What does detachment of the ovum mean. Causes and consequences of detachment of the fetal egg in early pregnancy, treatment tactics. Partial detachment of the ovum

Early pregnancy is always a risk. Almost all miscarriages occur in the first week of pregnancy. It is for this reason that future mothers should take care of themselves from the minute they see two strips on the test. As a rule, spontaneous miscarriage at an early stage occurs due to detachment of the fetal egg - this is the first stage of a miscarriage. How is everything going? Is it possible to save the pregnancy?

After the fetal egg is rejected from the chorion, a wound appears because the vessels are damaged. A large amount of blood accumulates behind the membrane of the fetus, resulting in a hematoma. Gynecologists call it retrochorial. It appears due to the fact that the blood clot increases, and it, in turn, contributes to the detachment of the fetal egg. It all ends with his complete rejection and death.

Attention! If you do not provide timely assistance to the pregnant woman when the egg is detached, the child cannot be saved.

Today, there are many ways to help prevent miscarriage.

Causes of pathology

It is impossible to accurately answer the question of why the fetus is rejected. There are many reasons for miscarriage:

• Hormonal failures - lack of progesterone.
• Constant stress, the strongest shock.
• Hard physical labor.
• Pathological development and structure of the uterus.
• Gynecological diseases do not allow the full development of the fetus.
• Tumor.
• Reception of potent drugs, leading to the death of the fetus.
• The transferred virus, the infection negatively affects the baby.
• Anomalies in the development of the fetus.
• Rhesus conflict during pregnancy.
• Alcohol abuse, drug addiction, smoking.
• An induced abortion in a past life can result in permanent miscarriages. Especially if you have a negative blood type, it is forbidden to have abortions with it.
• Experienced adverse factors - environmental, domestic, industrial.

Symptoms

It is very difficult to prevent detachment, so it is best to pay attention to such symptoms:

• He began to pull his stomach, pain is given to the lower back.
• The appearance of bleeding. Have you noticed coffee, blood stains, blood stains on your underwear? Urgently go to the hospital.
• Brown discharge indicates that the hematoma is resolving, but may rupture again, which is why it is so important to consult a gynecologist.

As a rule, detachment is diagnosed by ultrasound. It is believed that at the beginning of pregnancy, natural selection. When the fetus is self-sufficient and complete, it can survive without problems. Even if the detachment is repeated several times, the fetal egg is still securely fixed and fully grows and develops.

Treatment Methods

When confirming the detachment of the fetal egg, the woman is hospitalized in a hospital. Doctors carefully observe her, the pregnant woman must pass all the necessary tests. The main thing during detachment is to remain completely calm, not to panic and not be nervous. It is also forbidden to do hard work, move. It is important that the abdominal wall is completely relaxed, and this is only possible in a supine position.

If you start to strain, walk, perform any actions, intra-abdominal pressure will begin to rise, everything will end with uterine tone, accelerated exfoliation.

The doctor recommends putting a roller or pillow under the buttocks, so you can improve blood flow in the pelvic area. Keep in mind that during detachment, active intestinal peristalsis is dangerous, so it is so important to stick to a sparing diet for some time: exclude coffee, tea, laxative foods.

In addition, during the threat of a miscarriage, it is necessary to refuse sex, it can aggravate the situation. Also, the mother should be absolutely calm. Do you start to get nervous, feel your hands and knees tremble? Take a deep breath and exhale!

Of great importance is drug treatment:

• Medicines to stop bleeding Etamzilat.
• Antispasmodics - Papaverine, No-shpa, Magne B6.
• Calming drugs - motherwort tincture, valerian.
• Vitamin E, folic acid.
• Hormonal drugs - Utrozhestan, Duphaston.

The duration of treatment varies significantly, as a rule, drug therapy is carried out for two weeks. It is important that a woman adheres to the doctor's prescriptions, does not refuse good nutrition, sleep and a calm lifestyle.

If a pregnant woman had a detachment at an early stage, she will have to be registered with a doctor during the entire period of bearing a baby. You can not neglect the examination, scheduled inspection. Gynecologists are sure that until the placenta is fully formed, there are risks of miscarriage.

After the woman becomes easier, she is sent home, it is necessary to carefully monitor the condition and in no case grab at the cleaning, heavy packages right away. Stopping a miscarriage is real, the main thing is to get rid of threatening symptoms in a timely manner. A woman should carefully monitor her changes in the body, secretions.

