Among the young ladies, who have no relation to medicine, spread rumors frightening as night horror stories that are passed by word of mouth ominous whisper alleged that some women even during pregnancy can keep going monthly!At this point, ladies rounded eyes and skeptical exclaim: "It can not be!»
Indeed, if we recall the characteristics of a normal menstrual cycle, during pregnancy, this just can not be!But bleeding from the genital tract, such as menstruation, it is possible.And you must understand that nothing good it will bring. Content
Thus, we can formulate the main risk factors for bleeding in the first half of pregnancy:
In order to eliminate the possibility of the development of all these complications, it is necessary
placenta previa - a pathology, in which the placenta is too low and covers internal os (the place of transition in the uterine cervical canal).Previa can be:
Symptomatic it may appear as follows: bleeding from the genital tract of scarlet blood that occurs on a background of complete well-being, without any apparent reason, without pain.Often, these women fall into the ambulance to the hospital, t. To. Woke up at night literally in a pool of blood.Such bleeding may be repeated.But if the diagnosis is low placentation delivered in the second trimester by ultrasound, do not just give up, the placenta may migrate up to 32 weeks.
If excessive bleeding and full-term pregnancy is shown delivery by emergency caesarean section.Conservative therapy to 24 weeks can still be done on an outpatient basis, in the antenatal clinic, and after this period must be compulsory in-patient treatment.The main groups of products:
abruptio placentae is untimely separation of the placenta.Detachment - the same retroplacental hematoma, only large and life-threatening not only the child but also the mother.When there is a large detachment of hemorrhagic shock, a condition that is life threatening.There are well-defined criteria for the classification of detachment:
Why is there such a serious complication?There is no smoke without fire, most likely the very pregnancy was not so successfully, as it seemed at first glance.The factors leading to premature detachment of normally situated placenta:
Thus, the risk factors are many, but this does not mean that if a pregnant woman present some of them, it will happen detachment.In medicine, there is nothing absolute, everything is very, very individual.Someone on the background of well-being can happen trouble, and someone walks every 9 months with a bouquet of predisposing factors, and gives birth to quite safely.
Treatment unquestionably must take place in the maternity hospital.The degrees presented above, only partially recovered in the classifications based on clinical practice, the transition from middle to heavy takes a matter of seconds, so no half-measures should not be.The only way to cure premature detachment - Caesarean section.
rupture of the uterus - a violation of the integrity of its walls.One of the most difficult conditions with the development of hemorrhagic shock and multiple organ failure.During pregnancy, most often there is a rupture of the uterus scar, t. E. In the case when previous generations were not a woman vaginally and by caesarean section.
only possible treatment - this emergency operation, the amount of which will depend on the extent of the gap, the woman's age, her desire to have offspring in the future.About
bleeding during pregnancy in the "Live healthy!»: