The brown substance in the vagina in the early pregnancy must be paid enough attention, and at the same time, it must be explained clearly to the patient. Be careful not to cause unnecessary anxiety. Psychological counseling is also a good medicine.
When you see the bright red second bar on the pregnancy test stick, do you feel very excited and longing for the joy of being a mother? But many expectant mothers will have spotted brown or even bright red vaginal bleeding in the early stages of pregnancy. Seeing these uninvited guests instantly dissipates the original joy, and their worries will occupy the heart of pregnant mothers instead. In fact, bleeding is not all a sign of danger to the fetus. What is the cause of vaginal bleeding in the first trimester of pregnancy? What are the solutions? Here we tell pregnant mothers.
What is going on with vaginal bleeding in early pregnancy?
There is no need to worry about bleeding during pregnancy, but some are dangerous signs! There are various types of bleeding, especially in the early stages of pregnancy, more bleeding than other periods, we must be cautious. Bleeding in early pregnancy can be roughly divided into three situations: 1. Conditions related to pregnancy, vaginal bleeding in early pregnancy, even if it is related to pregnancy, not all of them need to be worried. But it must be noted that even a little bit of bleeding cannot be underestimated; 2. The physical situation, unlike before pregnancy, is that the uterus and abdominal cavity itself are in a state of congestion after pregnancy, and even slight stimulation may cause bleeding. However, through inspection, most of the bleeding is physical bleeding, and there is no need to worry; 3. Due to uterine disease, even if it is not a pregnant woman, there will be occasional bleeding, such as uterine disease can also cause bleeding . This situation should be dealt with after a comprehensive judgment based on the amount of bleeding and the condition of the disease .
Let's take a detailed look at the relevant knowledge. Early vaginal bleeding, the first thing we have to mention is premature delivery. Premature delivery is an important and common pregnancy complication in perinatal medicine. The perinatal morbidity and mortality caused by premature delivery are significantly higher than those of full-term infants, which has become a worldwide health problem. Affected by many factors such as medical treatment, life, and society, the incidence of preterm birth fluctuates between 5% and 15%. The mechanism between vaginal bleeding during early pregnancy and premature delivery is not very clear. It is speculated that vaginal bleeding during early pregnancy may be one of the clinical manifestations of subclinical intrauterine infection. Secondly, some scholars speculate that decidual thrombosis and ischemic necrosis may lead to vaginal bleeding in early pregnancy, which can also trigger the inflammatory response in the reproductive tract, thereby stimulating the release of cytokines and the formation of thrombus, which eventually causes uterine contraction, leading to premature delivery. However, the clinical causality between vaginal bleeding during early pregnancy and premature delivery is relatively clear. Studies have shown that pregnant women who were born prematurely before, such as vaginal bleeding during the second pregnancy, premature delivery is almost inevitable. Patients with vaginal bleeding in early pregnancy have a significantly higher risk of premature delivery than those without vaginal bleeding .
In the clinic, infection and physical factors cannot be ignored. Increased hormone levels and physiological changes during pregnancy are likely to increase or aggravate the occurrence of vaginitis, cervical polyps, cervical erosion, hemorrhoids, anal fissure, and urinary tract inflammation. Increased glycogen and acidity in the vagina during pregnancy are suitable for the reproduction of Candida, and can easily merge with Candida vaginitis. Bacterial vaginitis and trichomonal vaginitis are also common during pregnancy, which are related to personal hygiene and husband's intercourse infection. The above-mentioned vaginitis is caused by congestion of the vaginal mucosa wall, and the vaginal discharge is often pink. As the pregnancy months progress, the hormone levels in pregnant women continue to increase, causing the cervical columnar epithelium to move outward, tissue proliferation, and cervical erosion significantly aggravated, at this time vaginal bleeding is easy. Excessive sex life, eating chocolate, chili, longan and other hot foods or hot pot can also aggravate bleeding symptoms. Cervical polyps are neoplasms formed due to chronic inflammation, local proliferation of the cervical mucosa, and gradually protruding to the outer cervix. Irregular vaginal bleeding can also occur when they are easily touched or accompanied by infection. Constipation is prone to occur during pregnancy. Severe constipation can lead to anal fissure or hemorrhoids, and bleeding during defecation. Due to the action of progesterone, the strength of the smooth muscles of the urinary system during pregnancy is reduced, and bacteria can easily invade the urinary tract and cause hematuria. Vaginal bleeding caused by vaginitis, cervicitis, cervical polyps, cervical cancer, urinary tract inflammation, anal fissure, and hemorrhoids is different from the bleeding caused by the separation of the placenta from the uterus due to uterine contractions during spontaneous abortion. This bleeding does not directly affect the development of the fetus. As long as the bleeding is treated in time, the pregnancy can still progress normally. However, if it is not given timely treatment, it will affect pregnancy and may eventually lead to miscarriage. The amount of vaginal bleeding is generally small, and treatment can be carried out from both systemic and local treatments, mainly to stop bleeding and control infection. Vaginitis can be treated symptomatically based on various inflammation-causing bacteria. Such as candidal vaginitis, generally use nystatin and clotrimazole as a topical vaginal medicine. Trichomonas vaginitis and bacterial vaginitis are treated with metronidazole vaginally. Cervical erosion and bleeding from cervical polyps can be treated locally to stop bleeding and systemic to stop bleeding. Cervical erosion and bleeding from cervical polyps are often accompanied by vaginitis. Metronidazole vaginal medication is more effective. Cervical polyps can be removed when necessary. Urinary tract inflammation can be given anti-inflammatory and symptomatic treatment. Anal fissure and hemorrhoids bleeding can be treated with local medication to stop bleeding and systemic medication to stop bleeding .
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. Guo Yanjun, Yang Zi, Wang Jialuo, et al. Discussion on clinical risk factors of preterm birth[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2007, 23 (10): 773-775.
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