Allocation throughout the entire period of gestation varies from mucous to milky. Women are most often confused by their number - during gestation almost always there are more of them than usual, and this is a variant of the norm. But if the discharge becomes dark, you need to be alert. Brown discharge during pregnancy should always be the reason for consulting a doctor, as they may indicate such terrible conditions as intrauterine hematoma and non-developing pregnancy.
The fact is that the brown vaginal discharge is a trace of blood that has been exposed to an acidic environment. This discharge may appear once or herald the onset of heavy bleeding.
Sign of placental abruption
Most often, red-brown discharge in early or late gestation indicates the formation of a hematoma between the endometrium of the uterus and the "baby". Such an accumulation of blood is a sign of detachment. The lower the hematoma is located, the faster the discharge will go into the vagina. The more detachment, the more intense the discharge.
This complication of gestation can occur at different times, starting from five to six weeks, when the fetal bladder begins to rapidly invade the endometrium. It can accompany the following pathological processes.
- The risk of spontaneous interruption. The first sign of a threatened miscarriage may be a brown discharge in early pregnancy. Injuries, psycho-emotional experiences, progesterone deficiency, fetal developmental pathology, infection can provoke a condition. Along with the discharge, in most cases, women notice lower abdominal pain. With timely treatment, the symptoms of the threat can be arrested and the pregnancy preserved.
- Stop embryo / fetus development. Dark or light brown discharge from pregnant women at any time without other complaints may be the first sign of stopping the development of pregnancy. A similar daub appears as the body begins to reject the deceased fetal bladder.
- Pathology of placenta attachment. Spotting with abnormal location of the placenta appears after 12, more often after 16 weeks of gestation. Normally, the “baby seat” should be fixed in the area of the bottom and back wall of the uterus. But due to various circumstances, sometimes it is attached within three centimeters from the internal os. In this case, it is more prone to trauma, which provokes detachment. If the placenta is located above the cervical canal, that is, it blocks it, they are talking about central presentation. This is the most dangerous variant of the abnormal location of the “children's place”. If from two to three centimeters from the cervix is about regional presentation, it has a more favorable prognosis.
- Anomalies of the structure of the genitals. A septum in the uterus, saddle uterus increases the risk of detachment, especially if the placenta is attached in the area of pathological changes.
- Uterine fibroids. Any myomatous nodes increase the risk of detachment, especially if the placenta begins to develop over myoma.
- Blood clotting disorders. Periodic bleeding in early pregnancy and detachment in the late is one of the manifestations of thrombophilia, APS (antiphospholipid syndrome).
- Navy and pregnancy. Intrauterine device is considered one of the reliable methods of contraception. However, even with her there is a risk of pregnancy. At the same time, throughout a woman's carrying, there is a high risk of bleeding.
Other causes of brown discharge during pregnancy
The admixture of blood may appear due to other processes. During the first trimester of pregnancy, and sometimes later, dark brown and lighter discharge most often indicate the following conditions.
- Ectopic implantation. The appearance of a pinkish or brownish discharge when an unproven normal pregnancy can indicate its abnormal location. Most often it is the fallopian tubes, less often - other organs of the small pelvis. In this case, the girl may have all the usual signs of pregnancy (weakness, nausea, fatigue). Emerging bleeding - a signal for pelvic ultrasound, where it turns out that the ovum develops outside the uterus. Treatment in most cases, operative, rarely the ovum itself ceases to develop, as a result of which all signs of abnormal pregnancy disappear.
- Bleeding implantation. Sometimes up to 10-12 days of delay in a woman can be observed bright or dark bloody discharge, which occurs as a result of the introduction of the chorion into the uterine wall. They are not large, short, do not affect the development of the embryo.
- Two-horned or doubled uterus. With some developmental abnormalities, when there is an additional functional cavity of the uterus (with two-horned or doubled), the fetal bladder can be attached in one part, and the other at this time undergoes cyclical changes. This is usually observed up to 12-16 weeks. With ultrasound, no abnormalities from the embryo are detected (no detachment, ectopic pregnancy is excluded), and the second cavity is filled with blood, which will gradually exit through the cervical canal.
- Decidual polyp. Often, at the beginning of pregnancy, a polyp can be formed in the cervix, originating from tissues that separate after childbirth. New growth occurs due to hormonal changes and does not require removal. After examinations, sexual intercourse, and even for no apparent reason, it may cause slight bleeding. If its intensity increases, the polyp is removed. This does not affect carrying.
- Cystic skid and chorionepithelioma. With signs of pregnancy and the presence of brown spotting without additional examination can not exclude a bubble skid and one of the options for its transformation - chorionepithelioma. Pathology refers to a group of placental tumors. The urine pregnancy test is positive, and the blood test for it is “off scale”.
- Oncological processes. Malignant processes in the cervical canal can also produce bleeding. Usually they appear after sexual contact, physical activity. Cervical cancer is “younger”, it is already found not only in 40-year-old women, but also in 30 and even 20 years.
What to do when detected
Discharge, similar to bloody (pinkish, yellow-brown, dark, scarlet) during pregnancy should always be alarming. Consult a doctor should, even if the woman considers the situation safe.
If a girl notes increased excretion, the presence of clots or bleeding, she should immediately contact the nearest hospital or hospital. Delay can cost the life of a mother and baby.
The only situation where you can not worry - if a scant dark-brown discharge appeared after a gynecologist's examination and taking smears. And the doctor usually warns a woman about possible changes.
Methods to clarify the source of bleeding
To clarify the source of bleeding, you must perform the following diagnostic procedures.