In no case do not refuse to visit the antenatal clinic, there you will pass tests, the doctor will carefully examine you, send you for an ultrasound scan. It's always better to be safe than to lose a baby.

So, have you noticed how your health has worsened? Your stomach hurts sharply, your head is spinning, there are strange discharges? Do not wait and try to get rid of the symptoms yourself. Call an ambulance immediately and go to the doctor. Every second is precious here. It depends on the first aid provided whether it will be possible to maintain the pregnancy or not. If your first pregnancy ended unsuccessfully, it is recommended that you first be fully treated, only then plan the next one. Be careful, take care of your health, do everything to bear a healthy baby!

Women who have already been expecting a baby know that the first weeks of pregnancy are especially vulnerable. Statistics show that most abortions occur in the first week of pregnancy. A woman preparing for motherhood should avoid negative factors that provoke complications. This article talks about what can cause a miscarriage, how miscarriage occurs in the first weeks, and what a woman can do to prevent such a pregnancy outcome.

Factors leading to detachment of the fetal egg from the chorion

It is very important to note that any woman, even an absolutely healthy one, may face the threat of termination of pregnancy. The fertilized egg begins to separate from the shell, the chorion, and this is the beginning of a miscarriage. A retrochorial hematoma appears at the site of the detachment. Gradually, it begins to grow and there is a complete detachment of the fetal egg, which is called spontaneous abortion.

Currently, modern doctors have access to early methods for diagnosing this pathology. This gives them the opportunity to intervene as early as possible and stop the destructive process. It is usually difficult to determine what exactly causes a miscarriage, but there are a number of factors that can trigger the onset of such a situation:

• These can be congenital anomalies in the structure and development of the uterus, the development of tumor processes, the presence of antibodies in the blood due to a conflict of Rh factors, as well as the presence of interrupted pregnancies earlier.
• Important are the psychological and emotional comfort of a woman, the adequacy of her physical activity, alcohol intake, environmental conditions, and so on.
• Detachment of the fetal egg can begin if the woman's body does not produce enough progesterone.
• Past diseases at the beginning of pregnancy can also provoke detachment.

Predicting that a pregnancy can be interrupted is almost impossible. The attention of the expectant mother to herself and the child is essential in order to notice alarming signals in time.

Pain in the lower abdomen and in the lower back should alert a woman, even if they are quite insignificant. Smearing discharge of any nature and color should also not go unnoticed. In this case, you should contact a gynecologist and undergo an ultrasound examination.

It happens that detachments during pregnancy are repeated repeatedly. But if these conditions are not skipped, and the fertilized egg itself is healthy, then in the end it is well fixed in the uterus and proceeds safely.

Do not think that the detachment of the fetal egg is a direct indication for the hospitalization of a woman. Everything will depend on the degree of detachment, the stage of pregnancy and the general condition and desire of the patient. But if this condition is left without due attention and therapy, then the probability of losing a pregnancy is too high.

Ultrasound examination is the main way to diagnose this pathology, along with a general examination by a gynecologist. With the help of ultrasound, the doctor will be able to see the outer shell of the fetal egg and assess its condition. It will also be important for him to have a hematoma between the fetal egg and the chorion, that is, its membrane.

The condition of the fetus also needs to be assessed. From the sixth week it is possible to listen to his heartbeat. And the fetal egg itself on ultrasound can be detected by the end of the first month of pregnancy.

Not all detachments are the same. They can manifest themselves at different stages of pregnancy and have a different etiology and severity.

A pregnancy that ended immediately after fertilization. This happens in the early days, when menstruation has not even been delayed and the woman does not know about her situation. An ultrasound examination is not yet able to determine the presence of a fetal egg due to a too short gestational age. Only a blood test for hCG can confirm the presence of pregnancy. If the fetal egg exfoliates at this time, then the woman begins to bleed, which she regards as the onset of menstruation. Such a situation of spontaneous abortion is caused by disturbances in the hormonal background of a woman or disturbances in the development of the fetal egg.

There are pathologies that differ in the degree of detachment. The ability to maintain pregnancy exists only with incomplete detachment of the fetal egg. This happens when not the entire shell is exfoliated, but only some part of it. On ultrasound, the presence of a hematoma is determined, and the woman declares the presence of spotting. All this is accompanied by pulling pains in the lower abdomen, radiating to the lower back.

