2 3 weeks of pregnancy the blood goes why. How to stop vaginal bleeding during pregnancy

Bleeding during pregnancy, and especially in its early stages, is a fairly common phenomenon. In order not to panic in such a situation and not harm herself and the unborn baby even more, a woman should familiarize herself with the information on this topic in advance. It is desirable to do this at the planning stage of pregnancy. There are many causes of vaginal bleeding and not all of them are pathological, but it’s still not worth the risk.

The main causes of vaginal bleeding in the first trimester of pregnancy

Expecting a baby is a wonderful and at the same time very responsible period in the life of every woman, which must be approached with all caution and responsibility. Very rarely, this stage passes without problems and complications that can spoil not only the nerves, but also the health of two or more people. The main one is probably bleeding in early pregnancy. Early terms most often mean the first twelve weeks - the period of formation of the placenta and the main systems and organs of the unborn child. To some extent, 20-30% of expectant mothers face bleeding in the early stages. Gynecologists identify the following causes of blood in the first trimester:

• implantation of an egg in the uterus (implantation bleeding);
• breakthrough bleeding (otherwise, decidual bleeding);
• mechanical damage to the cervix or vagina;
• miscarriage or its threat;
• frozen pregnancy;
• gynecological diseases;
• cystic drift (otherwise, molar pregnancy);

Bleeding during pregnancy can be intense and not very, accompanied by pain or not cause discomfort, the color of the discharge also varies from light pink to maroon. Each cause has its own symptoms, therefore, if you find even a slight bloody mark on your underwear, you should urgently contact your doctor or call for emergency help and in no case try to stop the blood yourself or take painkillers. It should be remembered that only qualified assistance after a diagnostic examination in this case is the key to the life and health of the mother and child!

In the hospital, regardless of the cause of bleeding, the patient undergoes the following studies:

1. general blood analysis;
2. blood test for chorionic gonadotropin (hCG);
3. coagulogram;
4. a blood test for the presence of HIV infection, syphilis, hepatitis B and C;
5. determination of blood rhesus of mother and child;
6. general urine analysis;
7. smear from the vagina;
8. Ultrasound of the fetus and pelvic organs of the patient.

Further research depends on the suspected cause of the discharge.

implantation bleeding

Most often, women confuse this type of bleeding with the onset of menstruation, because. it can be caused by the implantation of an egg in the uterus, which most often occurs on days 24–28 of the cycle. Actually, pregnancy itself occurs along with this phenomenon. The fact is that the egg in the process of penetrating the uterus can damage the thinnest capillaries, which secrete blood.

Unlike monthly discharge during implantation, they are of a slightly different nature and have the following symptoms:

1. scanty, smearing;
2. color from light pink to brownish;
3. absence of clots and mucus.

On underwear with implantation bleeding, you can see a slight “daub” or a few light pink drops

In most cases, such bleeding is completely asymptomatic and painless; normally, a woman may not even notice it. It accompanies only 30% of all pregnancies, i. is relatively rare.

Most often, a pregnancy test is too early to carry out, because. the level of the chorionic hormone is still very low. It makes sense to take a blood test for hCG in dynamics in order to accurately determine the onset of pregnancy.

In most cases, implantation bleeding is not threatening and does not require treatment, but in rare cases it can signal the following problems:

• lack of progesterone;
• ectopic or non-developing pregnancy;
• implantation of a viable egg.

In these cases, the discharge is accompanied by painful sensations of aching or spasmodic nature. To exclude possible unpleasant surprises, an ultrasound of the pelvic organs should be done.

To prevent the consequences in this case, the doctor may prescribe hormonal drugs Duphaston and Utrozhestan.

Hormonal drugs will help restore progesterone levels

A woman during this period should enrich her diet with fat-containing foods, add nuts, meat and fish, cold-pressed oils, seeds and cereals to the menu.

Video: implantation bleeding

Breakthrough or decidual bleeding

A very rare occurrence, due to which many women do not know about their situation for quite some time. The fact is that at the beginning of pregnancy, the hormonal background of the expectant mother changes dramatically, and in combination with minor hormonal disorders, this can lead to bleeding that coincides with menstruation in time. Such pseudo-monthly periods last from 1 to 4 months, therefore, when determining pregnancy, you should not focus only on the termination of the cycle. Decidual bleeding practically does not differ in appearance from normal menstruation, but may be somewhat poorer and more fleeting. Sometimes it looks like a "daub".