- Examination of the cervix in the mirrors. So you can easily determine the contact allocation, especially in the presence of erosion, ectopia, decidual polyp.
- Examination of the abdomen and palpation of the uterus. It is advisable to conduct the study after 20-22 weeks, when the uterus is already above the vagina. Detection of hypertonus may indicate a detachment. This situation requires further investigation.
- Cardiotocogram of the fetus. This is a recording of fetal heartbeats, which is held from week 22. On it you can judge the state of health of the baby at the moment.
- Conducting ultrasound of the fetus. This is the most reliable and informative way to identify the source of bleeding. If a detachment site has formed somewhere, even a small one, it will be clearly visible with ultrasound. Also, using the method, you can determine the blood flow in the vessels of the placenta and umbilical cord, which directly reflects the condition of the fetus.
Risks for a child and a woman
Any blood released from the vagina during pregnancy may pose a threat to the health of the woman and the fetus. Especially if the cause of its appearance is placental abruption. So, the detachment causes the following complications.
- 1 trimester A detachment can cause miscarriage or a fading pregnancy.
- 2 trimester. Hematoma under the placenta can lead to emergency delivery due to the need to preserve the life of the mother.
- 3 trimester. A complication is associated with a high risk of premature delivery. The condition of the fetus is almost always moderate or severe severity due to oxygen starvation. After all, any detachment reduces blood flow between a woman and a baby.
Treatment of bleeding during pregnancy is never carried out at home, a woman needs careful medical supervision, at any moment the situation may worsen dramatically. Tactics of reference differs depending on the reason. The main therapeutic measures are as follows.
- Therapeutic and protective regime. A woman should be provided with rest and bed rest until the discharge stops.
- Control secretions. With moderate discharge, it is advisable to use sterile medical pads, so that the doctor can control blood loss and respond to changes in time.
- Hemostatic therapy. Prescribed medications that strengthen the vascular wall, reducing blood loss. These are etamzilat sodium, Tranexamic acid.
- Hormonal drugs. Used for the treatment of bleeding in the event that they are caused by a lack of progesterone or an excess of androgens. “Duphaston”, “Utrozhestan”, “Susten”, “Methylprednisolone” are appointed according to the schemes, individual in all situations. Especially often doctors resort to the appointment of these drugs during pregnancy after IVF.
- Vitamins E, C and R. Vitamin E at a dose of 200 mg / day has a progestogenic effect, vitamins C and P (at 0.1 g / day) strengthen the vascular wall.
- Improved blood flow in the placenta. For the prevention of violations of the placental complex are assigned vasodilators and improves tissue metabolism. For example, Pentoxifylline, Actovegin.
- Preparations regulating the properties of blood. In hemophilia, heparin analogs are prescribed (as a rule, Fragmin). Only with regular injections of the drug may be successful carrying.
- If necessary - the operation. With increased bleeding, surgery is performed. Its volume depends on the pathology. With a decidual polyp - its removal, with detachment and bleeding - a cesarean section or curettage of the uterus (with a miscarriage that has already occurred), with a vesicular skid - curettage and sometimes even removal of the uterus.
Every woman dreams of a successful pregnancy. In order to prevent complications, the following is recommended:
- avoid overwork, physical exertion,
- if you have any complaints, contact your gynecologist,
- plan a pregnancy and be examined on the eve of it,
- regularly visit the gynecologist and follow all the recommendations.
Pregnancy - the test of the female body "strength." Often, this is the first time a woman learns about chronic diseases, pathologies of organ development. Brown, scarlet or pink discharge during pregnancy is often fraught with danger to the health of women and children. Therefore, when they are detected, you should immediately consult a doctor.
Is it dangerous?
Do not panic prematurely. Pale pink discharge during pregnancy does not always indicate the presence of any pathology. In the future mother's body, hormonal changes take place, as a result of which an increase in the release of certain hormones is observed. They alter the structure of the pelvic organs, making their walls more friable and susceptible to damage.
The presence of a developing fetus increases the blood supply to the pelvic organs. Therefore, any microcracks in the mucous membrane of the vagina or uterus can change the color of the discharge. Depending on what the content of red blood cells in the discharge, and their color changes.
As a rule, light pink discharge during pregnancy does not carry any danger and indicates a small amount of blood in the mucus. This is a normal physiological process that speaks about the restructuring of the woman’s body. Thus, there is a preparation for long-term gestation of the fetus.
However, more intense staining of the secret may indicate serious pathological processes in the body of a pregnant woman. In cases where the discharge becomes more abundant, intense and their color gets a darker shade, you should immediately contact a gynecologist. In such cases, the risk of miscarriage increases dramatically. Or it speaks about the serious infectious processes that have arisen in the female body. There is a risk of developing oncological processes, such as the cervix. In any case, if you experience any symptoms of concern, you should immediately contact the hospital.
What are the causes of these symptoms?
- Light pink discharge may occur due to the presence of microcracks in the mucous membrane of the birth canal.
- Pink discharge during pregnancy due to a slightly larger number of red blood cells in mucus.
- Brown discharge during pregnancy suggests the presence of coagulated blood clots, from which the body itself gradually gets rid of. This may be a hematoma located in the cavity of the birth canal.
- Sometimes injuries can be causes of discharge. A visit to a specialist may cause a small amount of the secret. It occurs due to the traumatic effects resulting from the smear collection. The damaged mucous membrane of a vagina bleeds, subsequently, this blood gets to the mucus taken on the analysis.
- Sexual intercourse can trigger bleeding due to the same damaging effects.
- Light discharge can occur on the background of thrush.