With proper therapy, it is possible to save the pregnancy. If there was a complete detachment of the egg from its outer shell, then the pregnancy is terminated. The embryo dies, the tone of the uterus appears, which in this way tries to get rid of it. The woman begins to bleed profusely, which can even threaten her life. We are not talking about the possibility of maintaining a pregnancy in this position.

Another type of detachment is the situation with a non-developing pregnancy. Detachment begins when the embryo has already died and the woman's body begins to reject it. On an ultrasound examination, the fetal heartbeat is not heard, the uterus begins to decrease in size and the woman's body does not show signs of pregnancy. After that, about ten days after the death of the embryo, the patient develops characteristic abdominal pain, bloody discharge, and the process of detachment begins. If this does not happen, the woman is surgically removed the remnants of the membranes.

Once again, we repeat that there is only one type of detachment when it is possible to keep the pregnancy. In this case, the detachment of the egg from the chorion does not occur completely, but partially. If such a situation is detected, the woman is recommended to be hospitalized in a medical institution and take measures to preserve the pregnancy under medical supervision. But in the final version, the decision on the need to go to the preservation or not is made by the patient.

In any case, at the initial stages of the pathological process, a woman is shown bed rest, most of the time during which she will be in a horizontal position. This will create the conditions necessary for the uterus not to tone up and be at rest. Finding a future mother on her feet, in this situation, is highly undesirable.

When walking, vibration is created and intra-abdominal pressure rises. This, in turn, will lead to uterine tone and increase the degree of detachment. It may also be recommended to use a special roller or pillow in order to raise the legs and hips and thereby ensure the outflow of blood from the pelvic organs.

During the period of struggle with detachment, the nutrition of the patient plays an important role.

• A woman needs to remove from the diet foods that increase the activity of intestinal motility. These are the foods that cause the formation of gases in the intestines and affect the nature of the stool. The same must be excluded from the diet of beverages such as tea and coffee.
• Sexual activity of a woman during this period is impossible, she is recommended complete sexual rest.
• Relatives and friends should take care of the emotional comfort of the expectant mother and protect her from possible stressful situations and experiences.
• Simultaneously with these seemingly simple recommendations, a woman is prescribed drug therapy. According to experts, taking appropriate medications is mandatory in the treatment of detachment of the fetal egg. The drug or complex of drugs is selected individually for each patient, depending on the severity of the disease and the nature of its course.

Examples of drugs used to treat this pathology. Antispasmodics, magnesium preparations, hemostatic drugs, as well as vitamins and sedatives. Be sure to take female sex hormones.

The duration of treatment depends on how the disease responds to therapy, the behavior of the patient and compliance with her doctor's recommendations. A two-week course is the minimum.

After completing the therapeutic course, a woman should remain under medical supervision until delivery. Doctors warn patients about a possible repetition of detachment of the fetal egg until the placenta is fully formed.

One of the most reliable signs of pregnancy is a fetal egg. In the ultrasound picture, 2 weeks after the delay in menstruation, one can consider the formation, by the appearance of which one can determine the duration of pregnancy, the nature of its course and identify possible pathological processes of development. The normal shape of the ovum is round, the deformation of the ovum is a cause for serious concern, with this pathology additional examination and careful observation is required.

The structure of the fetal egg

In the first weeks of pregnancy, the fetal egg is a group of cells that, on the way to the uterus through the fallopian tube, continue to divide in the form of an embryo and embryonic membranes. The outer layer of the egg is covered with chorion, the top layer that provides the embryo with nutrition and oxygen exchange.

The so-called "baby place", or placenta, is formed from the upper layer of the fetal egg, which is covered with villi. Destroying a small fragment of the mucous membrane of the uterus and the walls of blood vessels at the place of fixation, filling them with blood, the villi are immersed in the prepared place, where implantation takes place.

The structure of the fetal egg in the last trimester of pregnancy is the fetus, amniotic fluid, membranes, umbilical cord and placenta. The egg occupies the entire uterus and weighs about 5 kg.

Visualization of the embryo and ovum with ultrasound begins at a period of 6-7 weeks after the delay in menstruation. Already at this time, possible pathologies can be considered, such as: empty fetal egg, deformation of the fetal egg, detachment of the fetal egg, hematoma of the fetal egg, etc.

