By clothing-bag, 06/06/2022

Bleeding in the first trimester of pregnancy, when to worry?

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Las pérdidas de sangre en el primer trimestre del embarazo son frecuentes, pero no siempre ponen en peligro al feto. Te explicamos las posibles causas del sangrado al principio de la gestación y cuándo acudir a Urgencias.

Written by:

Ruiz Charity

Journalist specializing in health and nutrition

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Updated: December 9, 2021

Bleeding or blood loss in the first trimester of pregnancy is probably the greatest concern of pregnant women at the beginning of pregnancy. Going to the bathroom and observing in the underwear that there is a small red or tied stain is a sledgehammer. It causes great displeasure... And because it's one of the symptoms of pregnancy loss. However, it does not always have to do with a miscarriage or a threat of abortion. "not every time there is bleeding, it means that the gestation is going to be interrupted. While this is a sign that should not be overlooked, most of the patients who have stained during the first trimester usually have normal pregnancies later, "she explains. Carmen Martín Blanco, gynecologist, Hospital Nuestra Señora del Rosario, Madrid.

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The first sign that will tell you whether or not that blood loss endangers your pregnancy is the amount of blood. That's why you should know how to distinguish between stained and bleeding. "the fundamental difference is the amount. When we refer to a stained one is a scarce, intermittent, sometimes denser or marronaceous bleeding. Sometimes, it can be mixed with vaginal discharge, giving it a pink color. When we refer to vaginal bleeding, the amount is higher, as a rule, "says Dr. Martin Blanco.

Causes of bleeding in the first trimester of pregnancy

Yeah, you think that bleeding you saw when you cleaned up after you went to the bathroom is an exceptional thing. And for you it certainly is: it's your pregnancy. But bleeding in the first few weeks of pregnancy is a very common fact. It is estimated that between 5% and 25% of all pregnancies result in vaginal blood loss. But what could be the reason for this bleeding? Dr. Carmen Martín Blanco explains what causes vaginal bleeding in the first three months of pregnancy:

  • Uterine hematoma

    Sangrado en el primer trimestre del embarazo, ¿cuándo preocuparse?

    "these are hematomas or blood clusters that form when bleeding occurs inside the uterus," says gynecologist Martin Blanco. Sometimes, at the same time, vaginal blood loss occurs, but this is not always the case. It is very common for them to be discovered when performing a control ultrasound. "they may be asymptomatic or present with vaginal bleeding or abdominal pain," he adds. It can form between the tissue that forms the placenta or chorionic tissue and the inner layer of the uterus.

  • ¿Tiene tratamiento? En los hematomas grandes se toman como medidas preventivas el reposo absoluto, la abstinencia sexual, y en algunos casos se prescriben los óvulos o comprimidos de progesterona y, en los casos más graves, la hospitalización de urgencia”, dice la doctora Carmen Martín Blanco”
  • Threat of abortion

    In the threat of abortion, the embryo has a heartbeat, but the symptoms presented by the woman suggest that the correct evolution of pregnancy is in danger.

  • Spontaneous abortion

    "when there is an abortion, the associated characteristic symptoms are usually bleeding in increasing numbers," says Dr. Martin Blanco. Other signs appear alongside the bleeding, such as "abdominal pain in hypogastrius, that is, near the pubis. Also characteristic is the disappearance of symptoms related to pregnancy (nausea, breast tension...) " He adds.

  • Ectopic pregnancy

    In this case the embryo is implanted outside the uterus, usually in the fallopian tubes, but also in an ovary, cervix, or even in the abdominal cavity. When it reaches about 3-4 cm, it breaks the tube, ovary, or cervix, causing severe bleeding and miscarriage. "when there is an ectopic pregnancy in addition to bleeding, other symptoms such as abdominal pain in the lower stomach appear. Sometimes, if the ectopic has been complicated by rupture of the tube, this pain can be very intense and sharp. It can cause nausea, vomiting, dizziness, or even loss of consciousness if intraabdominal bleeding occurs. In any of these situations, the right thing to do is to go to an emergency service, "she warns. Martin Blanco.

  • Molar pregnancy

    It is one of the causes of vaginal bleeding accompanied by pain or a feeling of pelvic pressure... And a very distressing situation for the woman because she experiences all the typical signs of pregnancy. Even the test is positive. But he's not really in a state. "it involves different processes, benign and malignant, which at the beginning can be confused with a normal pregnancy. Patients may have the same symptoms until signs of the disease begin, "says Dr. Martin Blanco. It all starts with a defective embryo due to chromosomal abnormalities. When you begin to divide and form trophoblast (what a future would be the placenta), that tissue has abnormal growth, causing a molar pregnancy.

  • In case of vaginal bleeding, do you have to go to the ER?

    When a pregnant woman finds her underwear stained with blood, the first thing that comes to her head is whether or not she should go to the ER immediately for examination. As gynaecologist Carmen Martín Blanco tells us, "if the stained is mild and self-limited, without other symptoms, it would not be necessary to go to the doctor urgently and could follow up on it on a regular basis." I mean, if one day you find a few drops of blood in your underwear and there's no more loss, and your gut doesn't hurt, you Don't have to run away.

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    But there are certain circumstances that can be considered an urgency, such as:

    "then it is recommended that the patient be assessed by a gynaecologist to rule out possible complications," says Dr. Martin Blanco.

    Rest in pregnancy in case of bleeding, when is it necessary?

    When the woman begins to stain, she wonders if she should take absolute rest (she can only get up from the bed to go to the bathroom, wash herself and little more) or relative rest (you can get out of bed, take very short walks, but do not make physical efforts or lift weight). The gynaecologist will advise you to measure the right measure depending on the type of bleeding:

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    Created: December 3, 2021

    Etiquetas:
    Trastornos del embarazo
    Aborto
    Sangre
    Primer trimestre del embarazo
    Útero
    Vagina
    Complicaciones del embarazo
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