Summary: In the early stages of pregnancy, some people may experience bleeding in the lower body for various reasons. How to deal with it at this time? Lu Xinghong, deputy director of the Reproductive Medicine Center of University Town Hospital of Guangdong Hospital of Traditional Chinese Medicine, believes that the cause of vaginal bleeding in early pregnancy should be identified in time, certain fatal diseases should be ruled out, and abnormalities should be diagnosed and treated in time to avoid miscarriage accidents and successfully give birth to a healthy baby. child. baby. In the first trimester, some people may experience lower body bleeding for various reasons. How should we deal with this situation? Lu Xinghong, deputy director of the Reproductive Medicine Center of University Town Hospital of Guangdong Hospital of Traditional Chinese Medicine, believes that the cause of vaginal bleeding in early pregnancy should be identified in time, certain fatal diseases should be ruled out, and abnormalities should be diagnosed and treated in time to avoid miscarriage accidents and give birth to a healthy baby smoothly. child. baby.
About 10% of pregnant women experience bleeding in the first trimester
According to Lu Xinghong, early pregnancy generally refers to the period from the first day of the last menstrual period to the end of the 12th week of pregnancy. Some scholars also extend the time to the end of the 13th week. During this period, the fetus completes the differentiation of various tissues and organs in the mother\’s body. During this period, about 10% of pregnant women will experience vaginal bleeding, and it usually occurs between 6 and 10 weeks of pregnancy. Vaginal bleeding during early pregnancy is often considered a threatened miscarriage. In fact, there are many reasons for vaginal bleeding during this period, and individual treatment should be carried out according to the cause. There is no need to treat threatened abortion.
Cervical erosion and cervical polyp bleeding are temporarily untreatable
Common causes of bleeding in early pregnancy include cervical columnar epithelial migration (also known as cervical erosion in the past) and cervical polyps. This type of bleeding generally does not require treatment, and the bleeding will usually stop on its own; that is, a polypectomy is performed after about 12 weeks of pregnancy. For suspected cervical lesions, cervical liquid-based cytology (TCT) and human papillomavirus (HPV) examination are required to further rule out early cervical cancer; for cervical cauliflower tissue, cervical biopsy should be performed in a timely manner. Cervical cancer patients are getting younger now, and some patients are diagnosed during pregnancy, so don’t refuse the doctor to do a gynecological examination when you see a doctor.
Placenta previa: Bleeding may also occur in the first trimester
Cai Lin\’er, attending gynecologist at University Town Hospital of Guangdong Hospital of Traditional Chinese Medicine, added that in the first and second trimester of pregnancy, the placental tissue is attached to the internal os of the cervix and the placenta has not yet formed. We call this placenta previa. Pregnant women with placenta previa usually experience a small amount of vaginal bleeding around 13 weeks of pregnancy, and no special treatment is required. Most bleeding will stop on its own, but regular check-ups and monitoring are required as directed by your doctor.
If the placental tissue has grown to cover the internal cervical os at 28 weeks of intrauterine pregnancy, and if it is not far from the internal cervical os, the fetus will not be able to be delivered naturally in the future, which is medically called placenta previa. This is the leading cause of bleeding in late pregnancy and is a serious, potentially life-threatening condition. Prompt medical treatment is required for prompt diagnosis and treatment.
also,In post-operative patients with polycystic ovary syndrome and ovarian endometriosis, some early bleeding is due to insufficient function of the mother\’s own corpus luteum. At present, monitoring progesterone levels and HCG levels is used to guide the dosage and use time of progesterone, combined with traditional Chinese medicine tocolytic treatment, which can achieve a good miscarriage effect.
tip
Timely vaginal ultrasound is superior to abdominal ultrasound
Women who find bleeding in the lower body during early pregnancy should undergo transvaginal ultrasound examination (commonly known as vaginal ultrasound) in a timely manner, which has important reference value for the judgment and treatment of the disease and is superior to abdominal B-ultrasound. This is because transvaginal ultrasound probes have better resolution and can detect ectopic pregnancies (i.e., ectopic pregnancies) at a significantly higher rate than transabdominal ultrasound. Vaginal color ultrasound does cause some discomfort, but it will not cause adverse effects on the fetus, nor will it aggravate threatened abortion and cause fetal miscarriage. Text/Yangcheng Evening News reporter Chen Yingping correspondent Song Liping