- Infectious processes are the most common cause of unpleasant secretions.
Pink discharge in the early stages
When a pregnancy occurs at the time when the menstruation should have come, specific discharges appear. Pink discharge in early pregnancy is associated with an insufficient amount of the hormone progesterone. This is observed in about one in nine of all pregnant women - the frequency of occurrence of such a symptom.
Pink discharge from the uterus
The lack of the hormone progesterone triggers the mechanism of partial rejection of the upper uterine epithelium - the endometrium. Similar is observed at the onset of menstruation. The difference lies in the fact that in the second case, the detachment of the endometrium occurs completely, and during pregnancy this process is partial. If there is no lower abdominal pain and the uterus tone is preserved, then there is no need to worry about such secretions. However, consult a specialist is still worth it.
Some doctors qualify pale discharge as a sign of a successful pregnancy. As a rule, they appear on the background of a flowing delay of the menstrual cycle. Such discharge in the 9th week of pregnancy is no longer found. To confirm the conception, it is necessary to conduct a test, a positive result of which is a reason to visit a gynecologist.
Brownish discharge with a pinkish tint may occur as a result of the formation of hematoma and detachment of the ovum. Such a symptom carries a high risk of abortion and requires immediate treatment to the doctor.
A woman experiences abdominal pain, often of a shingles nature, malaise, weakness, fainting, frequent dizziness, spots are painted in scarlet colors. These symptoms may indicate the development of an ectopic pregnancy, possibly with a rupture of the fallopian tubes. In this condition, each minute has a high degree of importance. Possible consequences for the woman's body depend on the speed of medical care. Therefore, you should call the ambulance team as soon as possible.
The presence of different shades of discharge, from the second trimester to the end of pregnancy (including the period of labor), in all cases indicate the presence of severe pathological processes. Normally they should not be. Even a small amount of pinkish discharge may indicate a placental abruption process.
White-pink discharge during pregnancy after intercourse suggests the possible presence of erosive lesions of the cervix.
What symptoms say about late miscarriage?
- Clear or weak pink mucus.
- Sharp, unbearable pain, which is observed in the lower abdomen. Often she goes into the lumbar region.
- Increased uterine tone.
- Feeling of heaviness in the stomach, numbness of the pubic region.
The same symptoms may indicate a preterm birth. In any case, you need to consult a doctor.
When blood discharge is normal
Выделения с сукровицей во время беременности могут быть одним из вариантов нормального состояния. На практике такие случаи случаются достаточно редко, и это не может обрадовать будущих мам. As a rule, brownish discharge is nothing more than a precursor to the threat of pregnancy.
However, this does not mean that in all cases, without exception, you should be worried. Most often serum discharge within the norm can be observed if we are talking about early terms, when a woman does not even suspect that she is in an “interesting position”. Around the middle of the second week after conception, the egg passes into the uterus, where it settles. In order to properly attach to the uterine epithelium, she needs to "scraping" the cells, thereby making an improvised "mink." This process is often accompanied by a small amount of brownish or serous discharge, sometimes perceived by a woman as premature menstruation.
Egg implantation can last for several days, and the activity of this process is not always the same. It is quite normal to consider a situation in which small amounts of blood are noticed early, which can be repeated only after a few days.
During the first trimester, blood discharge may appear on the days when menstruation occurred before pregnancy. Not all experts agree with this statement. Now some of them claim that 4-5, 8-9, as well as 11-12 weeks can be considered the so-called critical periods, which are characterized by increased danger to the fetus. To call the bleeding, which occurs at this time, normal in any way is impossible.
Sometimes blood discharge occurs at the end of gestational age — it is at this time that the mucus plug departs. With all this, mucus starts to stand out from the vagina, and this can occur as a whole "piece", and in small portions. It is capable of containing small bloody inclusions. But you should not be afraid, because the discharge of the mucous membrane of the tube suggests that labor will begin in the very near future.
When blood discharge is bad
You can worry if blood-like secretions are accompanied by any other signs or do not fail to under any of the conditions described above. Pathological reasons for this situation, there are a huge number:
The threat of abortion. If a threat appears, the embryo is rejected from the uterus, and this process is usually accompanied by the release of a certain amount of blood. This process may not be pronounced, in which case the color of the discharge is brown or they are blood-like. The vast majority of cases of timely seeking help in this situation suggests that you can save the pregnancy. Moreover, you can even avoid hospitalization and abide by some rules at home: eliminate physical labor, refrain from sex, prevent any heat exposure to the pelvis and abdomen.
Fading pregnancy. The embryo can freeze as it were at an early period, which provokes a spontaneous abortion. Sometimes the situation requires the intervention of specialists. Confirmation of a fade can be obtained after undergoing an ultrasound scan, but even in this case, there is no need to hurry to act. In practice, there have been cases when, due to old equipment, such a diagnosis was made and completely healthy embryos were killed. On this basis, we strongly recommend double-checking the results of the analysis on several devices.
Ectopic pregnancy. It is the blood discharge is considered one of the first and most important symptoms of ectopic pregnancy. As soon as suspicions arise in this regard, an ultrasound scan should be performed immediately. Confirmation of the diagnosis will mean the termination of pregnancy, and the sooner this is done, the better.
Placenta previa. Low location of the placenta is referred to as previa. Due to the fact that the placenta will rub against the cervix, serum discharge in small volumes will be observed.
Placental abruption. Very often, when pregnancy is nearing its end, placental abruption occurs. The reason for this can be considered the tear, which occurs at the place of attachment of the placenta, which provokes the release of blood, and if the process is unexpressed, then the blood will appear. This condition is considered dangerous and you will definitely need hospitalization.
