discharge is brown during a short period of pregnancy. Features of the attachment of the fetal egg. Brown discharge in the later stages

In most cases, mucous discharge during pregnancy, which is not accompanied by pain and discomfort, is considered the norm. Their appearance is due to hormonal changes in the body. Depending on the consistency, color and smell of vaginal discharge, it is possible to diagnose the normal state of the expectant mother and her child, as well as timely detect the development of possible pathologies of pregnancy.

For this reason, mucous discharge at any stage of pregnancy should be controlled by the woman herself and her doctor. Even a slight change in their nature is a signal of a possible pathology.

Viscous, abundant mucous secretions completely block access to the cervical canal, protecting the fetus from pathogenic microflora from the genital tract. That is why mucous discharge, which usually appears in early pregnancy, is considered normal.

If this process brings significant discomfort to the pregnant woman, daily sanitary pads will come to the rescue. A sign of well-being during this period is the absence of concomitant discomfort in the form of itching and burning, as well as the appearance of bloody and other colored discharges.

In the second trimester, the mucous secretions during a normal pregnancy change, becoming more liquid due to the intensive synthesis of estrogen. From this moment on, the discharge becomes larger, which also affects the discomfort of the expectant mother.

It is important in the early stages of pregnancy to monitor the nature of mucous secretions, pay attention to changes in their structure, smell and color.

Mucous discharge in the later stages

In the last trimester, the nature and consistency of mucus during pregnancy remain almost the same as at the beginning of the second trimester, or may change slightly. If there is no blood or other negative changes in these secretions, there is nothing to worry about.

Mucous discharge during pregnancy in the third trimester is thick and viscous, or, on the contrary, more watery, and both of these options are considered to be the norm.

In the event that mucus discharge during an ongoing pregnancy contains blood layers, this often indicates premature. This condition is accompanied by pain in the lower abdomen with further development of bleeding. The situation requires urgent help.

But even with a normal pregnancy, some time before the upcoming birth, a woman may notice changes in the mucus from the vagina. If throughout the entire period of bearing the baby, the entrance to the cervix was reliably protected by a mucous plug, then at 38-39 weeks changes begin, signaling the imminent onset of labor.

Discharge from the genital tract will be the same as mucus during pregnancy, but with a reddish or pink tint. This is not a cause for alarm: a woman should know that her cork is coming off, and childbirth will begin any day.

Sometimes copious mucous discharge during pregnancy that occurs in the third trimester is actually a fact.

This is a dangerous condition, so it must be accurately diagnosed in order to avoid problems for the mother and child. The expectant mother is analyzed for the nature of the discharge, and if necessary, the doctor chooses further treatment tactics.

If the gestational age is less than 22 weeks, unfortunately, it is not possible to save her, and the woman is offered to do it. If the period is more than 23 weeks, the woman is hospitalized in a hospital. Treatment consists in prescribing antibiotics and drugs that help the child's respiratory organs mature faster, after which they are carried out.

When is it necessary to see a doctor?

If the discharge of mucus during pregnancy changes its character, that is, it acquires an unhealthy color or smell, most likely we are talking about an infection.

Not in all cases, pathogenic microflora causes an infectious and inflammatory process in the genital tract, sometimes, against the background of its reproduction, the mucous membranes are simply irritated. This state is called. But if it is not treated, it will turn into more serious complications.

During the development of the inflammatory process, mucous secretions during pregnancy become purulent-mucous, green in color, they are accompanied by a bad smell, itching and burning in the genitals. In this case, the cause may be infections such as ureaplasmosis, trichomoniasis and others.

Thus, if normally during pregnancy, discharge in the form of mucus is transparent and colorless, then as a result of infection, they turn green and change their character to mucopurulent. With the appearance of itching, burning, bad smell from linen, there should be no doubt about the infection of the genital tract. Seek immediate medical attention to avoid unnecessary risk to mother and baby.

Treatment of infections that cause mucous discharge during pregnancy

Any infectious factors that were found in a pregnant woman in the process of bearing a child should not be ignored. If in the past, the treatment of infections was postponed until later, prescribing therapy after the birth of the baby, since there were no drugs that were safe for its intrauterine development, now this approach is not practiced.

If the infection is not treated during pregnancy, complications such as sepsis, pneumonia, liver, kidney and brain damage in the unborn child can occur.

