During early pregnancy, vaginal bleeding often occurs, as little as rubbing out brown blood, or pink discharge, or red blood. More often, the blood resembles the amount of menstruation. Usually bleeding during early pregnancy is a sign that the embryo is damaged. The outcome of early pregnancy bleeding: on average, there is a 50% chance of miscarriage or ectopic pregnancy. There is also a 50 percent chance that the pregnancy will continue until delivery.
Why does early pregnancy bleed?
1. it is possible that small blood vessels were injured during the implantation of the embryo, a situation that can be salvaged.
2. it may be an early manifestation of ectopic pregnancy, a condition that should be diagnosed and treated early.
3. It may be a preterm miscarriage or embryonic abortion. This situation needs to be observed for a while before it can be determined.
How to identify the cause of bleeding during early pregnancy?
Shortly after conception, for example, within 2 weeks of fertilization, it is not easy to identify. First of all, the blood HCG and progesterone are not high at that time, and the ultrasound will not be able to see when the blood HCG is lower than 1500-2000 IU, so we can only observe first.
After 3 weeks of fertilization, it is the period of rapid development of embryo after implantation. The blood HCG doubles significantly and the progesterone will be above 25-30ng/ml. This is the time to look for the cause according to the dynamic changes of blood indicators and ultrasound. When the blood HCG rises above 1500 IU, vaginal ultrasound can be used to find the embryonic shadow. When the blood HCG rises above 2000 IU, the fetal sac can be found by abdominal ultrasound.
For bleeding after 3 weeks of fertilization, in addition to ultrasound to find the cause, the changes of blood HCG and progesterone can also be observed dynamically, usually once in 3 days or so. If the blood HCG rises slowly, it may be an intrauterine embryonic dysplasia or ectopic pregnancy.
If there is a drop or disappearance of HCG before the location of the embryo is detected by ultrasound, it is usually commonly referred to as a biochemical pregnancy. Those with a biochemical pregnancy can no longer identify an ectopic or intrauterine pregnancy.
What do we do after bleeding in early pregnancy?
1. to reduce the activity (it does not mean that you must always be bedridden to come).
2.Watch carefully what falls out, with flesh-like tissue reserved for the doctor to see.
3.With obvious abdominal pain, or bleeding more like menstrual volume, dizziness, to go to the emergency room to avoid delaying the rescue time of internal bleeding of ectopic pregnancy.
4.If there are no symptoms mentioned above (abdominal pain, heavy bleeding, dizziness, etc.). Regular blood tests for progesterone, blood HCG and ultrasound are needed, usually at least once every 3 days.
During regular blood draws for progesterone and blood HCG, if the blood HCG drops rapidly after bleeding, the embryo may have been shed and the blood HCG should be checked weekly until it is tracked to normal levels. If the blood HCG rises slowly, observe closely and check progesterone, blood HCG or ultrasound every 3 days or so. If an ectopic pregnancy is detected during this period, deal with it quickly. If an intrauterine pregnancy has been confirmed, it is important to observe the development of the embryo in the uterus. If the blood progesterone is below 15ng/ml, the embryo is more dangerous. If the blood HCG continues to rise slowly with less than 20% rise in 3 days interval, it also indicates that the embryo is underdeveloped. When the doctor combines all indicators to determine that the embryo has stopped developing, the uterus should be removed as soon as possible.
Is there any benefit of medication for bleeding in early pregnancy?
If progesterone is rising slowly, progesterone can be used to protect the fetus. Progesterone can make the endometrium more suitable for embryo development and can inhibit uterine contractions to stabilize the fetus. Progesterone can be given orally, intramuscularly, or intravaginally. Some people ask if progesterone is used for ectopic pregnancy, won’t it be a problem? Actually, there is no trouble. There is no evidence that progesterone causes embryonic malformation.
If you are bleeding during early pregnancy, you can try herbal medicine to protect your baby.
Finally, I would like to tell you that 50% of the cases of early pregnancy bleeding can be turned around, so don’t be too nervous. The best attitude is to take things as they come and let nature take its course. I would also like to tell you that in addition to monitoring progesterone and HCG, we should also measure blood pressure, blood sugar and nail function to detect the cause of abnormal embryo development. For example, high blood sugar, low blood pressure, hypothyroidism, etc. It is also beneficial to make purposeful adjustments before the next pregnancy.