If there is blood in the early stages of pregnancy. Treatment of isthmic-cervical insufficiency. Bleeding early in pregnancy: what to do
Is a serious threat to the health and life of both the fetus and the mother. Therefore, such a condition cannot be ignored and, if bleeding of any nature appears, seek medical help. It is a discharge of various colors (red, pink, brown) and consistency emerging from the vagina.According to statistics, bleeding in pregnant women is quite common. This problem affects up to 20% of expectant mothers. In Russia, up to 100 women die every year from bleeding during pregnancy, which indicates the seriousness of the problem.
Causes of bleeding during pregnancy
Bleeding during pregnancy can have a number of reasons, these include the following:
Ectopic pregnancy. It is characterized by the fact that pregnancy occurs and begins to develop outside the uterus.
A frozen pregnancy in which the fetus dies in the womb.
Inflammation of the cervix.
Placental abruption.
Multiple pregnancy.
Abdominal trauma.
Egg implantation to the walls of the uterus.
Cervical erosion.
Sexual intercourse while carrying a child. It occurs due to irritation of the cervix and vaginal lining.
Miscarriage. A concomitant symptom of the smearing discharge that appears is severe paroxysmal pain in the lower abdomen.
Bubble drift. This is a condition in which tissue overgrowth of the placenta occurs. With it, bleeding is profuse, but there is no pain.
Fetal malformations.
Low progesterone levels.
Bladder infections.
Placental abruption.
Premature birth.
Varicose veins of the vagina.
A ruptured uterus that occurs late in pregnancy. At risk are women who have undergone a cesarean section, with multiple pregnancies, with those left after operations.
Sometimes the causes of bleeding in a pregnant woman can be invasive gynecological examinations, such as taking blood from the umbilical cord, examining the amniotic fluid (amniocytosis), fetal chorionic biopsy.
Bleeding during early pregnancy
Bleeding in early pregnancy does not always indicate the presence of any pathology, however, such a condition should not be ignored. There are both natural bleeding and those that can pose a serious threat.
Sometimes, at an early stage, when a woman does not yet know that she has become pregnant, a small amount of blood may be released from the vagina. This is due to the fact that the ovum is attached to the wall of the uterus. During this process, there is a natural rejection of minor elements of the mucous membrane lining it. In connection with such changes in the body, a woman may observe small brown-brown or red discharge, accompanied by a feeling of discomfort and short-term pain.
Sometimes a little bleeding can occur at 3-4 weeks of pregnancy. It does not always indicate a problem. This may happen due to the fact that a woman at this time was supposed to have another one. The hormones that regulate the course of pregnancy naturally interfere with this process, interrupting it. That is why some blood is sometimes released. Such bleeding can sometimes continue up to the 2nd trimester, and therefore, a woman sometimes does not know about her position.
Sometimes early bleeding can result from increased blood supply to the growing uterus. In this case, varicose veins can be observed, polyps form in the cervical canal. At the same time, the pregnant woman does not feel any discomfort and treatment is not prescribed by doctors.
However, one should not be silent at the next visit to the doctor that bleeding occurred during early pregnancy, since in some cases they are a symptom of serious processes. In this case, both the fetus and the woman herself can suffer.
Sometimes bleeding can occur at 5 weeks of gestation. This may be due to the Rh-conflict between the mother and the fetus. It is at this time that the hematopoietic system of the embryo is laid, and if an immuno-conflict occurs, this can provoke a miscarriage. If, with smearing discharge and accompanying pain, a woman does not go to the doctor, then most often the pregnancy cannot be prolonged. If the bleeding increases, clots and severe pain appear, this indicates that the miscarriage is already in the process.
At about 6 weeks, sometimes a little earlier or later, bleeding may occur, indicating an ectopic pregnancy, when the ovum is located outside the uterus.
It is impossible to recognize the cause of bleeding on your own, so you need to see a doctor. Moreover, in the early stages, they can indicate both pathological and natural processes.
Ectopic pregnancy bleeding
Ectopic pregnancy refers to a pathological condition and is a complication of pregnancy. It is characterized by the fact that the fertilized egg is attached outside the walls of the uterus. This condition requires urgent hospitalization, as it causes internal bleeding and can be fatal for a woman.
