To the pains in the lower abdomen during pregnancy you needto treat very carefully. Even in the early stages of pregnancy, such pain can speak of severe complications. There is a complication or not, and the pain is simply a consequence of intestinal colic, can only tell the doctor.
Pain in the lower abdomen on one side may bea sign of an ectopic pregnancy. Ectopic pregnancy is the development of the embryo in the fallopian tube, ovary or in the abdominal cavity instead of its natural development in the uterine cavity. In the first weeks, such a pregnancy develops as normal, until the fetus grows enough to rupture the uterine tube. This usually occurs 1.5 months after conception. Therefore, it is advisable after the woman has carried out the pregnancy test, to appear to the gynecologist in order to exclude the ectopic pregnancy. The obstetrician-gynecologist can determine a normal pregnancy by increasing the uterus, but sometimes to clarify the diagnosis, he sends a woman to an ultrasound that will accurately determine where the fetal egg was fixed. The signs of an ectopic pregnancy may be different, but there are always pains. Sometimes these are very sudden sudden pains, dizziness and loss of consciousness - a sign of a sudden complete rupture of the fallopian tube and severe internal bleeding. In this case, a woman can be saved only by timely admission to the hospital and surgery. Sometimes the pains are not very pronounced and are accompanied by a slight clotting - the bloody discharge is not very abundant. This is a sign that there is a partial rupture of the fallopian tube. This condition also requires immediate hospitalization, since it can be complicated by significant internal bleeding. If a woman has had an ectopic pregnancy before the onset of pain and bleeding, it is possible to remove the embryo endoscopically without removing the uterine tube. This will allow the woman to keep the childbearing function. If the operation is carried out for emergency indications, that is, against the background of a rupture of the fallopian tube, the operation is performed in the usual way, the uterine tube or part of it is removed and in the future the ovary from this side can no longer participate in the process of procreation.
Risk of miscarriage
In some cases, a woman may startspontaneous miscarriage. Most often this occurs against hormonal deficiency. The main hormone of pregnancy is progesterone, which inhibits contractions in the muscles of the uterus. With insufficient progesterone production, the uterus begins to contract and pushes the embryo out of its cavity. Therefore, many women in the first and second trimesters of pregnancy are assigned synthetic analogues of progesterone (morning). Some women are prone to habitual miscarriage. Most often this happens with ischemic-cervical insufficiency (ICI). ICN is a condition in which the place of transition of the body of the uterus into its neck (isthmus) and the cervix itself can not cope with the growing burden from the uterus and begin to unfold prematurely. The cause of NSC is most often injuries of the neck and neck of the uterus during previous births and abortions. The injury site overcomes the connective trauma, loses the ability to stretch, which leads to miscarriage. When a threat of spontaneous abortion appears in the abdomen, aching pain of increasing intensity, giving in the lower back and the groin, and bloody discharge from the genital organs, and sometimes complete bleeding. If a miscarriage is suspected, the woman should be hospitalized as soon as possible. With the timely provision of help, pregnancy can be saved.
Causes not directly related to pregnancy
Lower abdominal pain may occur with intestinalcolic. Despite the fact that intestinal colic is not directly related to pregnancy, they often arise precisely against the background of pregnancy, as when the hormonal background changes the motor activity of the intestine is always reduced and women during constipation are concerned with constipation and bloating (flatulence). Both of these causes can cause intestinal colic - abdominal pain, which can be localized on one side. Abdominal pain in pregnant women can and does not have anything to do with pregnancy. For example, the pain that occurs with appendicitis. These pains can also occur suddenly on the right side of the abdomen and give down, in the groin area. Similar pain can occur with other diseases of the abdominal cavity, requiring urgent surgical care. A woman can be helped only by promptly seeking medical help and, possibly, by a surgical operation.
The correct diagnosis can be made by the surgeon. If the pain does not pass within an hour or two, but only grows, do not write off everything for intestinal frustration and drink drugs such as "smekty", this is very dangerous. In time, no surgical intervention can lead to peritonitis. Unfortunately, there are phenomena that can really become very disturbing bells, indicating that the pregnancy is not going too smoothly. For example, very often doctors hear complaints that in early pregnancy women notice brown discharge and feel pain in the lower abdomen.
Causes of bleeding
Of course, brown spotting andpain in the abdomen at any time of pregnancy - an alarm, including m at an early age. But is the appearance of blood always indicative of trouble? Doctors say that no. Although this does not mean that it is permissible to leave such a phenomenon without attention - if you notice brown spotting, seek medical help immediately! But let's talk about everything in order. And to begin with we will find out what can become the cause of bleeding in the early stages.
- Implantation of the fetal egg
Sometimes spotting appears on the veryearly terms, when a woman does not even suspect about her pregnancy - a few days after conception. To be more precise, brown discharge may appear about a week before the expected date of the onset of menstruation. Allocations have a dark brown color and they are extremely meager - they can not be confused with monthly ones. And the reason for this smear is the introduction of a fertilized egg into the mucous membrane of the uterus. This is a completely normal physiological process and you have nothing to fear in this case. But only in the event that you do not feel any discomfort - pain in the abdomen and back, a general weakness. And only if the brown allocation is scant and last no more than a day. If the blood has a red color, or it's the same as for normal menstruation - beeping! First of all, you need to do a pregnancy test to make sure that it is not just a profuse and painful menstruation. And if the fact of your future is confirmed, immediately contact a doctor - there is a very high probability that you have begun rejection of the fetal egg. And if you do not receive appropriate help in a timely manner, you can lose the child. And for God's sake, do not listen to the counselors who say that such a bleeding is a simple ablution of the fetus.
