Pregnancy: What can blood loss mean when you are pregnant? Losing blood during her pregnancy is certainly one of the biggest sources of anxiety for future mothers. There are many good causes for this phenomenon, especially during the first trimester of pregnancy … What can these blood losses mean? When should I consult? All answers in this article.
First-trimester blood loss: not serious
Bleeding from the first trimester of pregnancy is relatively common. It is a “spotting”: in other words, a vaginal bleeding little abundant. These brown or red losses can initially have two very natural origins and without the slightest gravity. The first is nidation, taking place about ten days after fertilization: by “digging its nest” in the uterine mucosa, the embryo can indeed cause little bleeding for a few days … Second natural cause: your hormones! Indeed, in the early stages of your pregnancy, your body can continue to produce hormones at the reasonable time of your period, resulting in bleeding similar to menstruation,
Other benign cause: fragility of the cervix
The uterus becomes both more vascularized and more fragile during your pregnancy: it is then possible to bleed slightly after a gynecological examination or sexual intercourse. No worries to have for you and your baby! This phenomenon can occur in the first trimester of pregnancy but is more frequent in late pregnancy.
First quarter: when to consult?
As a precautionary measure, it is recommended to report any bleeding, even little and a priori without seriousness, to your doctor or midwife. In the face of abundant bleeding, it is imperative to consult quickly, as this can cause fear of a more severe cause. To help you assess the intensity of bleeding, doctors often take as a reference loss for 2 to 3 consecutive hours and imbibing a maxi-towel (or two standard towels). Often, the problem is due to a marginal decidual hematoma. In other words, the placenta partially detached under the effect of a hematoma. Do not panic: in the vast majority of cases, this will be inconsequential for the baby as long as the placenta is detected in time, Importance of consulting! You will simply need a lot of rest and close monitoring for the aftermath of your pregnancy.
Unfortunately, we must also recognize that there are more serious causes of bleeding, particularly miscarriages, ectopic pregnancies (the fetus develops outside the uterus) or more rarely molar pregnancies. In this case, the abundant losses are usually accompanied by other symptoms, urging you to consult urgently as a loss of consciousness and severe pain localized on one side of the abdomen. An intense shoulder pain should also alert: this is a particular symptom of ectopic pregnancy.
Second and third trimester are bleeding: when to consult?
The answer is simple: unless bleeding is obviously due to examination or sexual intercourse, always ask, regardless of intensity. There is no “natural” cause for blood loss at this stage of pregnancy, so it is imperative to see a doctor to determine the source of the problem. Rest assured: this does not mean that you must have something serious! For example, bleeding may occur from an entirely benign vaginal polyp (vaginal outgrowth) or a small uterine fibroid (non-cancerous tumor of the uterus). You can also have a urinary infection, cystitis type, for example, this may seem banal, But it is best to diagnose and treat it very quickly to avoid potentially serious complications during pregnancy (e.g., miscarriage risks). Another possible cause of bleeding during the third trimester is an abnormality affecting the placenta such as placenta praevia. In this case, the placenta is poorly positioned, which can eventually lead to premature delivery.
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Diagnosis and treatment
Diagnosis begins with a gynecological examination to determine where the bleeding originates (vagina, uterus or cervix). If necessary, additional tests may be required to refine the diagnosis: often it is an ultrasound and blood tests, sometimes also urinalysis. Depending on their cause, blood loss from pregnancy does not necessarily lead to treatment, but when it is necessary, it usually relies on drugs, possibly accompanied by rest. Surgical procedures are considered only in the most severe cases.
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