Look at the early pregnancy precautions, you will not panic When the always punctual aunt did not come as scheduled, as married or sexually active women should first think of pregnancy. You can go to the drugstore to buy a pregnancy test, if it is two red bars, congratulations you are pregnant. So what’s next, can’t wait to go to the hospital or calmly wait for it? If you don’t have abdominal pain or vaginal bleeding, you can go to the hospital for your first checkup around 50 days after menopause. The doctor will prescribe an ultrasound to determine intrauterine pregnancy and embryo survival (yolk sac, embryo buds and primordial heart tube pulsation in the uterine cavity). This is because an ultrasound done too early cannot be seen and done too late may delay the process. Under normal circumstances, as long as the ultrasound can be done, some patients will take the initiative to ask the doctor to draw blood to check HCG and progesterone, in fact, this is a misunderstanding. Progesterone in the body is pulsatile secretion, blood progesterone measurement fluctuates greatly, the clinical significance of the guide is not great. Often patients with progesterone 15 or so during early pregnancy, asked me to order a retest of progesterone. If the ultrasound examination of the embryo is viable and there is no vaginal bleeding, then there is no need to check. So under what circumstances is a blood test necessary? If you are considering a miscarriage, ectopic pregnancy, previous history of poor pregnancy and labor, gravida, and other conditions. How to calculate the week of pregnancy? Days of menopause are counted from the first day of the last menstrual period, and a week is one week; for women with inaccurate menstrual cycles, it is important to see a doctor to verify the week of gestation based on the results of an early pregnancy ultrasound. Early pregnancy is also known as early pregnancy: before the end of the 13th week, it is an important period for the formation of the embryo and the differentiation of fetal organs. Accompanied by abdominal pain, vaginal bleeding, how to deal with? 1. Pre-eclampsia: If there is a small amount of vaginal bleeding accompanied by vague pain in the lower abdomen, go to the hospital as soon as possible, have blood drawn to check HCG and progesterone, have an ultrasound examination of early pregnancy, and also have a gynecological examination to exclude bleeding caused by cervical erosion, polyps and other reasons. If the ultrasound indicates fluid in the uterine cavity, there is no need to be nervous, as it may appear in the early stage of embryo implantation. Oral progesterone (dydrogesterone or progesterone capsule or progesterone injection) can be given. If the value of progesterone is lower than 20ng/ml, don’t be too nervous, it may be due to luteal insufficiency, and oral progesterone can be given to protect the fetus. 2.Inevitable abortion: If the vaginal bleeding is heavy, more than the usual amount of menstruation, while the pain in the lower abdomen increases. At this time you should not be alarmed, and hurry to seek medical attention. Do gynecological examination, early pregnancy ultrasound, if the doctor has considered the miscarriage is inevitable, you need to follow the doctor’s advice that is to carry out purging or forceps surgery. 3, incomplete miscarriage: if suddenly feel a tissue-like material discharge, to go to the hospital as soon as possible, and at the same time with the discharge, in order to prepare for the doctor’s examination, the doctor will ask to do ultrasound and gynecological examination, such as see the tissue block embedded in the cervical os, immediately clamp scraping + purging surgery. 4.Complete abortion: If you suddenly feel a burst of abdominal pain, vaginal bleeding, with the discharge of tissue mass, followed by the disappearance of symptoms. You can go to the hospital to do ultrasound to see if there is any residue in the uterine cavity, if there is nothing special, there is no need to deal with it. 5.Acquired abortion: continuous ultrasound examination has not seen the yolk sac, buds, fetal heart or no development of the previous ultrasound, blood HCG does not continue to double the growth or instead of decreasing, indicating that the embryo has ceased to develop, the need to terminate the pregnancy, otherwise prone to vaginal hemorrhage, coagulation dysfunction. 6, ectopic pregnancy: commonly known as ectopic pregnancy, refers to the fertilized egg in the uterine cavity outside the bed. Vaginal bleeding and lower abdominal pain may occur. Ultrasound examination of the uterine cavity did not see the gestational sac, the uterus outside the mixed mass. Blood HCG level is low compared to normal pregnancy and blood progesterone level is low. Hospitalization is required for observation and treatment. Any rupture or miscarriage can lead to intra-abdominal hemorrhage or even life-threatening. According to the vital signs and the site of embryo sac implantation and rupture or not, it will be decided whether to be treated with medication or surgery. 7, gravidarum: clinical manifestations of postmenopausal vaginal bleeding, abdominal pain, etc., ultrasound: the uterine cavity is filled with heterogeneous dense or short stripes of echoes, in the form of falling snow, and when the blisters are large, they will appear as a “honeycomb”. Blood HCG is significantly higher than in a normal pregnancy and continues to rise at 8-10 weeks. Hospitalization is necessary to clear the uterus and send the tissue for pathology to make a definitive diagnosis. If the ultrasound shows a normal embryo and you happen to want this baby, then congratulations! The next thing you have to do is: 1, go to the local hospital for regular maternity checkups, build a peripheral health care booklet and build a file. 2, early pregnancy prohibit sex; avoid high-intensity work, high-noise environment and domestic violence. 3, the first trimester of pregnancy need oral folic acid 400-800ug, recommended oral multivitamins, can supplement a variety of trace elements; eat more fruits and vegetables containing high vitamin C. 4, early pregnancy is an important differentiation and development of fetal organs, early easy to teratogenic. One to two weeks after fertilization, the impact of drugs is usually “all” or “no”, that is, either natural abortion or no effect. Preparation for pregnancy in addition to oral folic acid, it is recommended not to take oral medication, such as fever and other discomforts, need to use drugs under the guidance of a doctor. 5, such as dental pain, fracture must do X-ray examination, should weigh the pros and cons of the examination, because X-rays are divided into harmless dose, therapeutic dose, damage dose and lethal dose. According to the clinical guidelines of the American College of Radiology, the American College of Obstetricians and Gynecologists, and the U.S. Food and Drug Administration, the vast majority of diagnostic X-rays usually do not cause fetal harm, such as an X-ray of the extremities or chest, and a CT examination of non-abdominal and pelvic areas.