For every woman Pregnancy is the most important and crucial moment in the life. During this period, there is a reorganization of the whole body for a normal gestation and birth of the long-awaited child. Changes affecting all body systems, including the nasal mucosa, which can be a source of epistaxis. Bleeding from the nose during pregnancy may develop due to various reasons, so when a similar complaint pregnant should consult a specialist.

Bleeding from the nose against the backdrop of changes in blood pressure

In some cases, there is a development of epistaxis due to changes in blood pressure (when the average increase of 10 to 20 mm Hg). If a pregnant woman are recurrent bleeding, it is necessary to monitor blood pressure control during the day. Currently this can be done at home using an automatic sphygmomanometer, the pressure should be measured at least three times per day. With the development of bleeding is observed increase in blood pressure numbers. Diary of the monitor control the pressure of numbers you need to provide the doctor who oversees pregnant.

This complication can occur in the form monosemeiotic disease when only high blood pressure without the development of other complications. Against the background of change of pressure in the system begins suffering placenta-fetus, which is the direct cause of the suffering of the fetus, premature termination of pregnancy.

Nosebleeds against the backdrop of increasing pressure of numbers is accompanied by the addition of a pregnant complaints:

• the emergence of "flies" before the eyes;
• Headache;
• epigastric pain;
• nasal congestion;

This clinical situation requires hospitalization of the pregnant woman and the course of complex therapy of preeclampsia in a specialized department of a hospital.

What examinations should be carried out

When handling a pregnant woman complaining of repetitive epistaxis should conduct a survey of hemostasis or clotting. This is done by full blood count, coagulation, on the basis of which it is possible to conclude that the presence of abnormalities. When changes in laboratory parameters woman should be counseled necessarily a specialist, haematologist.

If, after examination by a haematologist is excluded pathology of the blood system, it is possible to recommend pregnant reception of funds to strengthen the blood vessels (eg, Ascorutinum, vitamin preparations). During pregnancy, the very state of the vessel wall changes, they become brittle and fragile, can be easily damaged, so the funds to strengthen them have positive results.

It is also important content of calcium in the body to normal state of the coagulation system, so that a trace element necessary to include prophylactic vitamin supplements during pregnancy, starting from the second trimester. For this purpose, the drug may be recommended Calcemin preventive dose to two tablets per day. This dosage is most effective to maintain the level of calcium in the body of a pregnant woman at the appropriate level. Changes in the vascular system are linked primarily to the ongoing hormonal changes a woman's body, the predominant influence of the hormone progesterone, the concentration of which during pregnancy is significantly higher than normal.

The most important thing for a pregnant woman - not be treated at home by yourself, without having to visit a doctor and get expert advice. In this situation, a woman must remember that from it fully depends on the health of her unborn child. The volume of medical care is largely limited during pregnancy, as not all medications are indicated for use in pregnant women, not all of nose drops can be taken safely and uncontrollably. Some drops contain medicinal substances that can harm the health of the fetus. To appoint the necessary treatment the woman after the establishment of the causes of epistaxis should be a doctor.

Marina Solovyov

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