Any pathological mucous discharge from the vagina during pregnancy, caused by an infection, needs medical intervention. Currently, there are special methods for the treatment of expectant mothers, with the help of which therapy can be carried out with approved medications, focusing on the timing of gestation.

Women should not be afraid of the treatment prescribed by the doctor. Modern drugs have passed all the necessary clinical studies and are safe for pregnant patients.

It turns out that the abundant mucous discharge that occurs during pregnancy is completely normal. Thanks to them, the optimal ratio of microflora in the vagina is maintained.

If burning, itching and other unpleasant signs appear, you should consult a doctor as soon as possible and undergo the treatment prescribed by him.

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If brown discharge appears at an early stage during pregnancy, this is an eloquent sign of pathology; and the presence of such a symptom in the third trimester may indicate the approach of childbirth. In both cases, it is required to contact a specialist in a timely manner, undergo an examination, control the "interesting situation", lie down for preservation. Brown discharge during pregnancy cannot be ignored, otherwise the consequences for the baby may be irreversible.

Can there be discharge during pregnancy

Since the hormonal background changes after the fertilization of the egg, changes appear in the well-being of the pregnant woman. For example, specific secretions may appear and disappear, change their color, smell and texture. If it is pale mucus with no other symptoms, you do not need to see a doctor. If pink discharge is complemented by pain in the lower abdomen and a jump in temperature, this is a sign of an ectopic or missed pregnancy with the need to perform an abortion. It is important not to observe brown discharge during pregnancy, but to eliminate it in time.

What is brown discharge during pregnancy

After a successful conception, the hormonal background changes radically, the concentration of estrogen increases significantly. A pregnant woman has specific vaginal discharge, which, with a brown tint, can cause an early miscarriage, pathological births in the 2nd and 3rd trimesters of pregnancy. It is urgent to stop sexual intercourse, consult a doctor, be sure to take a blood test to determine the concentration of hCG and progesterone hormones, the nature of the pathology. Vaginal ultrasound becomes an additional method of clinical examination of a pregnant woman.

Causes of brown discharge during pregnancy

If underwear begins to smear, and a pregnant woman experiences internal discomfort, such unpleasant health changes should not be ignored. The dark shade of the discharge indicates blood impurities in a homogeneous consistency, which, when carrying a fetus, prompts disturbing thoughts about the pathology. Before you suspect a dangerous disease when carrying a fetus, you need to study the color, texture, smell of secretions, and determine the obstetric week.

In the early stages

In the first month of pregnancy, the usual menstruation may begin, and the woman is not aware of her "interesting position". However, the color and consistency of the usual secretions change significantly, while the duration and abundance of habitual bleeding is reduced. The following explanation is within the normal range: brown mucus during pregnancy is the result of detachment of the epithelium due to the attachment of the embryo.

If we talk about pathological factors in the appearance of brown discharge, there is a high probability of a progressive pregnancy with a risk of spontaneous abortion (miscarriage). If the bearing of the fetus is accompanied by such symptoms, the woman must be treated in a hospital from the first obstetric weeks. In any case, it is important to contact a specialist in a timely manner. Additional symptoms of a threatened miscarriage are:

  • copious brown discharge;
  • acute pain in the abdomen;
  • high pressure in the abdominal cavity, discomfort;
  • feeling of nausea, bouts of vomiting;
  • high temperature, fever.

During pregnancy in the second trimester

If dark discharge during early pregnancy does not stop, the health problem only gets worse. In the second trimester, such an unpleasant symptom is also dangerous, since it may indicate the following diseases of the female body:

  • sexually transmitted infectious diseases;
  • ectopic pregnancy;
  • cystic drift (fertilization of germ cells without chromosomes);
  • cervical erosion;
  • uterine fibroids of different sizes.

With such an unpleasant symptom, a woman has serious fears for her health and the health of an unborn baby, and there are good reasons for this. To save the child, it is required to undergo treatment in a hospital. There is no talk of surgical intervention during pregnancy, for example, with myoma, such neoplasms should only be observed. Symptoms that, in addition to bleeding from the vagina, you need to pay attention to are presented below:

  • increased pressure in the lower abdomen;
  • pain in the uterus;
  • decline in performance, drowsiness.

