Black discharge in early pregnancy is considered to be caused by ectopic pregnancy, preeclampsia, hyperemesis gravidarum and other diseases, different causes, different treatments, it is recommended that the patient consult a doctor in a timely manner to identify the cause of the disease, and then follow the doctor’s instructions for treatment. 1. Ectopic pregnancy: It is caused by tubal inflammation, tubal dysplasia and other factors that the fertilized egg is deposited in a part of the uterus other than the cavity of the uterus. Early women do not have any special symptoms, and after the death of the embryo, irregular vaginal bleeding, abdominal pain and other phenomena can occur, and the blood is mostly dark red or blackish-brown. Patients can follow the doctor’s advice to use drugs such as methotrexate, or choose tubal opening surgery, tubectomy and so on. 2. Pre-eclampsia: The causes of this disease include embryonic factors, maternal factors, paternal factors, etc. Pregnant women will experience vaginal bleeding in the early stage of pregnancy, and the amount of blood is small, mostly dark red, and may turn black due to oxidation in the vagina, accompanied by lower abdominal pain and other phenomena. Pregnant women should ensure rest and prohibit sexual intercourse. Progesterone can be used if the luteal gland is not functioning adequately, and thyroxine tablets can be used if hypothyroidism is present. If the pregnancy can not continue, can use the uterine contraction, the pregnancy will be discharged, the development of inevitable abortion, but also can choose to clear the uterus, scraping and other surgical procedures. 3. Grape fetus: Grape fetus can also cause black discharge at the beginning of pregnancy, and will be accompanied by pregnancy vomiting, abdominal pain and other symptoms. Once diagnosed, patients should undergo surgical treatment such as hysterectomy and hysterectomy immediately. In addition, there are many other causes of black discharge at the beginning of pregnancy, it is recommended that the patient go to the hospital in time to identify the cause of the disease, and then receive treatment as soon as possible.