Due to the fact that the risk of spontaneous abortion, rejection and other pathologies is highest in the first trimester, ultrasound must be done in a timely manner, which will increase the chances of a successful correction of the situation.

The growth of the fetal egg

When conducting an ultrasound examination, an assessment is made of the internal diameter of the fetal egg - SVD of the fetal egg. To determine the gestational age, indicators of the coccyx-parietal size of the fetus (KTR) are used.

The growth of the fetal egg up to 15-16 weeks of pregnancy averages 1 mm per day, then from 2 to 2.5 mm per day.

For example, a fetal egg of 3 mm corresponds, as a rule, to three weeks of pregnancy, a fetal egg of 6.5 mm to five weeks.

When can I consider a fetal egg after IVF?

Many women who have undergone IVF (in vitro fertilization) (usually women who have had problems conceiving naturally for a long time) look forward with particular trepidation to the first ultrasound, which will help make sure that they have managed to get pregnant. Ultrasound, which is recommended for these patients to be done no earlier than 3 weeks after the procedure, will determine the presence, location and number of fetal eggs, which will confirm pregnancy.

Rejection of the ovum

The initial stage of spontaneous abortion due to any developmental anomalies is the rejection of the fetal egg. When the egg is detached from the chorion due to damage to the vessels, a wound surface is formed, an accumulation of blood occurs behind the membrane of the fetus, which is called "retrochorial hematoma of the fetal egg", an increase in which leads to miscarriage.

It must be understood that the hematoma of the fetal egg is not a threat of termination of pregnancy, but the result of detachment. If the embryo remains alive, the accumulation of blood does not harm the health of the woman and the fetus. A negative effect on the course of pregnancy is the continuation of detachment and an increase in the size of the hematoma.

Detachment of the fetal egg due to hematoma is not a hopeless process. With timely diagnosis, this process can be stopped, preventing the death of the embryo.

The causes of spontaneous abortion may be the following factors:

• prolonged stress;
• bad habits (smoking, drinking alcohol);
• history of induced abortions;
• viral, infectious diseases;
• diseases of the organs of the reproductive system;
• pathology of the uterus;
• anomalies in the development of the fetus;
• Rhesus conflict (mother and fetus), etc.

From the occurrence of such a pathology as the detachment of the ovum, unfortunately, not one of the pregnant women is insured. Treating yourself carefully, listening to your body, you can diagnose this pathological process in time, stopping its further progression.

Signs of detachment of the fetal egg (the first symptoms) may be pulling pains in the lower abdomen, accompanied by brown bloody discharge. Allocations of this type indicate the process of resorption of the hematoma, however, in order to avoid re-tearing, a woman should urgently contact a gynecologist who will establish the final diagnosis.

Repetition of detachment of the fetal egg can occur repeatedly, which does not pose a danger to a full-fledged fetus, which subsequently has a chance to securely attach and continue normal development. Without treatment, while being kept in a hospital, the likelihood of a miscarriage is very high.

The complete rest of the woman is one of the main methods of treatment. To ensure complete relaxation of the abdominal wall, the patient must strictly observe bed rest, getting up only when absolutely necessary. The most insignificant movements can increase intra-abdominal pressure, increase the tone of the uterus, which accelerates the process of rejection of the fetal egg. In order to ensure the outflow of blood from the pelvic area, being in a horizontal position, it is recommended to place a small pillow under the buttocks.

It is necessary to monitor the normal emptying of the intestines, preventing stool retention, which keeps the intestines in tension, the correct diet, the exclusion of foods that disrupt normal stools and cause flatulence.

It is very important to provide a calm psychological environment, without stress and emotional upheaval. Sexual life is also recommended to be limited for a while.

Along with these simple requirements, which a woman is able to fulfill on her own, there is a drug treatment prescribed strictly by a doctor.

If detachment of the ovum was diagnosed, hemostatic drugs (etamzilat), antispasmodic drugs (no-shpa, magne B6, papaverine), sedative drugs (valerian extract, novopassitis), hormonal drugs (utrogestan, duphaston) and vitamins (folic acid and vitamin E).

Even if a woman has her own prejudices towards drug treatment, she must correctly prioritize, realizing that it is impossible to maintain a pregnancy without drugs.