Most often, this condition is not considered a pathology, does not harm the fetus and does not require treatment. However, any bleeding should be reported to the doctor, who will prescribe an additional blood test for the B-subunit of hCG in the laboratory, a detailed coagulogram and advise to do an ultrasound.

Bleeding with mechanical damage to the cervix

Here we are not talking about serious injuries to internal organs received in the event of an accident or other accident, which can lead to death. In such situations, immediate hospitalization and surgical intervention of doctors is required. In this case, the issue of the possibility of intimacy in the early stages of pregnancy, as well as existing contraindications, is considered.

Normally, sex during pregnancy is not contraindicated, but rather desirable, since it has a beneficial effect on a woman's health, her psycho-emotional state and the microclimate in the family. Most often, the fears of parents are groundless, because. the baby is reliably protected by the muscles of the uterus and amniotic fluid from possible injuries during intense friction, as well as by a special mucous clot from infection. Then why, after intercourse, bleeding may appear, what is it and what to do in such a situation?

The appearance of traces of blood after intercourse is most often associated with a lack of secretion (natural lubrication), as well as increased sensitivity of the cervical epithelium. The discharge is usually scarlet in color without inclusions of clots and mucus. To avoid such phenomena, you should choose the most comfortable positions for a woman, use special lubricants (intimate moisturizers) and contraceptives. Sometimes spotting speaks of cervical erosion, but in this case they may appear not only after intercourse.

The absence of medical contraindications and a comfortable posture make it possible to enjoy intimacy with a partner

Many people wonder: can an orgasm provoke a miscarriage? It is generally accepted that this is possible a few weeks before the onset of labor, so doctors sometimes recommend having sex in the last stages. At the very early stages, there is a fear that the experienced orgasm will increase blood flow in the pelvic organs and this can lead to spontaneous abortion, because the placental barrier is not yet fully formed and the fetus is not firmly attached to the uterus.

Reasons to see a doctor may include:

• cramping pains after intimacy;
• pungent smell of discharge after orgasm;
• bright burgundy color of discharge;
• profuse incessant bleeding.

Ectopic pregnancy

In an ectopic pregnancy, the embryo does not reach the uterus, but begins to develop outside it, most often settling on the fallopian tube. Tubal pregnancy is the most common type of ectopic pregnancy. The disease is quite serious and insidious, because. is determined most often after a spontaneous miscarriage or rupture of the pipe. This happens most often no later than 4-6 weeks of pregnancy.

Ectopic are on average 0.8-2% of all pregnancies

Blood discharge during an ectopic pregnancy can begin in the early days. Most often they “smear” underwear, the color of the discharge is dark. Patients complain of pulling pain in the lower abdomen, often radiating to the anus.

When the fallopian tube ruptures, severe bleeding begins, the pain becomes unbearably acute, some women lose consciousness. This is a direct indication for immediate hospitalization!

Internal bleeding during ectopic pregnancy is accompanied by:

• sharp pain;
• nausea and vomiting;
• decrease in pressure and body temperature;
• weakness.

Unfortunately, this type of pathology always ends in miscarriage or abortion. because it is not possible to save the fetus. In some cases, especially with internal bleeding, the life of a woman is also at risk. The disease requires emergency surgery, in which the fetal egg is removed and the tubes are sewn up to preserve childbearing function. Previously, the fallopian tube was completely removed, after which the woman could no longer have children; now resort to this method as a last resort. Currently, hormonal treatment of ectopic pregnancy with the help of specialized drugs that prevent cell division of the embryo and cause its death (Methotrexate) is gaining more and more popularity.

Methotrexate is a strong anticancer hormonal drug that helps with ectopic pregnancy.

To avoid complications, it is necessary first of all to plan a pregnancy. It is possible to diagnose the disease using ultrasound diagnostics in conjunction with a blood test for hCG.

The diagnosis of "ectopic pregnancy" is not a sentence today, with proper treatment and a recovery period, two years later, you can re-plan a pregnancy.

Video: bleeding during an ectopic pregnancy

Bleeding during miscarriage and its threat

Miscarriage is popularly called spontaneous termination of pregnancy or spontaneous abortion. The process of rejection of the fetus from the uterus has several stages, each of which is accompanied by bleeding to one degree or another. There are the following stages of spontaneous abortion:

The main way to diagnose this dangerous condition and prevent it is ultrasound diagnostics. To prevent recurrence, genetic tests are carried out, as well as an anamnesis and numerous laboratory tests, including the material obtained after curettage.

