Hemorrhage During Pregnancy

Nov 21, 2012 by

Hemorrhage During Pregnancy

Bleeding during pregnancy is not very serious; however it can be alarming and the woman must contact her doctor immediately in order to rule out the signs. The most common symptoms are excessive thirst, increased fatigue, fainting or dizziness. With late-pregnancy hemorrhage, the woman might experience placental abruption, placenta previa, fatal bleeding, uterine rupture, and lower genital tract injury. However, hemorrhage during pregnancy is not normal and it must be immediately reported.

Causes for Hemorrhage during Pregnancy

Up to 30% of pregnant women experience hemorrhage during pregnancy. One of the possible reasons for bleeding in the first three months is miscarriage; however it is not the only explanation. If a woman experiences hemorrhage during her pregnancy, she must visit her doctor in order to find out what the reason for bleeding is. One of the common causes is the implantation bleeding that occurs during the second week after conception. Implantation bleeding and a menstrual period can be confused because of the timing. Another cause is the decidual bleeding which is a light bleeding type that occurs in the times when the woman is expecting her menstrual period. Spotting or bleeding can occur as a result of an infection of the cervix or vagina. Bacterial infections treatment is very important during pregnancy because some infections are serious and they can cause preterm birth or a miscarriage in the second trimester. A sub-chorionic hematoma is a bleeding between the uterus wall and the pregnancy membranes, and it can cause miscarriage. A vanishing twin syndrome is a twin pregnancy term for the disappearance of one of the baby, while the other baby stays viable. Threatened miscarriage occurs when a women experience bleeding during her pregnancy while her cervix is closed and no evidence for miscarriage is shown. And the last but not least, ectopic pregnancy is a cause for bleeding during pregnancy; it occurs when the pregnancy is implanted outside the uterus, most often in the fallopian tubes or on the cervix.

Hemorrhage During Pregnancy

Hemorrhage during Pregnancy Diagnosis

The diagnosis begins with a thorough medical history and physical exam. The performance of ultrasound and laboratory exams depends on the symptoms. The doctor will review the medical history with bleeding disorders’ emphasis and tobacco or drug use; the woman might be asked about recent sexual intercourse or trauma, prior preterm labors, Cesarean deliveries, placental abruptions or placenta previa, as well as whether she has contractions or abdominal pain. As for the physical exams, the woman will be tested and examined for hemorrhage from the nose, rectum and other sites. The doctor must know the quality and quantity of hemorrhage during pregnancy and abdominal pain. Laboratory tests include a urinalysis, CBC (complete blood count) and Rh and blood type, while the ultrasound tests show if the fetus is growing properly.

How to Prevent Hemorrhage during Pregnancy

There are various ways to minimize the chances of problems. Unfortunately, not all hemorrhage during pregnancy can be stopped and prevented. Miscarriages and complications are natural occurrences; most pregnant women end up having healthy babies. However, the bleeding is usually a sign that something is not right. The woman must get regular prenatal checkups during her first trimester of her pregnancy. She also must try to avoid activities that increase the possibility of getting hurt, and keep herself away from cigarettes and alcohol. Healthy diets, minimizing stressful situations, and practicing relaxation techniques, for example deep breathing or meditation will prevent the bleeding.

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