The course of treatment lasts, as a rule, two weeks, if necessary, it can be increased. The more demanding of herself a woman will be, responsibly fulfilling the doctor's prescriptions, the faster a positive outcome will come.

After completing the course of treatment, strict supervision of the attending physician is necessary until the end of pregnancy. It should be taken into account the fact that until the end of the process of complete formation of the placenta in a woman who has undergone a detachment of the fetal egg, the risk of re-rejection remains quite high.

If a pregnant woman is diagnosed with such a diagnosis, then it should be remembered that this is not yet a sentence. With timely and proper treatment, everything can end well and a healthy child will be born.

Most often, detachment of the ovum occurs in the early stages of pregnancy and, unfortunately, it leads to spontaneous abortion. Sometimes a woman does not even have time to understand that her pregnancy has stopped, because she still did not suspect about her onset, attributing this to a failure of the menstrual cycle. But such a complication of pregnancy can occur at any time during the gestation of the baby. At a later date, this is called placental abruption.

The diagnosis itself sounds ominous. But a woman must understand what is actually happening in her body, and what is the reason for such a pathology.

After fertilization of the egg in the fallopian tube, the zygote, as the newly formed cell is now called, begins its movement to the uterus, where its further development will continue. This happens in about a week. At this time, the uterus is preparing to meet the "new tenant". Its walls become loose, the tone decreases, blood supply increases.

Once in the uterus, the fetal egg is attached to its walls, as if growing into it with the help of thin villi-capillaries, through which nutrients and oxygen will be supplied to it. Sometimes a fertilized egg cannot attach itself to the wall of the uterus. Often this happens due to the high tone of the uterus, as well as due to previous abortions or operations on the uterus. Without nutrition and oxygen, the embryo dies and is rejected from the body. Spontaneous miscarriage occurs.

But even if the zygote has already attached to the walls of the uterus, detachment of the fetal egg may begin. It can be partial, and occurs most often due to nervous strain, stress, heavy lifting, infections, or abdominal bruises.

In later pregnancy, the detachment of the ovum is called placental abruption. The cause may be late toxicosis, accompanied by an increase in blood pressure. With polyhydramnios or multiple pregnancy, intrauterine pressure increases. It can also lead to placental abruption.

Among the factors that can lead to detachment of the fetal egg, bad habits of a woman are also called - smoking and drinking alcohol. But this has not been reliably proven.

Signs of detachment of the ovum

The final diagnosis can only be made after an ultrasound examination. But if a woman has spotting from the vagina, pain, sharp or pulling, in the lower abdomen, general weakness and fatigue, then you should seek medical help. The woman should also be alerted by the fact that the child does not move for a long time, or his movements are weak. After an ultrasound, the doctor can say with certainty whether there is a threat to the life of the fetus, and whether it is possible to help a woman maintain a pregnancy. The placental abruption does not threaten the woman herself.

If the detachment of the fetal egg occurred by 1/3, then with the timely hospitalization of the expectant mother and the appropriate treatment, everything can return to normal.

Strict bed rest, elimination of any stress, both physical and emotional, is the key to success in the treatment of this pathology.

After a complete examination of the woman, complex treatment is prescribed. The most commonly used preparations containing progesterone. As a rule, after 10-15 days, the condition of the expectant mother stabilizes, and she safely carries the pregnancy to the end. But sometimes, especially in the later stages, you have to observe bed rest until the very birth.

If, after the examination, it turns out that placental abruption has occurred by half, then this is already a clear threat to the life of the fetus. The child does not receive sufficient nutrients and suffers greatly from asphyxia. In this case, premature birth is carried out by caesarean section.

The expectant mother should not be very worried and afraid that the detachment of the fetal egg will certainly occur. Precautions, of course, must be observed, but remember that such a pathology is rare, about one case in 120 pregnancies. And in almost 90% of cases everything goes well. Most importantly, avoid stress, strong fears, heavy lifting and abdominal bruises. Wise nature has taken good care of your baby to feel safe in his "water house".