1. antispasmodics to relax the uterine muscles (Baralgin, No-Shpa, etc.);
2. sedatives (Sedasen, tinctures of valerian and motherwort);
3. hormonal drugs that regulate the course of pregnancy (Dufaston, Utrozhestan);
4. vitamins (folic acid, Magne B6, vitamin E, Omega 3 and others);
5. glucocorticoids - drugs that reduce the level of male hormones in the body of a pregnant woman (Dexamethasone, Metipred).

Baralgin has not only antispasmodic. but also analgesic and antipyretic effect
No-shpa - a unique antispasmodic
Valerian tincture is one of the most affordable sedatives.
Vitamin E is recommended to be taken during the entire period of pregnancy.
The hormonal drug duphaston has proven itself as a means of helping to maintain pregnancy.
Folic acid deficiency during pregnancy can be corrected by taking vitamin tablets
Metipred has an immunosuppressive, anti-allergic and anti-inflammatory effect.

In case of termination of pregnancy, you can try again 6-12 months after curettage.

Frozen pregnancy

Frozen pregnancy or fetal death for up to 28 weeks is a terrible diagnosis for any woman, especially because many women may not be aware of this pathology for a long time, since the symptoms do not appear immediately. Previously, they had no idea about such a phenomenon and it was about a sudden miscarriage, and if this did not happen, then the woman could begin severe intoxication against the background of infection of the body, which often led to death.

Modern possibilities of medicine help to diagnose pathology with the help of:

• collection of anamnesis;
• ultrasound diagnostics;
• blood test for hCG;
• palpation of the uterus on examination by a gynecologist;
• listening to the fetal heartbeat.

In order to seek help from a specialist in time, you should listen to your body, because obvious signs of a violation, such as bleeding and pain, appear after a while. Symptoms of a missed pregnancy in the early stages are as follows:

1. Sudden cessation of pregnancy symptoms:
   • disappearance of toxicosis;
   • the breast stops growing and hurting;
   • decrease in basal body temperature.
2. The appearance of pulling pains in the lower abdomen.
3. Deterioration of general well-being: chills, weakness, etc.
4. A sharp increase in body temperature.
5. The appearance of frequent bleeding:
   • if the fetus froze in the first three weeks, then the discharge will appear instead of menstruation and will be more prolonged;
   • with a later fading of the fetus, the discharge is likely to indicate an abortion that has begun and have an appropriate character (see "Bleeding during a miscarriage and its threat").

In any case, no matter how long the development of the fetus stops, the patient is subject to emergency hospitalization. In the hospital, procedures are carried out to clean the uterus from the contents. In the early stages, curettage is resorted to only as a last resort, more often they try to do with sparing methods: medical abortion (for up to 12 weeks) or vacuum aspiration (for up to 5 weeks). It is mandatory to prescribe antibiotic therapy and droppers to relieve intoxication.

After a vacuum abortion, the reproductive function of a woman is most often preserved.

Sad statistics show that up to 40% of pregnant women face this problem at different times. Recurrent missed pregnancy can lead to infertility; primiparous women over 35 are more susceptible to this. In other cases, after hormonal therapy, a six-month rest period, you can try to repeat the pregnancy.

Gynecological diseases as a cause of bleeding

Untreated gynecological diseases or pathologies of the cervix in time can lead to bleeding during pregnancy. Most often, they do not signal possible problems with the fetus, but cause significant harm to the health of the mother. Such diseases include:

1. uterine myoma;
2. erosion of the cervix;
3. cervical cancer;
4. polyps of the cervical canal.

Uterine fibroids are a type of benign tumor that is increasingly being diagnosed in pregnant women. This is due to an increase in the childbearing age, as well as to the improvement of diagnostic methods. During an exacerbation, the disease is accompanied by the following symptoms:

• increased uterine tone and body temperature;
• increase in leukocytes in the blood and erythrocyte sedimentation rate (ESR);
• profuse severe bleeding with an immediate threat of miscarriage;

In most cases, with small myomatous formations, the disease is asymptomatic and does not threaten pregnancy. Complications can arise directly during delivery, in this case, the operation of Cesarean section is most often indicated. Conservative treatment of fibroids is reduced to the following activities:

• to prevent iron deficiency anemia, which contributes to the growth of formations, treatment with iron preparations is indicated (Sorbifer Durules, Maltofer, Ferrum-Lek);
• protein diet;
• vitamins of group B, A and E;
• folic and ascorbic acids.

Cervical erosion often does not require treatment before delivery.

Erosion is a rather unpleasant phenomenon, but most often it does not threaten pregnancy.

