Pregnancy is not only the most joyful, but alsothe most exciting period in the life of almost any woman. Why exciting, you ask? Yes, because there are plenty of excitement for excitement. And one of such causes is bleeding in the early stages of pregnancy. As a rule, such bloody discharge causes panic in future mothers, which, however, is not surprising. However, this is not so. Not all bleeding that occurs in the early stages of pregnancy, indicates the presence of any pathological processes in the body of the future mother, who require immediate medical attention. Although, of course, to ignore bleeding during pregnancy is by no means impossible. Let's take a closer look at this issue. But before starting the conversation, I would like to pay special attention - all information is given EXCLUSIVELY FOR THE INTRODUCTION and can not be used for self-diagnosis. In any case, the future mother with the appearance of bloody discharge should at the first opportunity to seek help from a doctor.
Physiological causes of bleeding
In the first few weeks of pregnancy inthe organism of a pregnant woman is a global restructuring of the entire body of a woman - both physiological and hormonal. And during this period, weak bleeding is by no means a sign of pathology. Moreover - in some cases it is insignificant blood loss that can become the first "bell" that testifies to pregnancy.
- Implantation of the fetal egg
Bloody spotting can occuras a consequence of fixing the fetal egg in the mucous membrane of the uterus. It is small fragments of the mucosa that separate from the vagina. These discharges can have a very different color - from bright scarlet to brown and even brown. As a rule, such secretions are not very intensive, they last only a few days. In rare cases, this phenomenon can be accompanied by spasms - a woman complains of pain in the lower abdomen. Recall again - it is these bleeding can be the first sign of pregnancy. However, such a process occurs even before the pregnancy is established. After all, the fetal egg is just beginning to be implanted into the mucous membrane of the uterus. Most often this process coincides with the expected period of menstruation. Incidentally, this phenomenon has led to the emergence of a very widespread opinion that menstruation during pregnancy does not stop at all women.
- Hormonal background
In some cases, the cause ofbleeding in the early stages of pregnancy becomes a hormonal "storm" that rages in the body of a future mother. Such bleeding is very scarce, lasting only a few days. Most often, this bleeding occurs approximately 10 days after the first day and no menstruation. There is no threat of such a "daub" for the health of the child and mother does not represent.
- Cervical softening
Under the influence of many factors - includinga change in the hormonal background - the flow of blood to the cervix increases. Because of this, the cervix softens slightly and starts to heal. Such bleeding can last several days in a row.
- Cervical erosion
Erosion of the cervix is the most commonthe reason for the appearance of bloody "smears" in the early stages of pregnancy. Incidentally, erosion is developing for the same reason, an increased flow of blood to the cervix, which can lead to inflammation and subsequent ulceration. Bleeding due to erosion of the cervix can occur immediately after intercourse, and sometimes without any apparent cause. Such bleeding is never abundant, the discharge has a brownish color. They can last only a day or two, or maybe several weeks. As a rule, during pregnancy, the doctor does not appoint any cervical erosion treatment - the "wait and see" attitude is engaged. No painful sensations such discharge is accompanied and no physical discomfort to the future mother does not deliver - except that psychological.
Erosion of the cervix is far from the onlyA cause that can cause bleeding in the early stages of pregnancy. Quite often bleeding occurs due to the presence of uterine polyps or cervical canal. Polyps are completely painless tumors, formed either in the uterus cavity itself, or in its neck. In this case, bleeding is also uninfluential and completely painless. The doctor in each case determines the tactics of treating polyps. Most often the polyp disappears completely independently, without any outside interference. However, if the polyp is too large or bleeds too much, the doctor may decide to remove the polyp. Do not be afraid of this procedure - it is completely painless and does not pose a danger to either the baby or the future mother, as there is no need to carry out a curettage of the uterine cavity. Of course, simultaneously with this procedure, doctors prescribe a woman therapy aimed at maintaining pregnancy.
Causes of pathological bleeding
However, as already mentioned above, not allbleeding in the early stages of pregnancy is so harmless. In some cases, bleeding represents a very serious threat to the woman's body and the normal course of pregnancy. Let's consider these cases in more detail:
- Pathologies of the cervix
We already spoke about the erosion of the cervix. However, this is the easiest violation. There are a number of serious pathologies of the cervix. Including malignant changes that can provoke bleeding in the early stages of pregnancy.
And did you know that varicose veinscan affect not only the legs, but also the sexual organs? And if these most dilated veins burst, there may be bloody discharge. In this case, they have a bright red color and are periodic in nature.
- Detachment of the placenta
The detachment of the placenta can be observed not only inlong periods of pregnancy, as most people have come to believe. It also occurs in the early stages. And it can lead to bleeding. In most such cases, with proper treatment, pregnancy can be maintained.
