Bleeding during pregnancy
 When the slightest abnormal vaginal discharge in pregnant women should consult without delay to the consultative examination to the gynecologist to avoid complications. Minor bleeding during pregnancy Bleeding during pregnancy: Causes of possible complications  Bleeding during pregnancy: Causes of possible complications
   It may be due to the development of a threatening condition, as scarce external isolation may not reflect the full severity of the condition.

 Minor bleeding during pregnancy: how serious it

Early diagnosis of complications of minor discharges

It is a mistake to think that the presence of a small bleeding (or lean on the number of discharge from the vagina) during pregnancy indicates the absence of complications. Quite often in pathological states its clinical manifestations are different symptoms, not alarming, so it is important to carry out their timely diagnosis and prescribe the necessary treatment. In the early stages can still prevent progression of the pathological process, and accordingly abortion.

One of the most frequent complications of pregnancy, which occurs with little bleeding, is threatening to miscarriage.

For this disease are the following clinical features:

  • availability of unexpressed pain symptoms. Most often the pain is localized in the lower abdomen, but can also occur in the lumbar region. By nature it is pulling or aching may be ongoing or periodic.
  • bleeding from the genital tract is negligible. Scarce allocation in the future are expressed, abundant, and it can be called a diagnostic criterion of progression.

When the bleeding is small, you can take timely treatment measures, to avoid spontaneous abortion. After examination of the pregnant and the establishment of her clinical signs of threatened abortion Abortion - is always a risk  Abortion - is always a risk
   It must be carried out with the pregnancy therapy. It primarily involves the appointment of antispasmodics (no-spa, papaverine), sedatives (herbal remedies - valerian, motherwort) and metabolic drugs (drugs containing magnesium, vitamins). Only in case of timely provision of medical assistance possible to prevent the development stage abortion when conservative treatments have no effect.

 Minor bleeding during pregnancy: how serious it

Volume of blood loss severity of the general condition

In the second half of pregnancy (second or third trimester) of a small volume of bleeding can be a sign of severe complications such as premature detachment of the placenta Placental abruption - why is it so dangerous to a woman's life?  Placental abruption - why is it so dangerous to a woman's life?
 . In this situation, for visual evaluation of vaginal discharge can not draw a conclusion about the severity of the state of the pregnant woman. Bleeding can be scarce on external data, but wearing an intense internal.

In this situation, when assessing the clinical picture should be based on hemodynamic parameters. If detachment is accompanied by poor external bleeding, it can enter a doctor in confusion about the scope of a possible hemorrhage. In such a situation it is necessary to eliminate internal bleeding.

In the first place in the diagnostic plan out hemodynamic parameters, such as blood pressure, heart rate, shock index and other.

In the future, it should be carried out not only an objective examination of the pregnant woman, and instrumental study using the method of ultrasound scanning. Only on the basis of a full examination of the complex can be a qualified opinion on the severity of the condition of the patient and choose the appropriate treatment policy.

If a pregnant woman has a little bleeding, it must be admitted to hospital for urgent obstetric indications. Bleeding can be stopped in two ways - choose conservative or surgical treatment, depending on the current obstetric situation. Simultaneously, on the testimony of producing replenishing blood volume due to blood loss.

If you regularly suffer from bleeding fruit, so be sure to take measures for the treatment of fetal hypoxia. The degree of suffering of the fetus can be determined using cardiotocography (CTG). Change to kardiotokogramme basal rate should be regarded as the hypoxic condition of the fetus. With a significant fetal distress (score of 4 or less) for emergency indications addressed the issue of the method of delivery. The main task facing the pregnant woman, with the appearance of small bleeding promptly seek medical attention.

Marina Solovyov


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