The disease is characterized by irregularities and redness of the mucosa, which are diagnosed during examination by a gynecologist. The main symptoms of the disease are purulent and bloody discharge, especially after sex, the sexual intercourse itself causes pain.

Erosion of the cervix can threaten the development of the fetus if accompanied by infections of the genital tract (chlamydia, herpes, gonorrhea, human papillomavirus, etc.). For diagnosis, the doctor will prescribe a blood test for hidden infections and viruses, and also take a swab from the vagina. If concomitant diseases are detected, the following treatment is prescribed:

• antibiotics and antiviral drugs for the treatment of concomitant diseases;
• suppositories to relieve itching and inflammation (Suporon, Hexicon, Depantol);

Gallery: vaginal suppositories for the treatment of cervical erosion

Depantol - a drug that improves tissue regeneration, with antimicrobial action for topical use in gynecology
Suporon is a prophylactic anti-inflammatory agent for topical use.
Hexicon is used to treat sexually transmitted infections

Cervical cancer is quite rare in pregnant women. If there is a suspicion of the presence of the disease, it is necessary to take tests and conduct a cytological screening. Treatment and diagnosis should be carried out by a qualified specialist who will decide whether to continue or terminate the pregnancy and select the best treatment option, because. there is no uniform way. Many factors must be taken into account: the degree of the disease, the stage of pregnancy, aggravating circumstances, and so on.

A polyp of the cervical canal is also a benign formation that is attached to the cervical canal and can affect the uterine area. The disease is diagnosed by colposcopy. Usually does not threaten pregnancy and most often comes out during childbirth. But sometimes, during an exacerbation of the disease, as well as after sexual intercourse or examination on a gynecological chair, spotting from white-pink to brown may appear. In this case, the doctor suggests removing the polyp without scraping the uterus.

Bleeding with hydatidiform mole

A cystic drift is not a pregnancy, but a benign formation caused by a violation of the fertilization process. Unlike normal fertilization in hydatidiform mole, the egg contains two sets of paternal chromosomes and none of the maternal. This leads to the active growth of the chorionic villi, along which bubble-shaped extensions are formed. There are several distorted symptoms of pregnancy:

• excessively pronounced early toxicosis;
• spotting on the background of delayed menstruation;
• the size of the uterus often exceeds the prescribed time;
• inability to establish the presence of a fetus in the uterus;
• extremely high levels of the hormone chorion.

In addition to purulent whites, which are a constant companion of the pathology, a woman may open active bleeding caused by detachment of the placenta from the decidua. It can only be stopped by scraping the uterine cavity.

In addition to the patient's complaints about well-being, hydatidiform mole can be diagnosed using:

• collection of anamnesis;
• ultrasound diagnostics;
• blood tests:
  • general;
  • extended coagulogram;
  • determining the level of creatinine;
• examination by a gynecologist.

To treat the disease, quite complex methods are used, including:

1. Surgical curettage of the pathogenic contents of the uterus, if necessary, hysterectomy - complete removal of the uterus.
2. Chemotherapy to remove cancer cells in a so-called total mole.
3. Radiation therapy to shrink tumors.

After the measures taken and discharge from the hospital, a woman should be under the supervision of a gynecologist-oncologist for two years and regularly donate blood for hCG. Unfortunately, about 30% of cystic drifts end in infertility, and 12% of women who have had the disease have amenorrhea (permanent or temporary absence of menstruation).

The state of pregnancy is a wonderful time, and many women believe that it brings only positive emotions. Ideally, this is how it should be: no menstruation and pads, no protection during sex, dreams of a beautiful and healthy baby. Therefore, expectant mothers, who for the first time encounter some kind of difficulties and ailments, begin to panic and set themselves up for a bad pregnancy outcome. So why not prepare for possible complications in advance?

Unfortunately, the conditions of modern life, especially in a metropolis, are not quite suitable for bearing a child. The health of a woman "in position" is affected by poor ecology, unnatural food, chemicals, and stress. Of course, during pregnancy, you can reduce the influence of these factors, but it will not be possible to completely get rid of it.

It happens that even a slight nervous tension (a minor conflict at work, in the market, in public transport) provokes spotting, as during menstruation. If a blood clot comes with such secretions, it can be quite dangerous and even threaten the life of the fetus. Therefore, you must immediately consult a doctor and follow all his instructions.
However, let's try to figure out why a blood clot came out.

Causes

The release of a blood clot during pregnancy in itself indicates some pathological processes that occur in a woman's body. In some cases they can be prevented, in others they cannot. Therefore, it is very important even before the arrival of the doctor to try to understand what exactly happened and what danger the fetus is exposed to.