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Detachment of the ovum during pregnancy

As soon as she learns about her pregnancy, a woman must immediately begin to treat herself and her own health more carefully, carefully and responsibly. Firstly, from this moment on, the life of the unborn baby depends entirely on the well-being of the mother's body. Secondly, pregnancy itself causes a temporary decrease in a woman's immunity. Thirdly, none of us is immune from the development of complications when carrying a child. Fourthly, most of them manifest themselves precisely in the early stages of pregnancy - in the first trimester, which has the highest number of spontaneous abortions during pregnancy.

One of the most dangerous complications during the period of bearing a child can be detachment of the fetal egg during pregnancy.

Detachment of the ovum: symptoms

Detachment is said to be when the fetal egg prematurely begins to be rejected from the uterus, which, naturally, poses a threat to his life. Outside the uterus, the fetus cannot exist, and therefore complete detachment ends with its death and miscarriage. In fact, detachment is the initial stage of spontaneous abortion.

As the chorion peels off, the vessels that attach it to the uterus rupture, and a bruise occurs in this place - a hematoma. During the passage of an ultrasound, a specialist will certainly notice a hematoma forming near the placenta even at a very early stage. If the detachment is partial and not very pronounced, then perhaps this will be the only sign of a violation during pregnancy, fortunately detected during a routine ultrasound examination.

But very often a woman who begins rejection of the chorion or fetal egg is able to notice the symptoms of detachment on her own by changes in her own well-being and in the color of vaginal discharge.

The most characteristic sign of the onset of detachment and the threat of termination of pregnancy is spotting during pregnancy. Traces of brown gore indicate that the hematoma formed earlier, and this is the contents coming out of it. It is this kind of discharge that is characteristic of detachment of the fetal egg. The appearance of ichor from the genital tract indicates the "healing" of the tear, but relapses are not excluded. A change in spotting towards red is considered as a critical sign of a developing miscarriage and requires immediate hospitalization of the pregnant woman.

Threat harbingers can be cramping or pulling pains in the lower abdomen and in the lumbar region (reminiscent of menstruation), as well as a feeling of hardness of the uterus: due to increased tone, it spasms, rejecting the fetus, which a woman can feel as a petrification in the lower abdomen.

Detachment of the fetal egg: causes

Why the fetal egg of a normally started and seemingly successfully developing pregnancy suddenly begins to be rejected is not easy to answer. This can be facilitated by a huge number of various factors and reasons, among which experts distinguish the following:

• hormonal disorders;
• past abortive cleansing;
• diseases of the reproductive system of the mother;
• the presence of tumors of different etiologies;
• inflammatory processes in the pelvic organs;
• physiological pathologies in the development of gynecological organs;
• infectious and viral diseases during pregnancy;
• sexual infections in a pregnant woman;
• high blood pressure;
• the impact of harmful external factors on the body of the expectant mother (chemicals, gases, etc.);
• bad habits during pregnancy;
• strong physical activity;

Detachment of the fetal egg

Early pregnancy is most at risk. Most miscarriages occur in the first weeks of pregnancy. Therefore, newly-made expectant mothers should take care of themselves from the first days.

The cause of spontaneous abortion in early pregnancy may be the detachment of the fetal egg. Rather, it is its first stage. The fetal egg begins to be rejected from the chorion, a wound is formed here due to damage to the vessels, blood accumulates behind the fetal membrane, forming a hematoma, which is why this phenomenon in obstetrics is also called a retrochorial hematoma. This blood formation can increase and further contribute to the detachment of the fetal egg. Ultimately, there is its complete rejection and death.

If no action is taken, it is almost certain that the pregnancy will be terminated. However, timely treatment in most cases can stop the process.

Causes of detachment of the fetal egg

Why the fetus begins to be rejected in each case is almost impossible to find out. But there can be a large number of reasons contributing to such a beginning miscarriage:

• hormonal disorders (in particular, a lack of progesterone in a woman's body);
• pathology of the structure and development of the uterus;
• gynecological diseases;
• transferred infectious and viral diseases;
• fetal malformations;
• performing artificial abortions in the past;
• other adverse factors (domestic, environmental, industrial).

Symptoms of detachment of the ovum

Unfortunately, it is not possible to predict detachment, but this can happen with any of the pregnant women. Therefore, each of them must be extremely attentive to themselves and immediately respond if any suspicious signs appear. The probable rejection of the fetus will first of all be indicated by pulling pains in the lower abdomen, which can radiate to the lower back as during menstruation, accompanied by spotting. You should immediately go to the hospital if you find traces of blood on the linen (with detachment, they have a coffee or bloody color). Brown discharge indicates that the hematoma is already beginning to resolve, but a second tear is not ruled out, therefore, if you do not want to tempt fate, then it is better to seek medical help. Usually a detachment is diagnosed by ultrasound.