Premature birth. Speaking about the late stages of pregnancy, in relation to the threat of its termination use the phrase "premature birth." This process may be accompanied by ichor secretions. An urgent need to go to the hospital, because an early reaction to what happened often helps prevent terrible consequences.
Cervical erosion. This is a fairly frequent phenomenon observed in gynecology, but it can be cured only after childbirth takes place.
Genital infections. During gestation, such a reason rarely becomes relevant, because usually a pregnant woman undergoes research at the very beginning of her term, and after that leads only an ordered sex life. But completely discard this option is not worth it. Different infections are accompanied by various symptoms, including rashes on the genitals and anus, a feeling of itching and intense burning, an unpleasant smell that comes from vaginal discharge, increased body temperature, etc.
What should be done?
Establishing the cause of blood excretion during pregnancy with a high probability is a task for the gynecologist, but even he can say something for sure only after an ultrasound examination is performed. Ultrasound can help in determining the place of attachment of the embryo and identify his heartbeat. In addition, it shows the location of the placenta and other nuances that are important in this case.
As soon as you notice that the blood flow started during pregnancy, immediately go to the doctor.
When should I call an ambulance?
Sometimes you need to do something urgently:
if body temperature rises along with succinic secretions,
bleeding begins after blood sucking,
if there is severe pain after blood flow and it gives to the rectum.
In any of these situations, immediately call an ambulance, and before her arrival, lie down and slightly raise your legs.
Publisher: Margarita Shiryaeva
Be sure to run to the doctor, but it is better right on the ultrasound. It was also a bitter experience, eventually ending the pregnancy.
Any discharge requires a medical examination. I would not risk and identify their cause itself. Already had such a bitter experience, everything ended sadly. Therefore, go to the doctor's appointment right away, and if the discharge is strong, call an ambulance soon.
Normal secretion during gestation
During the period of child development in the womb, the development of the secret of the sex glands continues. Phlegm performs important functions, without which the body cannot fully function. It acts as a kind of lubricant and stopper to protect the fetus from the effects of various microorganisms. Secretions occur both in early and late gestation. In each trimester, mucus properties may vary.
Conception of the baby occurs during ovulation. At this time, the uterus expands, allowing the sperm to penetrate better. Glands enhance secretion production, because of this, there is a release of a transparent color lubricant. After fertilization, the egg passes into the uterus, where it is fixed, the uterine canal closes, and secretion becomes scarce. At 1–4 and 5 weeks of gestation, a small thick discharge of mucus often manifests itself, this is the norm at this time.
When a new cycle is near, the secretion changes color, and its consistency becomes watery. Such changes are observed due to hormonal adjustment. During this period, the excreted substance has a yellow or beige color. When menstruation should have come, the secret of pink color appears. But do not confuse it with menstruation, since such secretion disappears in 2–3 days and the girl has a delay in the middle of the menstrual cycle.
By 11–13 weeks of gestation, the amount of mucus released decreases. Color becomes beige or white. If abundant secretions do not stop and become dark pink, this is an alarming sign. In such a situation, you must contact your obstetrician-gynecologist and undergo a medical examination.
Far from all girls carrying a child from 1 to 13 weeks runs smoothly. During this period, serious illnesses of a different nature may occur. Pathological processes in the body are often accompanied by pain and itching in the groin area.
Changing a secret that should not be ignored:
- appearance of blood particles in the lubricant,
- acute pain in the abdominal cavity or lower abdomen,
- lower body temperature
- weakness, drowsiness, fatigue.
The presence of such signs is the first signal of the development of severe abnormal processes within a woman. To establish the cause of illness and make the correct diagnosis, it is necessary to undergo a medical examination.
Why there is a pink discharge in the early stages
In the early stages of the pink secret is not considered a pathology. Usually such manifestations are observed due to microchips on the walls of the vagina. They are formed after sex or gynecological examination with the help of douching or a medical mirror. By 6–8 or by 10 weeks of gestation, the lubricant acquires a normal white shade.
Women often wonder why there was no such secretion before conceiving a child. The answer to this question is very, until the fertilization of the egg in the female body was stable hormones. And after conception, the baby begins restructuring, due to a large surge of hormones, the uterus becomes loose, which causes minor injuries during intercourse. Do not forget about the increase in blood vessels and with the advent of the embryo in the womb.
Implantation of a fertilized cell into the uterus can provoke the production of white-pink secretion. At 6–13 days after conception, the ovum is attached to the uterine walls, causing minor internal bleeding. Pinkish grease usually disappears after a day.
In addition, often pinkish grease appears on the day when there should be monthly. This means that the production of progesterone decreased slightly and endometrial detachment began. Usually, during the period of the menstrual cycle, the endometrium exfoliates from the walls of the uterus and, it turns out, comes out with blood clots, but when there is a placenta in the uterus, there is no such process.
Therefore, a small amount of pink mucus may be observed. When specific secretions have gone through 2–3 days, it is not dangerous for the child and the mother, if the mucus has become dirty and dark, then it is worth contacting the gynecologist. In the third trimester, this may indicate a possible miscarriage.
Small appearances of pink or yellow secretion usually disappear in 2–3 hours or a day, they do not pose a threat to the fetus. But if, nevertheless, they have appeared, then it is worth informing the attending doctor about this. After a gynecological examination, the doctor will prescribe a complete blood and urine test, and an ultrasound can also be prescribed and tests should be performed to check for hCG levels.