If the blood is bright red with clots, while you experience dizziness, nausea, then most likely you are faced with the threat of a miscarriage. Sometimes these symptoms are accompanied by fever, weakness, cold sweat. In this case, it is important to get to the doctor as soon as possible, you can even go to the hospital on your own, without waiting for an ambulance (if your health allows it), in order to get an examination as soon as possible. Time here plays a particularly important role in maintaining pregnancy.

Dark brown discharge with clots most likely indicates a hematoma. In this case, the fetal egg is separated from the wall of the uterus, and blood begins to accumulate in the damaged area. Even if the blood is not very abundant, but always with clots, be sure to consult a doctor. Hematoma is certainly dangerous for the further development of the fetus in the womb.

Clots with pieces of tissue and blood are one of the most dangerous symptoms during pregnancy. Most likely, he indicates that there is an involuntary abortion. In this case, parts of the placenta and the fertilization product come out, most often this happens in the first days of pregnancy, less often in the first weeks. Why does involuntary abortion happen? This is observed when the fetus is not viable for some reason. In case of an involuntary abortion, there is a risk of infection for a woman, since some parts of the tissues of the fetus may remain in the uterus after a miscarriage. Therefore, it is very important not to waste time and immediately contact a gynecologist for advice.

When there is a blood clot with a rather meager discharge, this can also indicate a missed pregnancy. Unfortunately, in the early stages it is difficult to recognize it, since there are still no fetal movements or they are very slight. This once again emphasizes the importance of medical advice, while there is still time to resolve the situation with minimal risk to the woman.

Frozen pregnancy is a common occurrence in pathologies in the chromosome set of a couple. To identify them, a blood test for a karyotype is prescribed:

Blood clots in the veins that are visible under the skin indicate thrombophlebitis. This does not pose a direct danger to the child, but it is fraught with serious health problems for the mother. The fact is that during pregnancy, the composition of a woman's blood becomes slightly different, and the clotting mechanism slows down. This leads to a greater load on the vessels, which may not quite cope with it.

As a result, inflammation of the veins, pain, swelling appear. For treatment, you must consult a doctor. Pregnant women are not prescribed strong medications, however, local therapy (wraps, warming) will definitely be recommended.

Why does the problem require the intervention of doctors?

Any deviation from the norm during pregnancy in the first place threatens the condition of the unborn child. Finding out on your own the reasons why blood clots suddenly went is fraught with serious complications. This situation signals - something is wrong with the child or there is a threat of miscarriage.

Blood during pregnancy comes only when the inner lining of the uterus is damaged. It contains a large number of blood vessels that can burst and provoke bleeding. Even if you can remove this symptom yourself, after a while the consequences will appear. It is imperative to contact a qualified doctor who, through a thorough examination, will be able to establish why such an ailment has arisen in you. In such situations, manual examination is practiced using gynecological instruments, palpation of the abdomen, and sometimes taking a smear. Moreover, in the hospital, the expectant mother is always under observation and can consult with a specialist at any time.

Keeping a pregnancy is the cherished dream of every woman "in position", so she should treat her health as responsibly as possible. Why not go to the hospital if there is a risk of miscarriage? Meanwhile, many women, despite contraindications, prefer to stay at home, do not spare themselves at work.

It is generally accepted that during pregnancy, a woman not only does not have a period, but there can be no bleeding at all. And any of them are a sign of serious danger and, most likely, a miscarriage. In fact, the situation is not quite the same, and not always, if blood has flowed during pregnancy, this means the threat of its interruption.

Knowing such information is necessary, first of all, in order not to succumb to panic and act clearly and quickly. If a woman panics, cries, she starts hysterical, this can just provoke an increased tone of the uterus. Therefore, let's agree - in the event of spotting, you will be attentive to your condition and feelings, save the gasket to show it to the doctor, and be sure to make an extraordinary visit to the gynecologist. But in some cases, it is really necessary to immediately go to the hospital.

If bleeding during early pregnancy

We remember that the first trimester is quite dangerous and indeed, blood during pregnancy at this time can be a sign of an incipient miscarriage. But there are other, relatively harmless reasons for the appearance of unexpected secretions.

For example, they can occur as a result of mechanical damage to the uterine pharynx - this happens during sexual intercourse or as a result of physical training. The uterine pharynx at this time is actively supplied with blood, so vascular damage may occur. Bleeding is painless, mild, and resolves in a few hours. It is absolutely safe.