The danger of an ectopic pregnancy is that at the beginning of the birth of life, it is no different from the uterine one. A woman may experience nausea, weakness, breast tenderness.
Typical symptoms begin to appear at a period of 5 to 8 weeks, they are expressed as follows:
Bleeding occurs in the abdominal cavity, since this is where the vessels are damaged. But uterine bleeding can often be observed, which is caused by a sharp drop in progesterone levels. Discharge is usually only slight, sometimes it can resemble menstrual discharge. Profuse bleeding occurs, but is extremely rare.
The pain is of a different nature, it can be cutting, paroxysmal and aching, localized in the lower abdomen, followed by irradiation to the side and the anus.
If the blood loss is significant, the woman may develop shock. It is characterized by loss of consciousness, pallor, sharp.
In case of bleeding, a surgical method is always used to remove the ovum. Either only the egg is removed, or the fallopian tube, in case of rupture.
Implant bleeding is the natural discharge of blood during the early stages of pregnancy. It is due to the fact that the fertilized egg is trying to invade the walls of the uterus. This type of bleeding is not pathological and is not observed in every woman.
According to statistics, bleeding in pregnant women is quite common. This problem affects up to 20% of expectant mothers. In Russia, up to 100 women die every year from pregnancy that has arisen, which indicates the seriousness of the problem.
The name of this type of bleeding is due to the fact that the introduction of an egg into the walls of the endometrium of the uterus is called implantation. Damaging tissues and blood vessels, the egg hardens inside the body of women, causing bloody discharge. This process takes place on average for 8 days, after the sexual intercourse that has happened, sometimes the process can take up to 12 days. The discharge does not last long, the discharge is observed for 2 hours, no more.
It is important to be able to recognize the signs of implantation bleeding and distinguish it from the onset of menstruation or another type of blood loss.
The fact that the woman began implantation bleeding is indicated by the following:
The presence of unpleasant, but not too painful sensations in the lower abdomen. They are pulling in nature. Caused by muscle spasms of the uterine muscles.
A short-term decrease in basal temperature. But this sign is very difficult to track, since the decrease is insignificant and short-lived.
The bleeding itself is weak, the discharge is more often a light, creamy shade.
A woman may feel mildly unwell, accompanied by dizziness, weakness, and lethargy. They arise after the implantation of the egg is completed.
Unlike menstruation, this bleeding is short-lived.
The color of the discharge will not be as intense.
The number of such secretions is equivalent to a few drops.
When an ectopic pregnancy occurs, implantation bleeding is slightly different. The woman experiences pain, sharp and paroxysmal. Most often, ectopic implantation is immediately accompanied by nausea. During the passage through the fallopian tube, the blood will become dark, therefore, the discharge will acquire a corresponding character.
If the discharge occurred before the specified time or later. Are intense, this may indicate the presence of any other disease. In this case, you need to go to the doctor for advice.
It is problematic to independently determine implantation bleeding using a pregnancy test. As a rule, at such early stages of pregnancy, it does not give a reliable result and it must be done only after the first day of delayed menstruation.
There is a more reliable method for determining the presence of pregnancy - this is a blood sampling and an analysis for a specific hormone hCG. When fertilization occurs, the level of human chorionic gonadotropin in the woman's blood rises. Its release is actively carried out by the membrane of the ovum. This method of determining pregnancy is very reliable and can be carried out as early as 6 days after intercourse. However, it will be more reliable after implantation bleeding has occurred.
If a woman experiences bleeding while carrying a child, it is necessary to act in accordance with the following instructions:
Profuse blood loss during pregnancy rarely begins abruptly and unexpectedly. Most often, it is preceded by pain and tension in the lower abdomen.
If a woman finds bloody discharge, then it is necessary to call an ambulance, and before she arrives, lie in bed with a roller under her feet.
If the arrival of the doctor is delayed for any reason, you need to drink two tablets of No-shpa and extract.
You should put something cold on your lower abdomen, it can be an ice heater or a bottle of water. But first, you need to wrap it with a cloth.
It is forbidden to use douching solutions and even wash away so that the doctor can determine the cause of the blood loss by the color and nature of the discharge.
