What should I do if I’m pregnant and I’m bleeding, find a doctor! Of course, if the bleeding is small and your stomach doesn’t hurt, don’t go to the hospital in the middle of the night, get a good night’s sleep and come to the clinic early the next morning. Bleeding during pregnancy is a topic that really endures, because people who are pregnant are always changing, with a new group of mothers-to-be, continuing to focus on similar issues. So, I pulled out another post that I wrote a few years ago, added quite a few updates, and posted it here first. Although it is an old post, it is not outdated. Due to the growth of the fetus, the causes of bleeding in different trimesters have some characteristics of their own, so here we will start with the bleeding in the early pregnancy stage. The most common cause is: miscarriage The most common cause of vaginal bleeding during early pregnancy is: miscarriage. Miscarriage usually starts with a small amount of vaginal bleeding, often a dark red or coffee-colored discharge, sometimes accompanied by vague pain in the lower abdomen, which is considered a pre-miscarriage. After treatment by the doctor and rest, in most cases the symptoms disappear and the pregnancy can continue. However, if the symptoms worsen, bleeding increases, lower abdominal pain becomes obvious, or even fleshy tissue is discharged from the vagina, then miscarriage is inevitable and is considered a refractory miscarriage. If the pregnancy is completely expelled, the bleeding will gradually decrease, and the abdominal pain will be relieved, the abortion is complete and usually does not require special treatment. If the pregnancy is not completely expelled, the bleeding is still heavy, and the abdominal pain is obvious, the abortion is incomplete and in most cases requires emergency evacuation. In reality, the topic of “birth control” is often concerned, mainly for the stage of pre-eclampsia miscarriage, once it reaches inevitable miscarriage, as the name suggests, not to say more. As for whether to keep the baby or not, experts are also divided. Although, I also adhered to the view that “the best and the best”, the good is naturally good, the bad must fall. But, don’t forget, this is China, more or less use some birth control measures, including birth control pills, at least not much harm, and can give the mother and family psychological comfort, mood peace is also conducive to the preservation of the fetus. If you don’t use it, if something goes wrong, you can’t rule out that a few mothers-to-be and their families have some excessive actions. The most dangerous reason is: ectopic pregnancy! The most dangerous cause of vaginal bleeding during early pregnancy is: ectopic pregnancy, also called ectopic pregnancy. As the name suggests, it means that the fertilized egg does not settle in the endometrium, but in a tissue outside the endometrium. 95% of ectopic pregnancies occur in the fallopian tubes. The reason why ectopic pregnancy is dangerous is that as the embryo develops, the fallopian tube cannot support the growing embryo and the chorion penetrates the wall of the tube, causing it to rupture, resulting in massive bleeding inside the stomach, which can cause shock or even death, while the amount of vaginal bleeding at this time is still not significant. Women should be even more alert if they have a history of pelvic infection, have undergone hysterectomy, or have had tubal surgery. Due to the increase in cesarean deliveries, pregnancy at the cesarean incision is now also becoming more common. The danger of this ailment is that the pregnancy implants and penetrates the cesarean scar, causing uterine rupture and hemorrhage, which is also life-threatening. So, mothers-to-be, try to deliver on your own. Regardless of the type of ectopic pregnancy, hospitalization is recommended, even if it is still a suspected stage. Another more dangerous cause of ectopic pregnancy is: gravidity. Most patients with staph have intermittent small bleeding, but this may be interspersed with repeated heavy bleeding several times, sometimes with blister-like material found in the blood. More severe cases can cause pregnancy vomiting, gestational hypertensive disorders (proteinuria, hypertension, edema), etc. Therefore, an ultrasound is especially necessary for those who have these manifestations in the middle and early pregnancy. The treatment is mainly a curettage, but it is worth noting that staphyloma may become malignant and evolve into invasive staphyloma, so the patient must insist on regular review. Some less scary causes In addition, some gynecological problems can also cause vaginal bleeding during early pregnancy, such as cervical erosion and cervical polyps. These diseases can usually be detected under careful examination by a specialist. However, bleeding due to cervical lesions is often difficult to distinguish from bleeding due to miscarriage, and then early pregnancy doctors often treat them according to pre-eclampsia first, which can avoid some losses. If the cervical polyp is large, a minor surgery can be considered to remove the polyp at mid-trimester to avoid further confusion. In addition, early embryo implantation is usually about the same time as the menstrual cycle, there may be a little bleeding, or a small stomach vague discomfort, in most cases rest a few days will be good on its own, do not worry too much.