Pregnant mothers are most afraid of "seeing red", and unveil the true face of bleeding during pregnancy together

After pregnancy, because the hormone level in pregnant women changes, it will cause some physiological changes, and many pregnant mothers will have emotional changes such as nervousness and irritability.Because of worrying about the health of the fetus, it will be more sensitive. If everything goes well, these tense emotions may be alleviated.

When the bleeding abdomen pain or abnormal examination occurred, the pregnant mother was panicked, even more nervous and worried.Especially the pregnant mothers who have reached the second trimester of pregnancy, thinking that everything is stable at this time, and I was at a loss when facing bleeding.Therefore, it is necessary to understand the causes and treatment of bleeding in the middle of pregnancy.

In the second trimester of pregnancy, it has entered the third trimester after 28 weeks from the weekend of 14-27.There are many reasons for medium -term bleeding, mainly in the following aspects:

1. Placental abnormalities: This is the main cause of bleeding in the middle of pregnancy, accounting for about 50%of the cause of bleeding.There are mainly placenta (front) state, early peeling of placenta, and marginal blood sinus rupture of the placenta.So let’s focus on the early placenta and placenta.

Low placenta (front) status: Refers to 28 weeks ago, the placenta position is less than 7cm in the inner mouth of the cervix, or the placenta reaches the inner mouth of the cervix.Generally, the front placenta will not be confirmed until 28 weeks.

The characteristic of bleeding is no cause and painless vaginal bleeding.The amount of bleeding can be more or less, and the B -ultrasound will specify whether the placenta position is normal.Based on medical history, clinical manifestations, and B -ultrasound, diagnosis can be made.

Placental peeling: After 20 weeks of pregnancy or childbirth, the placenta at normal positions before the fetus is delivered, and all or all of them are separated from the uterine wall.There are light and heavy types.Generally, the amount of mild vaginal bleeding is large, and it can be accompanied by mild abdominal pain or abdominal pain.The severe type is mainly due to sudden abdominal pain. In severe cases, nausea, vomiting, sweating, and blood pressure decreased.

There are vaginal bleeding or a small amount of bleeding, mainly internal bleeding.Generally, the P -ultrasound can also be clearly seen by the placenta. Combining clinical manifestations and signs can be diagnosed.

2. Chronic cervicitis and cervical polyps: Sometimes the secretions may have bloodshot, or there may be contact with contact bleeding.Sometimes cervical polyps may occur repeated bleeding and bleeding.

3, trauma: accidentally fall or collide, cause the abdomen to be hit directly or touches the ground directly on the abdomen, which can cause the placenta to peel and bleed early.

4. Infection of reproductive tract tumors and reproductive tract.

5. Prepare blood vessels and other rare causes.

The above aspects are the causes of bleeding in the middle of pregnancy.Among them, the placenta factors account for the main reason, followed by cervical diseases, and other causes are rare.So what should I do with the bleeding caused by the placental abnormalities and the cervix?

In simple terms, the treatment of the placental low state (front state) is mainly targeted according to the amount of vaginal bleeding, the type of the placenta, the number of pregnancy, the number of pregnancy, and the internal condition of the fetus.

Generally, if the amount of bleeding is not large, it is just a small amount of brown discharge, no abdominal pain, etc., and the situation in the fetus is good, you can rest and rest at home.

If the amount of bleeding is large, repeated bleeding, abdominal pain contraction and other manifestations, the hospitalization infusion needs to inhibit contraction and hemostasis treatment.Early peeling of the placenta will endanger the safety of pregnant women and fetuses, so it needs to be light or heavy.The main assessment of bleeding, including the color of the bleeding, the amount of bleeding, and the speed of bleeding, whether it is accompanied by abdominal pain and gestational week, but also evaluate the condition of hemoglobin. Whether there is anemia, the decrease in platelets, and the change of coagulation function.Based on these assessments to judge the causes of bleeding, and whether urgent treatment is required or looking forward to treatment.

For cervical diseases, if it is caused by cervicitis, there are abnormal secretions.Drug treatment can be treated under the guidance of a doctor.Cervical polyps are generally not treated with special treatment during pregnancy, and some polyps will fall off by themselves during pregnancy or postpartum.However, if the amount of bleeding is large and repeated bleeding, surgery can also be removed in the second trimester, but it needs to be treated according to the size of the polyp, some, and the depth of the pipe. Pay attention to the hemostasis.

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