If the blood goes during pregnancy at the same time when you had your period before, this is also a completely physiological phenomenon. And it occurs more often than women think. The discharge during such a “menstruation” is not strong, smearing, and lasts for several days.

A woman can also bleed during pregnancy with a lack of progesterone. In this case, the doctor will prescribe treatment based on the results of the tests - a pregnant woman will need to take special drugs, an analogue of progesterone, in the form of tablets, suppositories or injections.

We repeat once again: in all of the above situations, the bleeding will be insignificant - rather spotting, and practically painless. If you notice any of the following symptoms, call an ambulance immediately:

• Bleeding or discharge profuse, blood bright;
• You experience severe pain - cramping or piercing;
• Your blood pressure dropped, your heart began to beat;
• There was weakness, perspiration, tinnitus, "flies" before the eyes.

Such symptoms can accompany not only spontaneous abortion, but also ectopic - tubal pregnancy. You will need emergency surgery.

Be sure to tell your loved ones (husband, mother, sister) that you had blood during pregnancy: if you suddenly become ill or lose consciousness, your relatives will be able to explain to the doctors what exactly happened. Before the arrival of the ambulance, you need to take a horizontal position and do not move.

If you bleed during pregnancy in the second or third trimester

The middle of pregnancy is usually the safest time for mother and fetus. Here, the cause of bleeding is mainly trauma - for example, if a woman hit her stomach or fell.

But if during pregnancy blood flows after the 28th week, this signals a certain threat to the development, and sometimes the life of the fetus: placenta previa or abruption. An abnormal position of the placenta is determined by ultrasound, and training contractions or increased physical activity can cause blood vessels to rupture. In this case, the woman will be placed on preservation in order to reduce the tone of the uterus and try to restore the functioning of the placenta.

The same situation can occur with partial placental abruption. The woman must be under the supervision of doctors around the clock, and if the situation cannot be stabilized, the doctors will perform an emergency caesarean section.

Thus, blood during pregnancy can mean both the presence of a serious situation and be a symptom of some natural physiological phenomena. In order not to provoke bleeding on your own, watch your loads, do not engage in intense physical training and, of course, do not lift weights. If the doctor insists on sexual rest, try to comply with this condition as well.

During pregnancy, when the full attachment of the body begins, it often happens that bleeding occurs. Bloody discharge during pregnancy can occur both at an early and at a later date. Most often, this indicates that the pregnancy proceeds with some kind of deviation.

The main causes of pathology

The reasons for which there may be allocations are always different and they depend on how long this happens. If qualified and timely treatment is not carried out, then the consequences can be irreparable, such as premature birth, miscarriage, etc.

For the first time, blood clots can begin as early as the first day of pregnancy. This happens at a time when the fertilized egg strengthens in the wall of the uterus. They are usually scarce, they can go a week, ten days before the start of the expected menstruation, the next cycle.

When pregnancy spotting begins, a girl may be confused, thinking that her period is starting, she is not pregnant.

It's dangerous - go to the doctor

These discharges are usually dark brown in color. They can appear thick, scanty, do not last long, often they end earlier than normal periods. This can happen with hormonal disruptions in the body, but it happens even during pregnancy.

Blood may appear as early as the first day of the delay, this may mean a possible miscarriage. When a miscarriage occurs -. The more often and more abundantly blood appears, the less likely it is to keep the pregnancy.

Every woman should remember that when there is bloody, brown discharge, it is a threat or a miscarriage that has already begun. With timely assistance, there is a great chance of bearing a healthy child.

Another reason for spotting during early pregnancy is a frozen or non-developing pregnancy. It is quite difficult to diagnose such a situation, more often it can be determined only after the fourth, fifth week of pregnancy, when the heartbeat begins to be heard in the embryo.

Non-developing fetus

Therefore, on an ultrasound examination with such a diagnosis, the heartbeat will be absent. At this point, spontaneous miscarriage may occur. But if you wait for such an outcome, inflammation may begin in the uterus, so experts immediately prescribe a cleaning of the uterine cavity.

Also, the cause of spotting that begins during pregnancy can be an ectopic pregnancy. This is one of the worst reasons. It is urgent to contact the experts. If you are given just such a diagnosis, this suggests that the pregnancy will soon be terminated in any case. The fetus will develop, break through the fallopian tube. This creates a threat to the life of the mother. After such consequences, the pipe cannot be restored and this can lead to infertility.