You cannot use a tampon to stop bleeding; in order not to stain your clothes, you should use a sanitary napkin or a clean cloth.
You cannot use progesterone-based hormonal agents on your own, without a doctor's prescription, in order to stop bleeding. In some cases, they help, but the doctor must determine the cause of the bleeding.
After the arrival of the ambulance team, the woman will be taken to the hospital and transferred to a specialist for observation.
Depending on what caused the blood loss, the pregnant woman will either be left in the hospital or sent home for treatment. Most often, hemostatic agents (Dicinon, Vikasol, etc.) are used for therapy, which reduce the uterine muscles (oxytocin), and raise the hemoglobin level of funds. Pregnant women are also prescribed medications that help strengthen blood vessels - Askorutin.
Education: Diploma in Obstetrics and Gynecology was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013 completed postgraduate studies at N.N. N.I. Pirogova.
Pregnancy is the most difficult physiological condition of a woman, which can often be accompanied by various complications, in particular, those that cause bleeding - vaginal or uterine. The most dangerous are those that occur at the very beginning and at the end of bearing a child.
Perhaps all people, without exception, begin to worry and even panic when they see blood. Moreover, a pregnant woman is exposed to such emotions, and this is natural - she, first of all, worries about her future baby.
At the sight of her own blood flowing from the vagina, a pregnant woman may experience double panic, but not all bleeding is a formidable symptom. However, it is impossible not to pay attention to it.
Causes of the appearance of blood during pregnancy
- In the first trimester, minor bleeding is usually considered normal. The egg cell, during engraftment to the wall of the uterus, seems to be preparing a place for itself - this causes bloody discharge. They are not plentiful and may be accompanied by minor spasms.
- If a woman previously treated cervical erosion, now, due to a strong rush of blood to the uterus, she can bleed. In addition, benign polyps can develop in the cervix, which provokes bleeding. It does not harm the child.
- Blood as a warning. In the first trimester of pregnancy, it can appear with the threat of miscarriage - while bleeding is prolonged, accompanied by sensations of dull pain in the lumbar region and lower abdomen. Although they can be painless, only a doctor can determine the cause.
- Sometimes there are times when bleeding just in the first trimester should certainly alarm a woman. Sometimes it is with insignificant bleeding that very serious pathologies begin, such as, for example, spontaneous miscarriage, oncological neoplasm or ectopic pregnancy, which can also begin with bleeding. Or severe pathology of the cervix, varicose veins of the external genital organs, vaginal infection.
Ectopic pregnancy is very dangerous. If she is not diagnosed in time, then she can bring huge troubles and even death to a pregnant woman.
For example, an undiagnosed tubal pregnancy on time can provoke a rupture of the cervix, which is life-threatening.
Therefore, even if bleeding is devoid of pain, it is better, without delay, to consult a specialist. And later, after examination, passing the necessary tests, conducting an ultrasound scan, it is determined whether there is some kind of inflammation that could provoke bleeding, in addition, it becomes clear how the pregnancy goes, whether there is a threat of miscarriage.
The first and last trimesters of pregnancy are considered the most dangerous: at this time, a variety of complications can develop, such as uterine bleeding or vaginal bleeding.
In the event that any fears of the above after all the examinations are confirmed, you will, of course, be provided with qualified assistance and will secure observation for you in order to protect you and your baby from all possible dangers as much as possible. So don't be afraid. You can correct, perhaps, any situation, especially if you do not postpone the visit to the hospital and timely referral to specialists. And in no case try to independently determine the cause of the blood during pregnancy, and even more so, self-medicate.
Bleeding during pregnancy is the most common pathology. And this is not just a pathology, but also a serious complication, which, alas, not every pregnant woman is aware of. This is due primarily to the widespread misconception that during pregnancy there may be periods. But in fact, there should not be any normal bleeding during pregnancy. Very rarely (in 3% of 100 cases), some pregnant women have small spotting bleeding at the very beginning of pregnancy, when the woman does not yet know about her pregnancy. This occurs at the time of the attachment of the ovum to the uterus, and, as a rule, corresponds to the date of the expected menstruation. Only in this case is bleeding normal. In other cases, any bleeding is regarded as a pathology.