When observing any abnormalities or the development of fungal diseases, drug treatment with Clotrimazole, Terzhinan and Hexicon can be prescribed.
If the secretion began to abundantly stand out in the second trimester, this indicates a placental abruption from the walls of the uterus. In this situation, an urgent hospitalization of the woman and the provision of emergency medical care are needed. It is important to notice the pathological process in time and take urgent measures, since in the last weeks of pregnancy this is one of the signs of premature birth.
Why are such secretions dangerous?
In the opinion of doctors, the scanty pale appearance of odorless lubrication, burning and itching do not pose a threat to the development of the fetus and the health of the expectant mother. However, if there is any discomfort in the groin area, then this should be reported to the attending doctor.
If the following symptoms appear, you should urgently go to the hospital:
- the occurrence of abundant secretion after exercise, taking a hot bath or going to the bath,
- there is a cheesy grease in the excitement and stress,
- the formation of brown-pink or red veined formations after defecation,
- the appearance of itching, fever, lower abdominal pain,
- urination is accompanied by pain, changes in the composition of urine.
When the grease becomes bright red or scarlet shade and its amount has increased significantly, you need to call an ambulance. Such symptoms indicate pathological diseases inside the expectant mother.
The following complications can occur:
- Placental abruption from the walls of the uterus (brown mucus appears).
- Infectious diseases (a dark pink grease with an acid odor appears, lower abdominal pain, itching and burning in the vagina).
- Cervical erosion (the production of light almost transparent watery fluid, which increases after intercourse).
In the period of gestation, the girl is obliged to monitor her health two times more carefully. And if discomfort or any kind of excitement appears, consult a doctor for advice. Since such signals can talk about serious complications in the body.
What to do - the doctor advises
If you have a heavy discharge or sharp pain in the groin area, you should immediately call an ambulance. Help in this situation can only be a qualified doctor in the hospital. It is impossible to engage in self-medication, as this can greatly harm the baby and the expectant mother.
Before the arrival of the ambulance, it is allowed to drink an easily soothing painkiller in order to relieve pronounced symptoms and improve well-being. The main thing is to remember that any signs of ill health cannot be ignored. It is necessary to immediately contact a gynecologist to avoid disastrous consequences.
During the appearance of the lubricant must be used sanitary pads with natural cotton surface. They do not irritate the mucous membrane and do not cause an allergic reaction. In addition, daily pads will help control the amount of fluid and its color.
Do not forget about personal hygiene. A woman in position should perform water treatments 2-3 times a day. Gaskets also need to be changed every 3-4 hours, even if they are not very dirty. When bathing, it is desirable to use natural cleansers and shower gels.
If acute pains and spasms in the vagina or ovaries appear, lie on your left side and try to relax. Before the arrival of the doctor it is forbidden to drink any antibiotics and other groups of drugs. Since their toxic effects can adversely affect the development of the fetus.
What is the allowable rate of discharge and how to determine it, the video will show:
The appearance of pink-colored mucus when carrying a baby is normal in the 1st and 2nd trimester. If the discharge appeared on the seventh month of gestation and later or is accompanied by pain, discomfort, change in texture, smell and color, you should contact the hospital.
Only after a complete examination of the patients and the completion of all tests, the obstetrician will be able to make an accurate diagnosis and prescribe the appropriate treatment. Ignoring such signals and self-treatment is absolutely contraindicated.
Normal blood discharge during pregnancy
Blood drains during pregnancy may actually be a variant of the norm - this is good news. However, in practice this is not so common - and this is bad news. In most cases, brownish discharge foreshadows the threat of pregnancy.
However, they are not always a cause for excitement. Most often, “normal” blood discharge is observed in the very early stages of pregnancy, when a woman may still not be aware of her position. On day 7-14 after conception, the egg reaches the uterus and lands. In order to attach itself to the uterine epithelium, it sort of “scrapes” the cells, making itself a “burrow”. This process may be accompanied by scanty brownish or succinic secretions, which a woman often perceives as prematurely beginning periods.
The implantation of the egg lasts several days, and its activity during this period is not the same. So it is quite normal when at this time you notice that a small amount of blood is repeated the next day or every other day.
Throughout the first trimester, blood flow normally can occur on days when you had menstruation before pregnancy. However, not all experts agree with this. Recently, more and more gynecologists are inclined to believe that the 4th-5th, 8th-9th and 11th-12th weeks of pregnancy are critical periods when the fetus is most at risk. And the norm arising these days bleeding can not be called in any way.
Blood drains during pregnancy can be observed at the end of the term, when the mucus plug begins to recede. At the same time, mucus is secreted from the vagina (in small portions or immediately in a whole "piece"), which may contain bloody inclusions. Отхождение слизистой пробки предвещает скорые роды.
Причины появления розовых выделений у беременной
«У меня на четырнадцатой неделе впервые появилась слизь, в которой были небольшие прожилки крови. Спустя два дня все прошло. На семнадцатой история повторилась. Gynecologist did not talk about it yet. What could be the reason?"
This shade of secretion most often indicates the presence of blood particles in the mucus. Their immediate amount affects the original color. The reasons for the appearance of such discharge are quite a few. But the most frequent is hormonal adjustment. Against its background, the genitals and the mucous membrane are significantly increased. In this regard, any contact actions inside the vagina can lead to microtraumas.
Often, the appearance of pinkish mucus is associated with inspection on the chair. Additionally, among the causes are some gynecological diseases. So, occasionally bleeding (especially after intercourse) cervical erosion often causes a peculiar shade of mucus.