This happens if implantation occurs incorrectly, as a result of which the fetal egg begins to exfoliate. It's not worth waiting for anything. If you are registered, the doctor will immediately determine what happened. If you have not yet registered, with the onset of bleeding, you should immediately seek help and clarify the causes of such phenomena.

Ectopic pregnancy

There can also be many reasons why spotting can begin during pregnancy in the third trimester. If blood appears in the later stages of about 39, 40 weeks, dark brown or mixed with mucus, you will soon need to prepare for childbirth. But in the second there are only a few reasons - it is either the placenta is in presentation, or its detachment has occurred. In the first case, the doctor during the examination and ultrasound during pregnancy detects placenta previa (this is approximately at the beginning of the second trimester, according to a routine examination).

Presentation is complete and partial. In both cases, bleeding occurs, and in the second and third trimester. If a partial presentation is found, then most likely the placenta will “move” into the uterus on its own to the desired level, as it grows. In the second case, placental abruption is likely to occur, this can be dangerous for both the expectant mother and the child, as it leads to large blood loss.

But it happens that there is no presentation, just when the PDR (estimated date of birth) approaches, there may be bloody streaks along with mucus, that is, a mucous plug comes out. For some women, it can go as early as three to four weeks before giving birth. At the same time, childbirth can continue throughout the day.

Another reason why there may be bleeding, we will consider in the table.

It makes no sense to be afraid of an examination on a gynecological chair, the doctor always carefully examines his patient. And if there are no pathologies during gestation, then examinations will be rare from one to three times during the entire pregnancy.

Bloody discharge at the beginning of pregnancy at about 4 - 5 and up to 10 weeks in women occurs very often, but this is not always considered a deviation from the norm. A similar situation occurs in 75% of pregnant women.

What happens to the female body?

Allocations in the first trimester are considered almost normal if the woman does not experience any additional unpleasant symptoms. There can be many reasons for the appearance of discharge. Active blood supply to the internal genital organs, their excessive sensitivity. This can happen when performing ultrasound examinations with a vaginal probe or when examining on a chair with a mirror.

It is also not uncommon to bleed after sexual intercourse. There is irritation of the cervix, the mucous membrane of the vagina. When a small detachment of the placenta occurs, a lot of blood accumulates around it, the discharge appears, and they are pink.

Bloody discharge in early pregnancy can happen at a time when menstruation usually occurs, the body has not yet fully got used to it. There may be pain in the lumbar region and lower abdomen. With the release of a brown tint in the body, the formation of hematomas is possible.

One of the rarest cases when the cause of the discharge is a hydatidiform mole - the placental tissue grows. The discharge is profuse but not painful. After this, the fetus most often freezes.

How to avoid bleeding in some cases:

• wear comfortable clothes, underwear that does not hinder your movements;
• do not use scented, dye-containing personal care products;
• observe daily hygiene of the genitals;
• see a doctor.

It often happens that the discharge is associated with infectious diseases. Consultation and subsequent treatment is necessary. Considering that in the middle of the cycle, spotting usually does not pose a particular threat to the baby and the pregnant woman, you should not neglect safety and it is better to contact specialists on time.

Further actions of the woman

In order to start any treatment, it is necessary to determine why the bleeding occurred, for what reason there was spotting during pregnancy (whether early or in the second trimester). In any case, you should immediately contact a gynecologist. He will conduct a series of diagnostic procedures to help you identify the cause.

1. The specialist will usually take a swab from the vagina.
2. A pregnant woman is invited to take a general, biochemical blood test.
3. Conducted coagulogram.
4. They take blood for HIV infection.
5. Hepatitis C, B.
6. Testing for infectious diseases.
7. Analysis of urine.
8. An ultrasound of the fetus, small pelvis is performed.

Can be detected with a blood test

Then, depending on what pathology the doctor found, additional tests and treatment are prescribed. If a miscarriage occurs, the following tests are performed:

• blood for the level of hCG hormone;
• TORCH infection (herpes, rubella, etc.);
• smear to detect infections that are sexually transmitted.

With a similar phenomenon in the last trimester, it is enough to conduct an ultrasound examination. In no case should you treat yourself, it can be dangerous. Even with a favorable set of circumstances, it is necessary to determine the cause in order to subsequently bear a healthy child.

In the article, we will consider the factors that provoke bleeding in early pregnancy, which are accompanied by various symptoms and those that are asymptomatic.