In the third trimester

If a woman is at the so-called "finishing stage", there is also a risk of intrauterine pathologies, pathological births. With the appearance of brown discharge, the most common cause for a period of 34 obstetric weeks or more is the passage of a mucous plug, leakage of amniotic fluid, abruption and placenta previa. In this case, the pregnant woman is placed in storage until the very birth, carefully monitoring her condition from day to day.

Causes of brown discharge, not dependent on the term

There are those pathogenic factors that can progress in any obstetric week, disturb the expectant mother for an indefinite period of time. For example, brown discharge in the first trimester of pregnancy raises the suspicion of ectopic insemination, and mechanical cleaning and removal of one of the fallopian tubes becomes a fatal outcome in such a clinical picture. Dark discharge from the vagina can occur at different times, the causes are determined by the attending physician and vaginal ultrasound.

Cervical erosion

A photo of foci of pathology scares all patients, therefore, it is recommended to treat a chronic disease even during pregnancy planning. Otherwise, when carrying a fetus, cervical erosion will remind you of unpleasant consequences, as an option - dark or brown discharge appears during pregnancy in the early stages and not only, the risk of uterine bleeding increases. If open ulcers on the walls of the mucous membrane of the cervix are not treated in a timely manner, the woman's reproductive system suffers. There are pathologies that can disrupt the course of pregnancy.

The injured epithelium during gestation is especially sensitive, so brown discharge from cervical erosion can occur with rough or careless sexual contact, due to improper intimate hygiene measures. Pathological uterine bleeding in this case is distinguished by its scarcity, smearing character, and is a temporary phenomenon.

Infections and inflammatory processes

If moderate hemorrhages appear during gestation, there is a high probability of infectious and inflammatory processes. Additional symptoms of pathologies are profusion of bleeding, a specific smell, pain, discomfort in the lower abdomen. Infections can be chronic and dominate in a "dormant form", aggravate during pregnancy after a weakening of the immune response.

The danger of infectious and inflammatory processes lies in the fact that the pathology can spread to the fetus, and the conservative treatment of the expectant mother is limited. In the latter case, it is worth recalling that during pregnancy, most medications are prohibited for use, especially when it comes to antibiotics, antimicrobials.

Video

When a woman is expecting a baby, her body can behave absolutely unpredictably. Often, the nature of the secretion secreted by the vagina changes in the expectant mother, and brown mucus appears in the early stages, which is not always the norm.

What are the discharge during early pregnancy

Brown discharge during pregnancy can be the norm, because after fertilization (7-12 days), the egg is implanted, which accompanies a creamy, odorless daub. Light brown discharge during early pregnancy is the norm, but if they last no more than two days. If the vaginal secret is secreted longer, then a doctor's consultation is needed.

When an abundant liquid with a clear smell of blood is released from the vagina, an urgent need to contact a gynecologist. Mucous dark brown discharge during early pregnancy is a very alarming signal, as it may indicate pathological processes developing in the uterus. Timely diagnosis, treatment and pastel regimen will help to avoid miscarriage (spontaneous abortion).

What discharge is considered the norm

Sometimes brown discharge appears in early pregnancy on the days of menstruation (estimated). This is considered normal if it occurs in the first weeks after fertilization. Yellow-brown discharge during pregnancy can also occur when a girl is unaware of conception, perceiving them as a normal early process before menstruation. A dark beige or pale brown liquid discharge in the last trimester is considered the norm, because this is a clear sign of placental abruption before childbirth.

Many women note that after conception, the amount of fluid released from the uterus has increased. Under normal conditions, vaginal secretion should be as follows:

  • transparent or slightly yellow, odorless;
  • moderate white or with a yellowish tint;
  • scanty mucosa with a pink tint.

Why are there brown discharges

If light brown discharge appeared in the early stages of pregnancy, then this signals a hormonal change. The cervical canal, which is expelled by epithelial cells, connects the vagina and the uterine cavity. Normally, it is filled with a mucous membrane that has secretory activity. In the first phase of the monthly cycle, under the influence of estrogens, it creates a transparent substance for better penetration of spermatozoa.

After fertilization, during the period of egg attachment, the uterine transparent substance may slightly stain in light colors. If the secreted mucus takes on a darker shade, especially when the process is accompanied by pain in the abdominal cavity, then this is an alarming notification for a woman requiring immediate consultation with a gynecologist.