Causes of bleeding during pregnancy
Bleeding can occur both early and late in pregnancy. Depending on how long the bleeding occurred - early or late, one can assume the pathology that caused the bleeding.
Bleeding early in pregnancy (before 12 weeks of gestation) may indicate:
About a miscarriage that has begun;
- about an ectopic pregnancy;
- about non-developing "frozen" pregnancy;
- about a cystic drift.
Bleeding in late pregnancy (after 12 weeks) may be due to placental abruption or previa.
It should be noted that if bleeding occurred during pregnancy, this does not mean that it is associated specifically with the pathology of the fetus. The reason for this may be exacerbation of gynecological diseases in the expectant mother - erosion of the cervix, uterine fibroids, polyps of the cervical canal, and so on. Bleeding can also be caused by a common trauma to the genitals.
Bleeding during pregnancy can be of varying intensity - smearing, moderate or profuse with clots. Quite often, bleeding is accompanied by pain. The pain can be intense and sharp, spreading throughout the abdomen. Often they resemble labor pains, as happens, for example, with a miscarriage. Or there may be slightly tangible pulling pains in the lower abdomen. In addition to pain and bleeding, the pregnant woman's blood pressure decreases, the pulse quickens, and weakness appears. But by the nature and intensity of pain and bleeding, the diagnosis cannot be made, since with the same pathology these indicators differ in different women.
If the bleeding is insignificant, this does not mean that you need to lie at home and wait until they pass. Any bleeding during pregnancy is a reason for emergency treatment with a gynecologist. Such conditions can be dangerous for both the life of the fetus and the mother.
Diagnosis of the cause of bleeding during pregnancy
In order to identify the exact cause of bleeding, an examination by a gynecologist and a number of diagnostic studies in a hospital or maternity hospital are required.
During the examination, the doctor takes a swab from the vagina. A pregnant woman takes a general and biochemical blood test, a coagulogram, a blood test for HIV, hepatitis, syphilis; general urine analysis. She is determined by the blood group and the Rh factor. An ultrasound of the pelvic organs and the fetus is mandatory.
Further, depending on the identified pathology, additional studies may be prescribed. So, in case of miscarriage, non-developing pregnancy, blood is additionally examined for hCG (human chorionic gonadotropin), hormones, tests for TORCH infections (herpes, rubella, cytomegalovirus, toxoplasmosis) are taken; smear for sexually transmitted infections. If an ectopic pregnancy is suspected, diagnostic laparoscopy is performed. With cystic drift, the level of hCG is also examined.
To diagnose the cause of bleeding in late pregnancy, additional studies are usually not required, due to the high information content of ultrasound.
Treatment of bleeding during pregnancy
Treatment is prescribed depending on the pathology and stage of the disease. When a miscarriage begins, measures should be aimed at preserving the pregnancy and at stopping bleeding. If, according to the results of ultrasound, the fetus is viable, in the early stages of pregnancy, hemostatic drugs are prescribed (Ditsinon), antispasmodics to lower the tone of the uterus (No-shpa, suppositories with papaverine), hormonal drugs - gestagens (Duphaston or Utrozhestan) up to 16 weeks of pregnancy to maintain progesterone levels - "pregnancy hormone", vitamins and minerals (vitamin E, Iodomarin, folic acid, MagneB6). With a good effect, the bleeding stops and the pregnancy persists. If a miscarriage nevertheless occurred and the discharge is abundant, the uterine cavity is scraped out with the removal of the remnants of the ovum.
When the diagnosis is confirmed, "frozen" pregnancy or cystic drift, as in the case of a miscarriage, curettage of the uterine cavity is indicated. After curettage, the hormone Oxytocin and hemostatic drugs are prescribed to contract the uterus. Bloody discharge after curettage stops after a week.
With an ectopic pregnancy, treatment is prompt. A laparoscopy or laparotomy is performed and the affected fallopian tube is removed or the ovum is squeezed out of the tube.