All About Miscarriage
One of the most dangerous causes ofbleeding - spontaneous abortion or, more simply, miscarriage. Spontaneous abortion in most cases occurs precisely in the early stages - in the first three months. And one of the most important signs is bleeding. Begins this process is almost always standard - bleeding is very slight, and there are practically no painful sensations. However, such a bleeding does not occur in the recession; on the contrary, it intensifies. And as the intensity of bleeding increases, painful sensations increase. Doctors distinguish several stages of miscarriage, which differ in the level of blood loss and degree of discomfort:
- Threatening miscarriage
The very first stage is precisely the threateningmiscarriage. Bloody discharge is very scarce, and pain can be completely absent. And if pain sensations arise, they are noisy and localized in the lower abdomen and / or lower back. At this stage, no pathological changes in the uterus and its neck are yet occurring. And with active appropriate therapy, pregnancy in most cases is quite possible to keep. By the way, about 30% of all women who have successfully given birth to healthy babies go through this.
- Start of miscarriage
At the stage of the miscarriage that began, bleedingstrengthens, and pains acquire a cramping character. The external yoke of the uterus begins to open slightly, the cervix itself begins to shorten. The general condition of the woman is still satisfactory. And at this stage, with the right and timely treatment begun, the probability of maintaining a pregnancy is high enough - about 80%.
- Abortion in the course
If the moment is missed, abortion begins in progress,It is almost impossible to save a pregnancy. The bleeding becomes very plentiful, and the pain sensations are extremely intense. This condition poses a serious threat to the health of a woman and requires immediate hospitalization. Depending on the condition of the woman, she will be provided with the necessary assistance. In the event that the miscarriage was incomplete, bloody discharge is particularly strong, have a dark red color with a large number of clots. Such bleeding is accompanied by severe cramping pain. In this case, the woman should receive the following medical care. First, cleaning the uterine cavity is necessary to remove the fetal egg. Otherwise, it will not be possible to stop the bleeding. Secondly, blood loss will be compensated, depending on the condition of the woman. Thirdly, antibacterial therapy will be performed to avoid the development of the inflammatory process of the uterine mucosa. Well, if the miscarriage was complete - that is, the fetal egg left the uterus cavity - the bleeding will begin to decrease gradually, as well as painful sensations. But in this case, ignore the doctor in no case it is impossible - otherwise acute endometritis is almost guaranteed to you. The only thing that the doctor will do in this case is to clean the uterus cavity to make sure there are no pieces of the egg and shells left there.
Another very sad reason for the appearancebleeding in the early stages of pregnancy can become an ectopic pregnancy. Let us recall what this term means. In normal pregnancy, the fetal egg is fixed in the mucous membrane of the uterus. However, unfortunately, in some cases this process fails. And the fetal egg is implanted in the cervix or fallopian tubes. Such a phenomenon is extremely dangerous and poses a serious threat not only to health, but also to the life of a woman. One of the first signs of ectopic pregnancy is the bleeding from the genitals. As a rule, the allocation is rather meager and have a brown color. All signs of normal pregnancy, as a rule, are present - it's toxicosis, and engorgement of the mammary glands, and a positive pregnancy test. Although in some cases bleeding with ectopic pregnancy can begin and at a very early period, when a woman does not yet know about her "interesting" position.
In any case, what would not have been causedbleeding, it is necessary as soon as possible to seek help from a gynecologist. Even if bleeding does not pose a threat to the course of pregnancy, there is always a risk of developing other complications. For example, gestational anemia is a very unpleasant phenomenon. And its development with prolonged bleeding is very likely. The doctor will carefully examine the pregnant woman, prescribe the tests, conduct an ultrasound study that will help determine if there is a threat of spontaneous abortion. Based on all the data obtained, the doctor will objectively assess the condition of the woman and prescribe the necessary treatment. Very often, future mothers do not go to the doctor, for fear of hospitalization. However, this is very reckless. If the doctor offers you hospitalization, in no case do not refuse it. Even if you or your relatives know how to do injections, you will not be able to create a hospital home. After all, in almost all cases of bleeding, the main condition for successful treatment is bed rest. And it is unlikely to be observed at home - then breakfast, then dinner, then the older child or the other half of attention require. And do not take hospitalization as a kind of confinement. Try to find the positive side in this situation. Especially since it's not so difficult. You can properly rest, sleep, read your favorite book, to which you have "no hands", to learn how to embroider a cross in the end! And remember the main thing - very often inpatient treatment helps to save the life of your baby! In conclusion, I would like to remind once again the algorithm of action of pregnant women with the appearance of bloody discharge in the early stages of pregnancy:
- Try to calm down as quickly as possible - until no emergency has occurred!
- If there is such an opportunity, immediately go to bed and call someone close, if you are at home alone.
- Immediately inform the doctor. If the case occurs on weekends or at night, immediately call an ambulance team. Independently you can not go anywhere!
- Strictly follow all instructions and prescriptions of the doctor.
It is timely treatment of a gynecologistand competent treatment allows not only to save pregnancy, but also to avoid the development of various complications. Happy pregnancy and mild delivery! We advise you to read: