For women who bleed a lot a few days a month, seeing a little red on their panties may be something they’ve grown accustomed to. But the scary thing is, if a pregnant woman sees a little red on her panties, the worst thing that comes to mind is probably: baby! The baby! No! The worst thing that can come to mind is that the baby is gone! Is bleeding in early pregnancy a miscarriage? According to medical research, more than 60% of mothers-to-be can pass through early pregnancy successfully; about 30% of mothers-to-be may have a miscarriage; and nearly 10% of mothers-to-be may have an ectopic pregnancy or other problems. Will the baby have problems if I bleed in early pregnancy? Some expectant mothers worry that having abnormal vaginal bleeding in early pregnancy will make their baby unhealthy if the pregnancy is successfully preserved. Many studies show that more than half of the miscarriages are caused by abnormalities in the embryo itself, which is a natural elimination, and the fetus is usually normal if the pregnancy can continue. From a professional point of view, the causes of bleeding in early pregnancy are divided into these cases: 1. Bleeding caused by maternal conditions caused by uterine diseases: if the cervix is seriously inflamed leading to erosion, or if there were already cervical polyps, hormonal changes after pregnancy can cause bleeding from ruptured capillaries on the surface. The mother-to-be should have regular pap smears before and after pregnancy; if there is vaginal bleeding in early pregnancy, the cervix should also be checked for problems. Caused by progesterone deficiency: Embryo implantation is not stable until the placenta is fully formed, so many factors can cause miscarriage. When miscarriage occurs, the embryo will be separated from the uterine wall to varying degrees, and once the blood vessels on the separated surface rupture, the symptoms of vaginal bleeding will result. 2. Bleeding caused by the embryo itself This is a problem with the embryo itself, which is very unpromising. Studies show that more than half of the miscarriages are caused by abnormalities in the embryo itself. 3. Bleeding caused by external stimulation Because the uterus and abdominal cavity themselves are congested and fragile during pregnancy, sometimes just a very slight stimulation or slight movement can cause bleeding. The incidence of ectopic pregnancy is about 1%, and 95% of them occur in the fallopian tubes. The walls of the fallopian tubes are too thin to supply the embryo with enough nutrients and the gradually developing fertilized egg swells the walls of the tubes, causing them to rupture and produce abnormal vaginal bleeding or even severe abdominal pain or shock due to heavy intra-abdominal bleeding at 7 to 8 weeks of pregnancy. In the early stages of pregnancy confirmation, if ultrasound examination fails to detect signs of embryo in the uterus, it is necessary to test for chorionic gonadotropin (β-HCG) in the blood as early as possible to diagnose the possibility of ectopic pregnancy and make appropriate treatment in time. 5. Chylothorax is a benign chorionic disease with an incidence of about 1 per 1,000. It is called “gravida” because the placental villi trophoblast cells proliferate abnormally and the terminal villi turn into blisters, which are connected in bunches and resemble grapes. In the early stages of pregnancy, symptoms such as abnormal vaginal bleeding, severe vomiting and even heart palpitations may occur. The diagnosis is usually made by ultrasound and blood test for chorionic gonadotropin. The treatment is to remove the gravida by negative uterine pressure aspiration, and then to keep tracking the chorionic gonadotropin index until it is normal for 3 weeks, and then once a month until it is normal for 6 months. Strict contraception must be used during the follow-up period, and pregnancy should be planned only after two years of treatment. What should I do if I have bleeding in early pregnancy? If the blood is coffee-colored, the mother-to-be should not worry too much. Coffee-colored blood means that the bleeding has stopped, so it will oxidize to coffee-colored, as long as she rests and avoids exercises that use the abdomen, such as sit-ups, and avoid holding urine and constipation, which can cause an increase in intra-abdominal pressure. If the blood is bright red, you should pay attention to it and go to the hospital immediately for treatment. Generally, bleeding can be improved, but whether the blood is coffee-colored or bright red, it is important to let the physician know so that he or she can provide assistance in a timely manner.