Causes of bleeding

In early pregnancy, bleeding can be triggered due to the following circumstances:

An ectopic pregnancy is a condition when a fertilized egg is attached not in the uterus, but in another place (in the abdominal cavity, fallopian tubes, cervix, ovaries). At the earliest stage, the symptoms are similar to uterine pregnancy: nausea, drowsiness, breast enlargement, positive pregnancy test, etc.

Primary symptoms begin to appear in the period from 3 to 8 weeks after the last menstruation: abdominal pain, spotting. If a tube ruptures, there is severe bleeding (internal and external), which is sometimes accompanied by loss of consciousness and a weak pulse. Operative medical intervention is required, as the condition is extremely dangerous for the health and life of a woman.

For the timely detection of an ectopic pregnancy, you should regularly visit a doctor: a gynecological examination and ultrasound are performed.

• Spontaneous abortion (miscarriage)

This is a condition in which the cervix opens and there is a partial or complete release of the fetal egg. Spontaneous abortion occurs before 28 weeks. Factors that can provoke a miscarriage are as follows: Rhesus conflict between mother and child; development of infection; any kind of injury or fall; severe stress, etc.

bleeding symptoms

Aching or dull pain in the lower abdomen; spotting, which is replaced by bleeding.

Spontaneous abortion takes place in stages:

• the threat of miscarriage - the appearance of barely noticeable spotting, accompanied by aching pain in the lower abdomen;
• started - slight bleeding, spastic pain in the lower abdomen;
• in the course - profuse bleeding, abdominal cramps;
• incomplete - clots of a dark shade appear in the discharge, profusion may be observed; accompanied by pain.
• complete abortion - at this stage, the uterus is completely freed from the fetal egg, which is accompanied by moderate bleeding. After that, the bleeding itself stops. Scraping is still done to make sure there are no particles left.

The less blood a woman loses, the more likely she is to keep the pregnancy. As a rule, this is possible in the first two stages.

• Bubble skid

After conception, the development of the embryo is disturbed, and bubbles appear on the outer villi of its shell (chorion), which are filled with liquid. In the future, an increase in villi in size is observed. Symptoms of cystic drift: absence of menstruation up to 4 months; bloody issues; toxicosis.

This pathology can be detected during a gynecological examination - a discrepancy between the size of the uterus and the expected gestational age, and during an ultrasound scan, the fetus will not be visualized in the uterus (at week 20).

Bubble drift is extremely rare, but still regular examinations will not be superfluous. If a woman has had a mole, the next pregnancy is not recommended earlier than 2 years later (this time must be under the supervision of a doctor).

• Frozen pregnancy

Fading pregnancy occurs before the 12th week. The reason for the fading of fetal development can be determined by diagnostic means. Some of them may be: a genetic disorder, infectious pathologies or hormonal deficiency.

Symptoms: slight blood discharge, pain in the lower abdomen (maybe without pain), signs of pregnancy disappear, swelling in the chest subsides, there are no signs of the vital activity of the embryo on ultrasound.

• placenta previa

Sometimes it happens that the placenta is placed too low on the wall of the uterus, which causes bleeding (after the 20th week). For a woman, it passes without pain and other symptoms. It is necessary to undergo several ultrasound examinations in order to accurately identify this pathology.

• implantation bleeding

The cause may be an affected vessel during implantation of the fetal egg into the uterus. This can provoke a slight release of blood and does not pose a danger to the embryo at all.

Characteristic will be: the appearance of minor discharge around the time of the onset of menstruation and the woman will not suspect pregnancy; can last from several hours to 2 days; bleeding does not increase; not accompanied by pain.

Bleeding with clots

If, during bleeding, a woman detects clots (from scarlet to dark brown), there is a high probability that these are particles of embryonic tissues. At the same time, the woman feels cramps and pain in the abdomen. Such bleeding occurs in the early stages (up to 12 weeks). As a rule, such a pregnancy is not saved.

What to do?

With the slightest bleeding, and even more so if they are accompanied by pain in the abdomen and there is a deterioration in well-being, it is necessary to immediately consult a doctor or call an ambulance.

• If the leading doctor is located near your location, you can get there on your own.
• If the blood is scarlet, and the discharge of blood is plentiful, call an ambulance.
• It is not recommended to use tampons, use pads.
• While waiting for the doctor or ambulance, lie down with your feet elevated.
• Do not take any medication to maintain symptoms so that the doctor can properly diagnose the condition.
• If, during bleeding, a woman loses consciousness, she is shivering and complains of severe abdominal pain - this may be due to a rupture of the tube (with an ectopic pregnancy). Every minute will count. Call an ambulance immediately.

Be healthy!

See you in the next article.