In what cases it is necessary to see a doctor

When a woman has brown brown discharge in early pregnancy accompanied by back pain, severe dizziness and vomiting, this means a threat of miscarriage. This deviation develops due to an increase in male or lack of female hormones. Serious genetic disorders can provoke pathology, after which fetal death occurs in any month. The cause of dark uterine mucus and spontaneous abortion can be:

  1. Infection. All infectious diseases increase the risk of losing a child.
  2. Hormonal preparations. Inadequate treatment sometimes leads to abnormal fetal development.
  3. Bad habits. Smoking, regular stress, drinking alcohol or overwork are a threat to the health of the baby.

Brownish mucus is often a sign of ectopic insemination. When the fetal egg does not enter the uterus, but into another organ due to adhesions, tortuous fallopian tubes or other indications, then rejection of the fetus is inevitable. After attachment, the embryo grows and stretches the fallopian tube or ovary, which are not adapted for such changes, so the organs can tear.

A woman may not be aware of the pathology at all, because, as with normal fertilization, her hCG level rises and the menstrual cycle is delayed. With ectopic insemination, dark brown mucus is observed in 80% of cases due to rejection of the endometrium, so an appeal to a specialist should occur urgently.

Video: brown discharge during pregnancy - what to do

Pregnancy is a period during which a global restructuring takes place in the female body. All systems, from the digestive to the cardiovascular and respiratory systems, work in a completely new mode for them. But the most basic changes affect, of course, the endocrine and reproductive systems.

Any of the girls who have reached the age of puberty, is faced with a variety of vaginal discharge. Allocations can be plentiful and scanty, light yellow, white or transparent, depending on the phase of the menstrual and ovulatory cycles. All these are normal phenomena, evidence of the correct functioning of the hormonal systems of the body.

However, during pregnancy, especially in the early stages, even the usual discharge can frighten a woman and seem pathological to her, bearing signs that the process is going wrong. In addition, everyone knows that the best adviser to every pregnant woman and puerperal woman is the women's forum. It is also known that the information offered to the attention of readers can be somewhat distorted, and often has nothing to do with reality at all. If a woman sees light or dark brown discharge on underwear or a pad, this is certainly not the norm. But you should not give in to panic: a timely appeal to an obstetrician-gynecologist will allow you to save the pregnancy. But why do brown discharge appear?

No reason to worry

Normally, in the early stages of pregnancy, the volume and "variety" of secretions increase. Information about changes in the work of the endocrine and reproductive systems is provided by an obstetrician-gynecologist when she diagnoses pregnancy in a woman, any women's forum is also replete with stories from women about how the nature of discharge changes during pregnancy.

During the period of bearing a baby, the mother's body tries by all means to protect the fetus growing in the uterus. One of the main defense mechanisms is the increased several times the level of the main pregnancy hormone - progesterone. Due to the influence of this active substance, a volumetric plug of viscous light milky mucus is formed in the cervix, which delimits the uterine cavity from harmful microorganisms that the non-sterile vagina is teeming with. This protective barrier is “built” by the female body already at the very early stage of pregnancy (21-28 days), and abundant light yellow, straw, orange, whitish, milky or transparent discharge in the early stages is an indicator of a completely correct pregnancy.

Brown discharge may also not be an indicator of the presence of pathology.

In the earliest stages of pregnancy, literally in the first few days after the egg has been fertilized, it must be introduced - implanted - into the wall of the uterus. Most often, this process is accompanied by small brown, dark red or rich bloody discharge caused by a slight detachment of uterine endothelial cells. Usually these discharges are not accompanied by any sensations, the appearance of mild spasms is a variant of the norm. At this time, the woman does not yet know that she is pregnant.

If the discharge that appears is small in volume, appears around the time when menstruation should begin and is not accompanied by any sensations that disturb the pregnant woman, then there is most likely nothing serious: these are signals of hormonal disruptions in the body. However, the Mama.ru forum - one of the largest sites where pregnant women and women who have already become mothers exchange experiences - advises: if brown discharge appears, you should not delay making an appointment with a gynecologist. With early appeals, the percentage of preservation of pregnancy is several times higher than among women who applied late.