With placenta previa, if the discharge is insignificant, antispasmodics, droppers with magnesia, beta-adrenomimetics (Ginipral), antiplatelet agents (Trental or Curantil) and vitamins are prescribed to maintain pregnancy. With placenta previa, bleeding may continue until delivery. All this time a woman is supposed to be in the hospital. Upon reaching full term (38 weeks of pregnancy), a cesarean section is performed. If the bleeding is profuse, a caesarean section is performed on an emergency basis, even if the fetus is premature. To replenish the blood loss, infusion therapy is performed (transfusion of fresh frozen plasma and erythrocyte mass).
If a placental abruption is suspected, a caesarean section is urgently performed, regardless of the duration of pregnancy and the viability of the fetus. In parallel, infusion therapy is carried out.
All women with Rh-negative blood immediately after curettage, surgery for ectopic pregnancy and cesarean section are injected with anti-Rh D-immunoglobulin to prevent Rh-conflict between the mother and the fetus when the fetal blood enters the mother's bloodstream.
All pregnant women who experience bleeding and have managed to maintain the recommended sexual abstinence and emotional peace. Many drugs that are prescribed in the hospital must be used after discharge, even if there is no bleeding, in order to protect oneself from the repeated threat of termination of pregnancy. If bleeding reappears, the pregnant woman should also immediately consult a gynecologist.
In the rehabilitation period, after stopping bleeding, sedatives are used - tinctures of motherwort or valerian. Non-drug and physiotherapy treatments are recommended - acupuncture, endonasal galvanization, and so on.
As for traditional medicine, in addition to tinctures of motherwort and valerian, which have been used for a very long time in obstetrics, it is better not to use other herbs for bleeding, since in most cases they are ineffective, and in the worst case, harmful during pregnancy and can further aggravate the situation.
Complications of bleeding during pregnancy:
Non-treatable miscarriages;
- antenatal fetal death;
- infectious complications, septic shock, which occurs due to the presence of tissue remnants of a dead fetus in the uterine cavity;
- with large blood loss, hemorrhagic shock may develop, which can be fatal;
- Choriocarcinoma - a rare malignant cancerous tumor that can occur after curettage for cystic drift.
Prevention of bleeding:
Natural family planning - no abortion;
- limiting physical and sexual activity during pregnancy;
- timely treatment of chronic gynecological diseases (especially genital infections) before pregnancy;
- implementation of reproductive function up to 35 years old.
Doctor's consultation on bleeding during pregnancy
1. Can any medication be used to stop bleeding at home?
It is impossible, you must urgently consult a doctor.
2. How quickly can you get pregnant again after curettage?
After 3-6 months, after examination and appropriate hormonal treatment.
3. Are there menstrual periods during pregnancy?
They don't.
4. Can bleeding occur during pregnancy due to sex?
They can.
5. Laid down to save at 5 weeks. The bleeding did not go away and there was a miscarriage, although she drank hormones. Tell me, maybe the dose of hormones was insufficient?
Maybe, but not likely. You need to find out why you had a miscarriage after the examination. The doctor probably prescribed hormones to compensate for the lack of progesterone in the body, which often happens with miscarriages. But a miscarriage can also occur due to genetic defects of the fetus (in 75% of cases) and then hormones have nothing to do with it.
6. How to understand by the nature of the bleeding - is it a miscarriage or a frozen pregnancy?
In no way, only a doctor will be able to establish for sure after examination and ultrasound.
7. I have placenta previa. There is no more blood discharge. Is it okay to have sex?
It is forbidden. It is necessary to abstain from sexual intercourse until delivery.
8.I got spotting bleeding after a week's delay in menstruation. What is it?
Get a pregnancy test and see your gynecologist. Either it is pregnancy or ovarian dysfunction.
9. Could there be bleeding due to the bath?
Maybe all thermal procedures are undesirable during pregnancy, especially at a short time.
Bleeding during pregnancy is a serious threat to the health and life of both the fetus and the mother. Therefore, such a condition cannot be ignored and, if bleeding of any nature appears, seek medical help. It is a discharge of various colors (red, pink, brown) and consistency emerging from the vagina.
According to statistics, bleeding in pregnant women is quite common. This problem affects up to 20% of expectant mothers. In Russia, up to 100 women die every year from bleeding during pregnancy, which indicates the seriousness of the problem.
Causes of bleeding during pregnancy
Bleeding during pregnancy can have a number of reasons, these include the following:
Ectopic pregnancy. It is characterized by the fact that pregnancy occurs and begins to develop outside the uterus.
