The most common complication during early pregnancy is a threatening or spontaneous abortion. The frequency of this disease can reach 20%, if we consider all cases of pregnancy is clinically established. Most often spontaneous losses occur it is in the early stages to twelve weeks, when the end of the first trimester. One of the characteristic symptoms of this complication is bleeding in early pregnancy, the intensity of which is determined by the clinical form of the disease.

What factors predispose to spontaneous abortion

The problem of spontaneous abortion Abortion - is always a risk   It is still the urgent problem of obstetrics, despite the development of modern reproductive technology and the success of the development of the pharmaceutical industry. It is necessary to take into account the presence of certain predisposing factors or risk factors that will significantly reduce the incidence of this complication. These include the following factors:

• age of the pregnant woman. With age, the risk of miscarriage increases, for example, the age of thirty-five years it is 20%, and in forty years - 40%
• the number of births or births parity. If, women who have two or more pregnancy regardless of its age, the risk of miscarriage is higher than that of nulliparous women
• the presence of previous miscarriage. The risk of losing the pregnancy increases if the previous pregnancy ended in miscarriage and Miscarriage - is more common than you think . If there was one miscarriage, the risk was 20%, and if two or more - 30-40%
• women having bad habits - smoking (more than ten cigarettes a day) and excessive coffee drinking (more than five cups a day)
• disease state, accompanied by a fever, and the impact of any traumatic factor

Having one of these risk factors contributes to the increase in clinical cases of complications or miscarriage.

Clinical forms and intensity of bleeding complications

Development of bleeding in early pregnancy is a symptom of complicated pregnancy. Based on the amount of bleeding can be concluded about the stages of development of spontaneous abortion. In the initial stage of miscarriage (spontaneous abortion threatening stage) spotting are scarce, the main complaint is pain pulling character.

As the progression of bleeding will become more intense. The most evident is the maximum at the stage of abortion go. In this case, a pregnant there are complaints of pain cramping in nature against the backdrop of heavy bleeding. If abortion is complicated by the fact that the uterus remains part of the ovum, the woman bleeding increases and in some cases may be plentiful with the development of shock.

The appearance of bleeding during the first trimester requires a course of therapy which will focus on prolonging or maintaining pregnancy, and should include antispasmodic, sedative and hemostatic agents. Be sure to observe the recommended complete rest, including sexual and physical rest, so treatment is best done in a hospital. An exception is made when developing the bleeding for up to 6 weeks of pregnancy. In this case, the process should provide the natural flow as an interrupt in such terms associated with abnormalities at the genetic level.

Marina Solovyov

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