During pregnancy, especially in its early stages, the well-being of a woman is of great importance. If brown discharge does not accompany other disturbing symptoms, there is a minimum of cause for concern.

Smearing brownish discharge

Repeating brown smears on underwear in the early stages of pregnancy for some time is a symptom that inspires concern for the health of a pregnant woman.

Whatever the reason for their appearance, red blood cells give them a brown tint. In other words, brown discharge is the same blood, which is in a small ratio with other elements. The secretions also contain mucus, epithelial cells, and pathogenic (capable of causing intrauterine infectious disease) microorganisms may be present.

The Mama66.ru forum presents to the attention of readers an article by N.V. Konovalenko, an obstetrician-gynecologist, an experienced doctor, where she names the reasons why spotting brown discharge may appear in early pregnancy:

Detachment of the fetal egg

A fairly common pathology that develops in the early stages of pregnancy. The Beremennost.net forum explains in detail and in an accessible way why and how this process takes place. Chorion - the fetal part of the future placenta - for some reason rejects the fetal egg. There is a violation of the integrity of the vessels, blood accumulates behind the chorion (in clinical practice, this is called a retrochorial hematoma). These processes contribute to even greater rejection of the fetal egg and, in the end, it exfoliates completely, a spontaneous miscarriage occurs. Of course, if the fetal egg is rejected to the end, full bleeding occurs. However, during the course of the pathological processes described above, brown discharge may appear.

Ectopic pregnancy

This is a serious problem, which is characterized by the fact that the fertilized egg - the zygote - is attached not to the uterus, which implies the physiological process of implantation, but to another organ - the fallopian tube (and then the diagnosis is "tubal pregnancy"), ovary, etc. This pathology is a life-threatening condition that requires not just medical, but surgical intervention. Treatment should be carried out as early as possible in pregnancy to avoid serious complications.

Cervical erosion

This point requires special explanation, because the word "erosion" usually causes panic fear in women. Every second forum is replete with messages about the inextricable link between cervical erosion and cancer. It is generally accepted that erosion is a kind of violation, which, if it is not urgently “burned”, develops into cervical cancer in the shortest possible time. However, it is not.

Today, this term no longer exists in clinical obstetrics, but everyone is so used to it that it will not go out of circulation soon. Instead, the term "ectopia" is used and implies the migration of the cylindrical epithelium to the vaginal part of the cervix. There is indeed a danger of developing an oncological disease: with age, these areas are again replaced by stratified squamous epithelium, and malignancy is possible already in this zone. In the context of this article, we mean erosion in the truest sense of the word - a violation of the surface of something. Thus, if a woman has a violation of the mucous membrane of the vagina or cervix, then this "ulcer" can bleed, provoking a brownish discharge.

period of abundance

Most often, brown discharge, accompanied by painful spasms, a feeling of weakness, sweating, a feeling of nausea, are formidable signals of a threatened miscarriage. The reasons for the development of this condition can be completely different, but in any case, it requires mandatory and urgent hospitalization of the pregnant woman and a set of measures aimed at maintaining the pregnancy:

  • progesterone preparations (Utrozhestan, Duphaston);
  • decrease in uterine tone (magnesium sulfate);
  • normalization of the condition, therapy of the disease, which led to the development of the threat of miscarriage.

Abundant discharge of a brown tint may also indicate that the infectious process has moved from a latent phase to an open, acute one. This is due to the fact that during the period of expectation of the baby, the woman's immune system is extremely inactive. The purpose of this phenomenon is to protect the tissues of the child's body that are alien to the mother's immune system. This, of course, opens the "gates" to harmful microbes.

Thus, brown vaginal discharge can be both a variant of the norm and signals of a serious pathology. It is important to remember that you cannot rely on the Internet. No forum can replace specialist advice, a set of analyzes and functional research methods. It is important to see a doctor in time, and then both the mother and the child will be fine.

With the onset of pregnancy, cervical mucus from the vagina can change its consistency, shade, increase or decrease in volume. But an alarming sign will be the appearance of red and brown discharge during early pregnancy.

It used to be widely believed that at this stage there is a natural selection of healthy embryos, and doctors do not need to interfere in this process with attempts to save the child.

However, the development of histology and the emergence of ultrasound technologies have refuted such statements and proved that the genetic inferiority of the embryo is not the main cause of the threat of miscarriage that occurs in the early stages.