During different periods of pregnancy, various processes occur in the body of a woman, which in a certain way influence the sexual secret. True to determine the cause can only be a doctor according to the results of vaginal examination, tests and ultrasound. If, in addition, there are additional symptoms (spasms, burning, inflammation, etc.), then you should immediately contact an ambulance or your gynecologist.
Are pink secretions dangerous during pregnancy?
“Today I noticed light pink discharge at the 35th week of pregnancy. Nothing else bothers. Is it dangerous?"
“The term is 21 weeks. There was some kind of brownish daub, with a little pulling the belly. What does it mean and how dangerous? ”
Pale pink discharge during pregnancy is often perceived by women as a pathology. Of course, the doctor will not be able to immediately assure the opposite, since this will require a full examination. According to statistics, most often it is really the result of completely natural phenomena (if the mucus is light and there are no other symptoms).
More blood in the sexual secret should alert the expectant mother. Immediately seek help if its number has increased, and the color has become darker. Intense scarlet discharge - a clear sign of the threat of miscarriage or severe pathological process. If time to ask for help, you can save the child.
Also dangerous is the situation when the mucus has acquired a brown color or brown clots are observed in it. This means that there was some kind of injury or hematoma, and now the body is trying to get rid of coagulated blood. In such a situation, individual treatment is prescribed, possibly in the hospital. It includes a course of hormonal drugs and vitamins that help in maintaining pregnancy. Appropriate therapy is selected on the basis of a full examination.
Pinkish discharge in different periods of pregnancy
As mentioned above, the causes of mucus nonspecific shades differ depending on the period. Pinkish discharge during pregnancy at an early period and just before the birth itself speak of a completely different process. We should start from the very conception.
“Girls, tell me, can there be bleeding during ovulation? I have the first time daub at this time with small droplets of blood "
The middle of the monthly cycle is characterized by the onset of the most favorable time for conception - ovulation. This phenomenon normally causes a rupture of the follicle, which has blood vessels, which in turn leads to a slight bleeding. Often it does go unnoticed by the majority of women. However, erythrocytes, which at the same time stand out, have properties to stain the secret in pink shades.
If the blood discharge appeared at the beginning or end of the cycle, then this may indicate the occurrence of any disease of the genital organs. These include vaginosis, endometritis, erosion, and thrush. The latter, by the way, can also cause white-pink discharge during pregnancy. Each of these diseases has other symptoms for which accurate diagnosis occurs. Therefore, if you have any uncharacteristic symptoms (odor, itching, etc.), you should contact your gynecologist.
“I noticed some pink discharge on the 12th week of pregnancy. Reception at the doctor only in 5 days. What could they have come from? ”
Bloody discharge during pregnancy most often occur precisely in the early stages. Among the causes of this phenomenon can be identified non-dangerous and dangerous. The first group should include:
Light pink discharge during pregnancy, as a rule, means the implantation of the ovum. This period usually coincides with the approximate beginning of the month. Just then a creamy daub of different shades appears. It is caused by damage to the small blood vessels of the endometrium. This phenomenon is characterized by one-time and short duration. A woman, as a rule, at this moment notices a delay.
Estimated days of menstruation
About one in eight women in the period when they were previously expected to be critical, notices the pink mucous discharge during pregnancy in the early stages. This symptom most often indicates a lack of progesterone - a very important hormone for normal childbearing. Such a phenomenon is not so dangerous, but only if detected in time. In this case, the doctor prescribes a special hormonal therapy. Otherwise, be especially careful on such days: avoid serious physical exertion, sexual contact and hot bath.
The second group is characterized by the following phenomena:
This pathology is difficult to miss, because in addition to uncharacteristic mucus, there are severe pain, weakness and even fainting. In this situation, we are talking about preserving your health exclusively, since the fetus outside the uterus cannot develop. When these symptoms occur, immediately call an ambulance.
Tell your gynecologist about any obscure signs, especially about the color of your discharge. Only a doctor can accurately determine the nature of this phenomenon. It is better to disturb the doctor once more than to regret the lost time.
Second and third trimester
"Hello. I found a spotting in the 12th week of pregnancy. The doctor was recently, everything was in order. Did someone have a similar look? ”
“I read somewhere that in the second trimester there should be no daub. The most pinkish discharge appeared at the 17th week of pregnancy. To the doctor not soon. Nothing else bothers. Tell me, is this normal or not? ”
The middle of pregnancy is characterized as the most peaceful period when there should normally be no mucus with shades of blood. Therefore, the appearance of pink discharge in the second trimester should be taken seriously by the expectant mother.
Among the most likely causes are:
- placenta previa or abruption
- cervical erosion,
- the threat of preterm birth,
- late miscarriage.
The latter two phenomena are additionally characterized by painful sensations in the abdomen and lower back and the tone of the uterus. In such cases, you should immediately seek medical help.
Separately, you should talk about if there are pink discharge in late pregnancy, especially by the end of the third trimester.
Before giving birth
“What can light brown discharge say at 36-37 weeks of pregnancy? They are not quite abundant, but they appear constantly throughout the day. ”
“Urgent! There were some intense discharge in the 38th week of pregnancy. Immediately a lot, now a little bit. Is this a mucus plug coming out? ”
Pale pink discharge during pregnancy, and, more precisely, to its completion can talk about the withdrawal of mucus plug. It is a barrier in the cervix that does not allow various infections and bacteria to penetrate inside the gestation. As soon as the body is ready for delivery, the cork comes out. Most often it has a pink or brownish color and a viscous consistency. The exit can occur as a lump in the form of a jelly-like lump of discharge, and maybe gradually.