- Beginning miscarriage
You learned about your pregnancy, made happyfuture dad and just got used to the idea that you will soon become a happy mother. But it takes only a few weeks and at one point, not at all, you notice brown discharge on the underwear. The only reason is one - a beginning miscarriage. Despite the rather unpleasant name, this process is in most cases reversible. But only in the event that the future mother will receive the necessary medical help as soon as possible. Thousands and thousands of such pregnancies are doctors successfully saved.
- Frozen pregnancy
Sometimes brown discharge in the early stagespregnancy may indicate a much more sad situation - a frozen pregnancy. When a pregnancy is frozen for some reason, in most cases, and remains a mystery to doctors, the fetus simply stops developing and, of course, dies. In the early stages of pregnancy, it is not so easy to notice, and brown discharge is one such sign. With a stale pregnancy, brown discharge is ungentle, viscous consistency. In addition, a woman may have a number of other symptoms - painful aching sensations in the lower abdomen and in the lumbar region, a sharp cessation of toxicosis, a decrease in the previously swollen breasts. Definitely to confirm or deny the fact of the frozen pregnancy can only the doctor-gynecologist. And then only after a series of studies - a blood test for the level of hormones, ultrasound examination of the uterine cavity. If the diagnosis is confirmed, the woman will need medical help. Unfortunately, it is impossible to save such a pregnancy, because it, in fact, is no longer there. And the only thing that the doctor will do is remove the dead fetal egg from the uterus cavity, with the help of curettage. Do without this unpleasant procedure will not work, because otherwise it is possible inflammation of the uterus and sometimes even septicemia. Surviving a frozen pregnancy is very difficult, because it is a serious blow to the psyche of a woman. But do not despair - in most cases, a woman soon enough becomes pregnant and gives birth to a beautiful baby. Cases of recurrence of frozen pregnancy are extremely rare and the likelihood that you will fall into this process is negligible.
- Ectopic pregnancy
The most unpleasant reason whyappear brown discharge in the early stages - this is an ectopic pregnancy. Moreover - if there is bleeding, it is impossible to linger for a minute - it indicates that the fetus has reached a critical size. So, in the very near future the uterus, in which the embryo develops, can burst. Such bleeding in almost all cases is accompanied by very intense pain sensations, which it is simply impossible not to notice. And if a woman is not given immediate help, complications can be the most serious, up to a lethal outcome. But for the sake of justice it should be noted that such a cause of bleeding in the early periods is extremely rare - of course, if the future mother regularly visits a doctor. The level of modern medicine is so high that it allows you to determine an ectopic pregnancy in the very first weeks. That's why doctors strongly recommend that women do not pull to the last, but to turn to the gynecologist immediately, as they learn about their pregnancy.
- Cervical erosion
If the expectant mother notices brown dischargeafter sexual intercourse or gynecological examination on the chair, most likely, there is no cause for concern. In the early stages of pregnancy, under the influence of certain hormones, the cervix begins to bleed easily, even from the slightest touch. But this bleeding does not last long - a maximum of several hours. However, the doctor should still be warned - most likely, he will replace the manual examination with ultrasound.
- Inflammatory process
Rarely enough, but still there are cases whenbrown discharge is a consequence of the strongest inflammatory process of the pelvic organs. True, the shade of brown will be slightly different - closer to the dark yellow. And besides, such discharges are almost always accompanied by a very unpleasant odor. In addition, there may be pain in the lower abdomen, weakness, fever, general malaise. For some reason, it is commonly believed that during pregnancy all gynecological diseases bypass the future mother. However, in fact, this is not so! It is during pregnancy that all existing chronic sores become aggravated, and even new ones tend to cling. But even an innocuous inflammatory process during pregnancy can most negatively affect both the course of pregnancy and the health of your unborn child. Therefore, to ignore the indisposition in any case it is impossible - the earlier treatment will be started, the better for the mother and baby.
What should I do with the discharge?
In any case, whatever the reasonbleeding in the early stages of pregnancy, it is very important to follow the correct algorithm of action. Of course, you will not provide yourself with competent assistance. But also very much depends on you - if your behavior will be true, doctors will have much more chances to save pregnancy. Well, or at least, reduce the damage to your health to a possible minimum.
- Do not panic
Perhaps this advice will seem strange to you, butit is very important - stop panicking! It is only natural that you are frightened, worried about your baby. But remember - your panic bleeding will not stop. But to strengthen it very much even can and with a high degree of probability will do it. Try to relax, breathe deeply - in a couple of minutes you will become much easier.
- Call an ambulance
Did you notice the blood on your underwear? Regardless of whether a lot of it or just a few drops, immediately lie down or at least sit down if you lie down nowhere. Do not try to get to the clinic or the hospital on your own - neither by car, nor even more so on public transport. Until the doctor resolves, you must observe complete rest. Therefore, it is more reasonable to call an ambulance brigade, which, if necessary, will take the future mother to the hospital, observing all precautions.
- Follow the doctor's recommendations
So, the doctor found out the cause of the bleeding andhas appointed you the appropriate treatment. Your main task is to strictly follow all recommendations. If a doctor tries to keep a pregnancy, it is from your behavior that most of the success depends. If an accident occurs and you lose the baby, the treatment will be directed at restoring your health so that after a while you can again conceive and give birth to a healthy baby. Very often women make the same mistake - hardly feeling better, they stop taking prescribed medications, break the regime of the day and so on. And in the end they hurt themselves the pain in the lower abdomen should be expected.
- Refrain from sex
If the pregnancy was saved, it is very importantto refuse from sexual relations even for one and a half-two months, after all the sexual certificate sometimes provokes abortion. And besides, reckless actions of a man can injure a very sensitive cervix of the uterus, which can also lead to a new bleeding. As a rule, men are sympathetic to this - the main thing is that you explain what's wrong.