A frozen pregnancy in which the fetus dies in the womb.
Inflammation of the cervix.
Placental abruption.
Multiple pregnancy.
Abdominal trauma.
Egg implantation to the walls of the uterus.
Cervical erosion.
Polyps of the cervical canal.
Myoma of the uterus.
Sexual intercourse while carrying a child. It occurs due to irritation of the cervix and vaginal lining.
Miscarriage. A concomitant symptom of the smearing discharge that appears is severe paroxysmal pain in the lower abdomen.
Bubble drift. This is a condition in which tissue overgrowth of the placenta occurs. With it, bleeding is profuse, but there is no pain.
Fetal malformations.
Low progesterone levels.
Bladder infections.
Placental abruption.
Premature birth.
Varicose veins of the vagina.
A ruptured uterus that occurs late in pregnancy. At risk are women who have undergone a cesarean section, with multiple pregnancies, with scars left after operations.
Cervical cancer.
Sometimes the causes of bleeding in a pregnant woman can be invasive gynecological examinations, such as taking blood from the umbilical cord, examining the amniotic fluid (amniocytosis), fetal chorionic biopsy.
Bleeding during early pregnancy
Bleeding in early pregnancy does not always indicate the presence of any pathology, however, such a condition should not be ignored. There are both natural bleeding and those that can pose a serious threat.
Sometimes, at an early stage, when a woman does not yet know that she has become pregnant, a small amount of blood may be released from the vagina. This is due to the fact that the ovum is attached to the wall of the uterus. During this process, there is a natural rejection of minor elements of the mucous membrane lining it. In connection with such changes in the body, a woman may observe small brown-brown or red discharge, accompanied by a feeling of discomfort and short-term pain.
Sometimes a little bleeding can occur at 3-4 weeks of pregnancy. It does not always indicate a problem. This may happen due to the fact that the woman at this time should have started another menstruation. The hormones that regulate the course of pregnancy naturally interfere with this process, interrupting it. That is why some blood is sometimes released. Such bleeding can sometimes continue up to the 2nd trimester, and therefore, a woman sometimes does not know about her position.
Sometimes early bleeding can result from increased blood supply to the growing uterus. In this case, varicose veins can be observed, polyps form in the cervical canal. At the same time, the pregnant woman does not feel any discomfort and treatment is not prescribed by doctors.
However, one should not be silent at the next visit to the doctor that bleeding occurred during early pregnancy, since in some cases they are a symptom of serious processes. In this case, both the fetus and the woman herself can suffer.
Sometimes bleeding can occur at 5 weeks of gestation. This may be due to the Rh-conflict between the mother and the fetus. It is at this time that the hematopoietic system of the embryo is laid, and if an immuno-conflict occurs, this can provoke a miscarriage. If, with smearing discharge and accompanying pain, a woman does not go to the doctor, then most often the pregnancy cannot be prolonged. If the bleeding increases, clots and severe pain appear, this indicates that the miscarriage is already in the process.
At about 6 weeks, sometimes a little earlier or later, bleeding may occur, indicating an ectopic pregnancy, when the ovum is located outside the uterus.
It is impossible to recognize the cause of bleeding on your own, so you need to see a doctor. Moreover, in the early stages, they can indicate both pathological and natural processes.
Ectopic pregnancy bleeding
Ectopic pregnancy refers to a pathological condition and is a complication of pregnancy. It is characterized by the fact that the fertilized egg is attached outside the walls of the uterus. This condition requires urgent hospitalization, as it causes internal bleeding and can be fatal for a woman.
The danger of an ectopic pregnancy is that at the beginning of the birth of life, it is no different from the uterine one. A woman may experience nausea, weakness, breast tenderness.
Typical symptoms begin to appear at a period of 5 to 8 weeks, they are expressed as follows:
Bleeding occurs in the abdominal cavity, since this is where the vessels are damaged. But uterine bleeding can often be observed, which is caused by a sharp drop in progesterone levels. Discharge is usually only slight, sometimes it can resemble menstrual discharge. Profuse bleeding occurs, but is extremely rare.