You should not immediately run to the maternity hospital, since after that a whole week can still pass before the contractions. The pink discharge during late pregnancy is the earliest harbinger of labor. You just need to report the discharge to your gynecologist. He will examine you and confirm or deny this phenomenon.
However, if the mucus gets a brighter shade and its volume is constantly increasing, you need to call for medical help, because you can have a detachment or placenta previa.
What to do if there is a pink discharge?
“Tell me, please, pink discharge on the 39th week of pregnancy can be normal or not? What to do, run immediately to the gynecologist? "
A pregnant woman is rather scrupulous about her health, and rightly so, because it is also about the condition of the unborn child. In the case of any symptoms you do not understand, it is better to be safe and ask for help from a doctor. Only a specialist will correctly assess your condition and, if necessary, prescribe treatment.
In conclusion, it should be noted that discharge of a pink color during pregnancy without additional unpleasant symptoms is most often a normal sign. Especially in the early stages. In the second and third trimester of pregnancy, this is more often considered a pathology. Such events should be promptly reported to the doctor. But if there are pink discharges at 40 weeks gestation, you can not worry and start preparing for childbirth.
After conception, significant changes begin in the female body. Unusual mucus and cramps can alarm the future mother, but often they are a sign of a natural restructuring of the reproductive system.
Pink discharge during pregnancy bother women. Any droplets of blood on laundry may indicate a threatened miscarriage. A young woman may find that the secret sometimes becomes yellowish, reddish or brownish. Any change has a reason.
Optionally, a change in the color of mucus from the vagina warns about the disease and the pathology of pregnancy. In the period of childbirth, the pelvic organs are especially filled with blood, which increases the risk of pinkish particles in underwear.
Hormones start working differently. The walls of the cervical canal and uterus are becoming more loose. This increases the risk of minor damage, which changes the color of moisture.
Pink discharge during pregnancy
Pale pink discharge during pregnancy can be considered part of the norm. The appearance of this color indicates the presence of blood particles. Depending on their number, the shade and intensity of staining of secretion changes.
Non-dangerous causes of pinkish mucus include the following factors:
- recent gynecological examination,
- intense intercourse,
- hormonal changes,
- sampling smear for analyzes.
A woman cannot independently determine how serious her state of health is. Only after a medical examination is it possible to confirm or refute any concerns.
Danger of discharge
Scarlet discharge during pregnancy in a small amount, not accompanied by pain, weakness, discomfort or unpleasant smell, not dangerous for the mother and fetus. Most often, these manifestations are associated with the peculiarities of the functioning of the vaginal mucosa.
It can be dangerous in the following cases:
- the presence of large amounts of blood in the mucus,
- the abundance of whiter,
- the formation of a cheesy secret after any stress,
- appearance of brownish-pink mucus after stool,
- disturbing pain in the lower abdomen, fever,
- the occurrence of itching and burning,
- painful urination.
If the bleeding from a pregnant woman becomes abundant, especially in the early stages, this is a reason for calling an ambulance without delay. You should not get to the nearest hospital department by yourself. This phenomenon indicates the development of the pathological process. The following dangerous causes can provoke a condition:
- detachment of the ovum,
- placental abruption,
- acute infections
- cervical erosion.
Evaluate how dangerous the changes can only gynecologist. Self-treatment of a pregnant woman is a risk for her and the baby.
Before conception, the cervix and vagina were in a stable condition. The secretion was controlled by sex hormones, the level of which was constant. When a woman became pregnant, there was a restructuring. Until the 6th week, thick mucus may be observed in small amounts.
Most often this is due to the loose surface of the mucous membrane, which at the beginning of gestation is especially sensitive to any external influences.
Pink discharge at the beginning of pregnancy can inform the woman about the process of implantation period. Once conception occurs, the embryo begins to be inserted into the uterine wall. It lasts from 1-2 weeks. Several droplets of blood indicate that this stage is completed.
At an early stage of pregnancy, the appearance of pink daub will not be a reason for going to a doctor, if the secret is not abundant, has no smell, bright red, does not last more than two days.
Pink discharge in late periods, when the 37-39th week approaches, should be alerted. The clots released in the third trimester are the discharge of mucus plug. The secret may contain blood impurities.
The retreat of the tube occurs individually. In some women, the process is carried out quickly, before childbirth. Others noted that the cork was moving away in parts and for a sufficiently long period of time.
The appearance of copious amounts of mucus indicates an early onset of labor. The occurrence of pain or petrification of the abdomen is a reason for emergency treatment to the doctor, as these may be signs of placental abruption.
Discharges before delivery
The presence of pink discharge before childbirth is most often a variant of the norm. There is such a thing as cork discharge. This is a lump of mucus that closes the cervical canal throughout pregnancy. Before giving birth, it becomes soft, shrinks and departs. The mucus plug may have a different color range, but more often it is pink in color, sometimes brown.
From 38 to 40 weeks gestation, pink discharge is a lingering, thick mucus, which indicates the onset of childbirth. As a rule, another week elapses, after which fights ensue. Thus, this kind of discharge should not scare you. If you notice a similar secret, tell your doctor, who is being monitored. Most likely, he will tell you is preparing for childbirth.
Another thing is when the highlights have brighter colors, are distinguished by high intensity. Such a secret can be distinguished in placental abruption, which we discussed above. In this case, call the ambulance team, without delay.
White-pink discharge in early pregnancy may have the character of implant bleeding. It occurs as a result of the introduction of the embryo into the uterine cavity. At the same time, the epithelial layer of the organ is damaged - the endometrium. Bleeding occurs, which causes the color of secreted mucus. As a rule, such secretions are characterized by a dirty pink or cream color, one-time, lasting about several hours. After them comes the delay of menstruation, which indicates the beginning of pregnancy.