What discharge is normal?

Immediately after conception and implantation of the embryo into the wall of the uterus, the woman's endocrine system begins to increase the production of progesterone. If you do a blood test, you can see that the norms of this hormone during pregnancy are much higher than the norm in the second phase of the cycle, when fertilization has not occurred.

High progesterone levels can affect the color and consistency of vaginal discharge. In many pregnant women, they become yellowish and more viscous. In contact with air, after a few hours, they change their color to yellow-orange or bright yellow.

In some women, progesterone does not affect vaginal secretion. Therefore, their discharge in the early stages is whitish or translucent, which is also the norm.

Allocations with an admixture of blood are regarded as dangerous at any stage of pregnancy. There may be several color variations:

  • yellow-brown;
  • Transparent with reddish veins;
  • Rose red;
  • brown;
  • Red;
  • Dark red.

All this indicates that blood clots have formed in the cavity of the body of the uterus, cervix or fallopian tubes. The reasons for their appearance in the early stages may be as follows:

Detachment of the fetal egg- the most common cause of dark brown discharge, which can be in early pregnancy.

Detachment can occur due to a lack of progesterone, an excess of testosterone or prolactin, due to the high tone of the uterus, and also in cases where the embryo has died and the mother's body rejects a non-viable fetal egg.

Detachment can be either partial or complete. In the first case, pregnancy can be saved with timely medical intervention and taking shock doses of hormonal drugs. If it is more than 70%, then it is no longer possible to save the fetus, so a miscarriage occurs.

Ectopic pregnancy- contributes to the appearance of spotting in the early stages, when ultrasound did not reveal the presence of a fetal egg in the uterine cavity.

Polyps of the uterus or cervix- neoplasms that may not manifest themselves in normal menstrual cycles. But from the moment of conception, serious hormonal changes occur in the body of a woman, under the influence of which the structure begins to change.This often causes light brown discharge in early pregnancy.

Embryo implantation- causes the appearance of a small amount of spotting, just a few drops. Does not require treatment.

But you need to take into account that these discharges occur in the period from 3 to 12 days after ovulation and last no more than a day.

There is a myth among women about the so-called "washing the fetus with blood", which, in their opinion, can cause brown and yellow-brown discharge in early pregnancy.

However, such a concept does not exist in obstetric practice and no process of “ablution” takes place. Any, even minor, spotting, except for those that appear during implantation, signals that the woman and the fetus need medical help.

Necessary examinations

Dangerous discharge that appeared during pregnancy is a reason to find out the cause of their occurrence as soon as possible. This can save not only the life of the fetus, but also the life of the mother (in cases where the fetal egg is attached not to the uterus, but to the fallopian tube).

It is necessary to visit a gynecologist, but it is pointless to go to his appointment without ultrasound results - even with palpation, the doctor will not be able to assess how serious the threat to the life of the child is. Therefore, the survey algorithm should be approximately as follows:

  1. Ultrasound examination - the doctor will assess the degree of detachment of the fetal egg (if present), the tone of the uterus, the condition of the cervix and the uterine cavity (for the detection of polyps).
  2. Analysis for the level of progesterone - it is necessary to exclude (or confirm) the lack of this hormone responsible for maintaining pregnancy.
  3. Analysis for testosterone levels - it is necessary to exclude (or confirm) an excess of this hormone, which, starting from 7-8 weeks, can provoke a miscarriage.
  4. Analysis for the level of hCG in dynamics - must be taken at least twice, with an interval of two days. However, you can go to the gynecologist already when you get the first result. The doctor will not be able to assess the dynamics, but, at least, will correlate the hormone concentration in the blood with the gestational age by ultrasound.
  5. A visit to a gynecologist - the doctor will assess the condition of the fetus based on the results of ultrasound, the state of hormones based on the results of blood tests and decide on the appointment of the necessary preservation therapy, which may include drugs that lower the tone of the uterus, regulate hormones, etc.

The reason for an immediate visit to the doctor, bypassing preliminary examinations, may be bright red discharge that appeared in the first weeks of pregnancy, as well as the appearance of a large amount of brown discharge. In this case, the woman will be admitted to the hospital for treatment, where all the necessary examinations will be carried out.