Read also Frozen pregnancy in the early stages

By the way, there is an opinion that natural selection occurs at the initial stage of pregnancy. And if the fetus is complete and self-sufficient, then it will survive without outside help. In the process of his struggle for life, detachment can be repeated several times, but in the end, the fetal egg is securely fixed and begins to grow and develop safely.

In general, not all women prefer to go to the preservation of the detachment of the ovum in the early stages. However, doctors insist: the risks of abortion due to the onset of fetal rejection without treatment are incredibly high.

Treatment of detachment of the fetal egg

If suspicions of detachment of the fetal egg are confirmed, the woman will certainly be admitted to the hospital. Detachment is treated in a hospital and under the supervision of doctors, although you have the right to refuse hospitalization.

The most important thing when detachment has begun is the complete rest of the pregnant woman. You can not only do more or less hard work, but even walk. The abdominal wall should be in an absolutely relaxed state, and this is possible only in the prone position. When performing any actions, it is at least to the smallest degree, but still tenses, and when walking, vibration is still created and, in any case, intra-abdominal pressure increases, which also brings the uterus into tone and can only accelerate detachment. In addition, your doctor may recommend that you place a pillow or bolster under your buttocks to help drain blood from your pelvic area.

Too active intestinal motility now also poses a certain danger, which is why a woman is prescribed a sparing diet with the exclusion from the diet of foods that strengthen, weaken and cause gas formation, as well as coffee and tea.

There is no need to talk about sexual contacts: any sex with the threat of termination of pregnancy is strictly prohibited!

Equally important is the emotional peace of the expectant mother. It is necessary to exclude any stress and worries from a woman's life.

Unfortunately, medication is also not enough, but they help to keep the pregnancy, doctors say. These can be hemostatic drugs (Etamzilat), antispasmodics (No-shpa, Papaverine, Magne B6), sedatives (mainly Valerian Extract), vitamins (mainly folic acid and vitamin E), hormonal drugs (Dufaston, Utrozhestan) and others. All appointments must be made by the attending physician.

The duration of treatment in each individual case will be different, but it will be at least two weeks. In many ways, it depends on the degree to which a woman complies with all medical prescriptions. So if you want the fastest improvement, then follow them strictly.

In the future, a pregnant woman who had a detachment of the fetal egg in the early stages should be under strict medical supervision until the very end of gestation. Do not neglect scheduled check-ups and examinations. Gynecologists say that the increased risk of recurrence persists until the placenta completes its formation.

Especially for beremennost.net — Elena Kichak

Detachment of the fetal egg

Symptoms, causes, consequences and treatment of detachment of the fetal egg

Detachment of the fetal egg is a fairly common pathology that occurs mainly at the end of the first and beginning of the second trimester of pregnancy. As a result of detachment from the chorion of the fetal egg, a hematoma is formed - a cavity with accumulation of blood. It is the hematoma that is diagnosed with the help of ultrasound, and on the basis of it a diagnosis of "threatened abortion" is made.

Symptoms of detachment of the ovum are always present in the case of a large detachment. These are bloody discharge from the genital tract and spasmodic pain. If the hematoma is very small, a few millimeters, it can only be diagnosed using ultrasound and is an accidental finding, while the woman considers herself absolutely healthy.

Many expectant mothers are interested in what causes the detachment of the fetal egg to occur in order to try to prevent the development of this pathology. However, there is no one specific reason. There are a lot of them. This is an increase in blood pressure, and, possibly, a lack of progesterone, and features of the chorion vessels, etc. Therefore, it is better not to study what a detachment of the fetal egg is without the need, but to register for pregnancy in a timely manner and undergo all recommended examinations on time, plus to this, observe the correct mode of work and rest, eat right.