The pain is of a different nature, it can be cutting, paroxysmal and aching, localized in the lower abdomen, followed by irradiation to the side and the anus.
If the blood loss is significant, the woman may develop shock. It is characterized by loss of consciousness, pallor, and a sharp drop in blood pressure.
In case of bleeding, a surgical method is always used to remove the ovum. Either only the egg is removed, or the fallopian tube, in case of rupture.
Implant bleeding is the natural discharge of blood during the early stages of pregnancy. It is due to the fact that the fertilized egg is trying to invade the walls of the uterus. This type of bleeding is not pathological and is not observed in every woman.
The name of this type of bleeding is due to the fact that the introduction of an egg into the walls of the endometrium of the uterus is called implantation. Damaging tissues and blood vessels, the egg hardens inside the body of women, causing bloody discharge. This process takes place on average for 8 days, after the sexual intercourse that has happened, sometimes the process can take up to 12 days. The discharge does not last long, the discharge is observed for 2 hours, no more.
It is important to be able to recognize the signs of implantation bleeding and distinguish it from the onset of menstruation or another type of blood loss.
The fact that the woman began implantation bleeding is indicated by the following:
The presence of unpleasant, but not too painful sensations in the lower abdomen. They are pulling in nature. Caused by muscle spasms of the uterine muscles.
A short-term decrease in basal temperature. But this sign is very difficult to track, since the decrease is insignificant and short-lived.
The bleeding itself is weak, the discharge is more often a light, creamy shade.
A woman may feel mildly unwell, accompanied by dizziness, weakness, and lethargy. They arise after the implantation of the egg is completed.
Unlike menstruation, this bleeding is short-lived.
The color of the discharge will not be as intense.
The number of such secretions is equivalent to a few drops.
When an ectopic pregnancy occurs, implantation bleeding is slightly different. The woman experiences pain, sharp and paroxysmal. Most often, ectopic implantation is immediately accompanied by dizziness and nausea. During the passage through the fallopian tube, the blood will become dark, therefore, the discharge will acquire a corresponding character.
If the discharge occurred before the specified time or later. Are intense, this may indicate the presence of any other disease. In this case, you need to go to the doctor for advice.
It is problematic to independently determine implantation bleeding using a pregnancy test. As a rule, at such early stages of pregnancy, it does not give a reliable result and it must be done only after the first day of delayed menstruation.
There is a more reliable method for determining the presence of pregnancy - this is a blood sampling and an analysis for a specific hormone hCG. When fertilization occurs, the level of human chorionic gonadotropin in the woman's blood rises. Its release is actively carried out by the membrane of the ovum. This method of determining pregnancy is very reliable and can be carried out as early as 6 days after intercourse. However, it will be more reliable after implantation bleeding has occurred.
If a woman experiences bleeding while carrying a child, it is necessary to act in accordance with the following instructions:
Profuse blood loss during pregnancy rarely begins abruptly and unexpectedly. Most often, it is preceded by pain and tension in the lower abdomen.
If a woman finds bloody discharge, then it is necessary to call an ambulance, and before she arrives, lie in bed with a roller under her feet.
If the arrival of the doctor is delayed for any reason, you need to drink two tablets of No-shpa and valerian extract.
You should put something cold on your lower abdomen, it can be an ice heater or a bottle of water. But first, you need to wrap it with a cloth.
It is forbidden to use douching solutions and even wash away so that the doctor can determine the cause of the blood loss by the color and nature of the discharge.
You cannot use a tampon to stop bleeding; in order not to stain your clothes, you should use a sanitary napkin or a clean cloth.
You cannot use progesterone-based hormonal agents on your own, without a doctor's prescription, in order to stop bleeding. In some cases, they help, but the doctor must determine the cause of the bleeding.
After the arrival of the ambulance team, the woman will be taken to the hospital and transferred to a specialist for observation.
Depending on what caused the blood loss, the pregnant woman will either be left in the hospital or sent home for treatment. Most often, hemostatic agents (Dicinon, Vikasol, etc.) are used for therapy, which reduce the uterine muscles (oxytocin), and raise the hemoglobin level of funds. Pregnant women are prescribed vitamins and drugs that help strengthen blood vessels - Ascorutin.