If a woman has bleeding in early pregnancy, it is a sign of threat of interruption and requires appropriate treatment. The most common complication of pregnancy is interrupted as a result of her miscarriage. This pathology is quite common, and in most cases, the interrupt occurs before the deadline for the first trimester, that is up to twelve weeks.

Bleeding at different stages of abortion

Each stage of spontaneous abortion is different specific clinical symptoms, on which to establish the clinical diagnosis and choose the therapeutic tactics. Clinically isolated:

• the initial stage or threatening miscarriage. The first symptoms appear in a pregnant stage threatened abortion. Bleeding is not intense nature of this stage is a typical poor spotting. It appears pain - the pain aching or pulling. Pain may be localized in the lower parts, in the ileum and lumbar region.
• began an abortion. Bleeding from the vagina becomes more intense. Pain may have to wear a permanent or cramping in nature.
• abortion in progress, which is divided in turn into complete and incomplete abortion. At this stage, there are structural changes in the cervix, the ovum is expelled from the uterus. If there is incomplete expulsion of the elements and they stayed in the cavity, it will be an incomplete abortion. At full abortion residues are observed. Bleeding abortion distinguishes intense, which may in some cases lead to a large loss of blood, if not promptly take emergency measures.

Severity of pathological manifestations is estimated based on bimanual examination of the pregnant and the results of instrumental studies (ultrasound scan). In the initial stages of the disease process is subjected to reverse development, it is possible to achieve positive results in the form of the progression of pregnancy. If time is lost and the woman turns to the doctor at the stage of abortion Abortion - is always a risk   in the course, the provision of care is to stop heavy bleeding using the diagnostic curettage. Save this pregnancy is not possible. It is important to consult a specialist as soon as a pregnant vaginal discharge were minor pathological character.

Therapeutic measures and prevention techniques

Most miscarriages occur in early pregnancy due to genetic defects. First there is the death, and then the expulsion or expulsion of the embryo. If an abortion occurs for up to twelve weeks, almost half of all clinical cases detected chromosomal abnormality.

As a prevention of various neural tube defects is recommended to start taking folic acid several months before a planned pregnancy and continue during the first trimester. The daily dose can be an average of four to five milligrams, especially if a history of women in previous pregnancies were identified neural tube defects.

In the first two days, you can enter this group of drugs intramuscularly or intravenously, and later you can go to the pills after reducing the severity of symptoms. Directly haemostatic purpose, to stop bleeding, prescribe medications, strengthens the vascular wall, affecting certain hemostasis - Dicynonum, menadione, Ascorutinum. These funds should not be taken continuously and uncontrollably, they are appointed for certain indications. Against the background of their admission should monitor the coagulation system, which can be done in the study of coagulation.

Pregnancy should not take drugs to stop bleeding on their own, without a visit to the doctor and determine the cause of the disease, since it is the cause of serious complications. During the first two days of medication the doctor evaluates the effectiveness of therapy. In some cases, if the cause of the bleeding are hormonal disorders Hormonal disorders: causes and the most frequent disease , Shows the assignment of hormonal agents (most widely used natural analogues found the hormone progesterone). They are taken with the aim of decreasing the hemostatic scheme (five tablets tapering).

Marina Solovyov

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