The consequences of detachment of the fetal egg for the mother and fetus depend on its size. As a rule, with a detachment of more than 40 percent (compared to a fetal egg), a miscarriage occurs. With a slight detachment with a tendency to reduce the hematoma, there are no threats to the development of the fetus. This diagnosis may sound like this - partial detachment of the fetal egg with the formation of a hematoma. With such a diagnosis, a woman is placed in a hospital and the size of the hematoma is monitored by ultrasound. They must decrease. Brown discharge in the process of recovery is considered a positive diagnostic criterion - this is the “old” blood coming out, the hematoma is emptied. If, on the contrary, the hematoma becomes larger, the partial detachment of the fetal egg can become complete, and a miscarriage will occur.

As for the treatment, it is, for the most part, symptomatic. If there is uterine tone, it is removed with the help of tocolytic drugs. With abundant bleeding, hemostatic drugs are prescribed. It also makes sense to prescribe progesterone preparations, preferably Utrozhestan, in order to prevent a possible lack of progesterone and save the fetal egg with the embryo.

From the expectant mother herself, bed rest and cessation of sexual activity for at least a few weeks are required. Only such a detachment of the fetal egg in the early stages of pregnancy requires treatment, according to modern doctors. The main thing is to do everything so that nothing prevents the hematoma from emptying and reducing its size.

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• Inflammatory process in the pelvic organs;
• Physiological disorders in the development of gynecological organs;
• Infectious viral disease of the expectant mother during pregnancy;
• sexual infection;
• The impact of negative external factors on the body of a pregnant woman (gases, chemicals, etc.);
• Too much physical activity;
• Nervous shocks.

The main reason, according to the vast majority of experts in this field, is progesterone deficiency.

This violation prevents the further successful bearing of the child, since the body does not produce or produces less than necessary, the main hormone of pregnancy - progesterone. It is the latter that is responsible for the maintenance and development of pregnancy.

If a woman does not notice threatening signs or ignores them, no measures are taken, then in most cases the fetal egg will be completely rejected by the uterus. In this case, the pregnancy will either freeze, or a miscarriage will occur.

That is why the expectant mother should consult a doctor at the first disturbing symptoms, and if bleeding has already begun, then call an emergency and go to the nearest medical facility.

It should also be noted that with timely assistance to the hospital, there should no longer be any cause for alarm, because gynecologists and obstetricians currently have vast experience in the treatment of such pathological conditions. When applying, if it, of course, happened on time, the detachment that has begun can be eliminated as soon as possible.

In the case when there is a high probability that the partial detachment of the fetal egg will progress, the woman is placed in a hospital. In both the first and second cases, she needs absolute rest, which is not only in bed rest. You can not sit and walk, make sudden movements, sexual contacts are completely excluded, as well as stressful situations.

It is also helpful to lie down with your feet slightly above body level. In the first trimester, it is recommended to regularly measure the basal temperature, such a measure will allow you to monitor the course of pregnancy, for example, if the thermometer readings decrease, you should consult a doctor, as this is a bad sign.

To eliminate the tone of the uterus, antispasmodic drugs are prescribed, usually Papaverine, No-shpa or Magne B6. Relaxing and soothing therapy is also shown, which consists in taking valerian or motherwort.

If necessary, hemostatic medications (pr. Dicinon) and progesterone therapy (Dufaston, Utrozhestan) are prescribed. During the period of bearing a child, especially in the initial stages, it is recommended to take vitamins.

Often they are prescribed at the planning stage, but if a woman has not taken them, the gynecologist recommends folic acid, tocopherol (vitamin E) and multivitamins.

Vitamin therapy is standard during pregnancy, but the drugs may vary depending on the condition of the woman and the course of the process. Also, when detaching, it is recommended to adhere to a sparing diet, which refers to measures to prevent gas formation and stool retention.

After the threatening condition is eliminated, and the woman is discharged from the hospital home, it is necessary to monitor her pregnancy more carefully. Increased attention is provided, at least until the 16th week, however, both the woman herself and the doctors need to be on their guard until the birth itself.

It is quite possible to stop a dangerous violation and prevent a miscarriage. The main thing is that the first threatening symptoms are noticed in time. A woman should be extremely attentive, especially to the nature of the discharge, and must also adhere to the recommendations of doctors, because if you delay, the chance of maintaining a pregnancy decreases every minute.

It is necessary to regularly attend a antenatal clinic, take the required tests and undergo other studies, because this can be insurance against the development of various complications. Doctors can detect a disease or disorder at an early stage, and accordingly, take measures to eliminate it, which will save the expectant mother from problems during pregnancy.