What to do?
The first thing to do is call an ambulance. In no case do not self-medicate. You need only highly skilled care that can be provided only in a medical institution. You can drink a painkiller to alleviate the condition of the woman. And remember, you cannot ignore the observed symptoms. It is necessary to immediately contact a gynecologist, who will advise you on all sorts of questions.
Use panty liners with a surface consisting of cotton or plain white fabric. This will help you control the discharge yourself and differentiate between those or other conditions, the symptoms of which you already know.
Pink discharge during pregnancy is a normal physiological process occurring in the body of the future mother due to hormonal changes. Constant monitoring of secretions secreted is a fundamental measure to prevent the development of pathology. Therefore, it is very important to pay attention to the changes in the body of a pregnant woman and immediately talk about them to the leading gynecologist. This will help you save the life of both your own life and the life of the child.
Author: Andrey Akimov, specialist,
specifically for Mama66.ru
Blood circulation after menstruation, mid-cycle and during pregnancy
The characteristic of discharge can tell a lot about woman's health. According to its change, various pathologies are determined, because any violation in the body, especially in the reproductive system, first of all changes the composition and consistency of vaginal secretion. What do blood discharge mean, in what situations they are permissible, and when talking about the disease, find out in this article.
Natural causes of discharge with sukrovitsy (normal)
Blood secretions - mucous secretion produced by the female sex glands with blood. Он может быть прозрачный с кровянистыми прожилками, розовый или коричневый. Для наглядности мы подобрали несколько фото.
The reason for the production of such secretions can be various physiological states of a woman, characterized by both normal and pathological conditions.
Do not worry when the phenomenon is caused by such factors:
- A certain phase of the menstrual cycle (before menstruation, after them, ovulation).
- Acceptance of hormonal medications.
- Early pregnancy.
- Postpartum period (up to a month).
- Abortion, miscarriage, surgery (2-3 weeks).
- The beginning of the climacteric stage.
In these cases, a low blood flow does not pose a threat if it is not supplemented by pain and discomfort and does not develop into heavy bleeding. When these symptoms are accompanied by an unpleasant smell, dark clots, fever, everything indicates a violation.
Relationship with monthly
During the entire menstrual cycle, hormones change and the level of female hormones fluctuates, in particular, progesterone and estrogen. The composition and nature of the mucus secreted from the vagina depends on it. This is usually a clear, moderately sticky slimy secretion. Before and after menstruation, it becomes thicker, more concentrated and may contain bloody streaks.
At the end of critical days, the mucus cleans the cervix and vagina from blood. This is the reason for blood suckling after menstruation.
At the same time, some representatives of the fair sex on the eve and after menstrual blood loss pulls the lower abdomen, weakness and general malaise appear. If it lasts for several days, there is no delay and other discomfort sensations, then we speak of a normal process, conditioned by the individualities of the organism.
The causes of blood secretions in the middle of the cycle are all in the same fluctuation of hormone levels, which peaks at such a time that is called ovulation. The pink color of thick mucus is valid for up to 3 days in the middle of the cycle.
Bloodsucking in women as a result of hormonal drugs
Hormonal medications are used for different purposes: contraception, the alignment of the menstrual cycle. These substances have a beneficial effect on the state of the tissues of the uterus. But remember that they apply their courses.
When the body is exposed to them for a long time or the dosage of the drug exceeds the norm, then the changes affect the state of the mucous organs of the intimate zone. In the uterus, its neck, in the vagina, deformations and cracks may occur, which bleed slightly.
Timely determination of the violation and contacting a specialist to adjust the dose or cancel hormonal drugs will help avoid the development of complications.
Similar secretion is observed at the beginning of the use of hormonal drugs. Thus, the body reacts to the external effects of the drug. After 4–5 days, this symptom usually disappears.
Pregnancy and the postpartum period
During the carrying of the child is especially important to monitor the nature of the secretion produced. Blood drains during early pregnancy may be a natural manifestation. This is how the body reacts to a new, yet alien body for it - the embryo.
In the first days of conception, such secretions are explained by the introduction of the ovum into the uterus. A slight daub in the first 2 weeks is permissible, it can also bleed on the days of the presumed menstruation if conception took place.
But during this period you need to be especially attentive to your health, since physical and emotional stress often ends in miscarriage.
Moderate bleeding may indicate ectopic and frozen pregnancies, more about this in the section on pathology.
Similar discharge are due to childbirth. Initially, they are designated in the form of lohii - postpartum hemorrhage, which leave the remnants of the life of the child and amniotic space. At this point, the uterus begins to shrink intensively, acquiring the former form.
The first few days the blood can be liberated, then up to 4 days it is designated in the form of ichor and disappears. For quite a long time (up to 6–8 weeks), it also takes place as a result of cesarean section.
If the discharge does not stop after a month and periodically acquire abundant character, accompanied by lower abdominal pain, then we are talking about postpartum complications.
Abortion, miscarriage and scraping
Any medical intervention in the integrity of the tissues of female organs is accompanied by secretions, the intensity of which depends on the type of manipulation and rehabilitation period.
After an abortion, the allocation of ichor replaces profuse bleeding in the first days. Discharges after medical abortion last 3–5 days, as a result of vacuum aspiration, discharges go 5–7 days, after abortive cleansing 7–10. The average values that differ for each patient are given.
When scraping for diagnostic purposes, daub lasts 1–2 days.
In a situation when a frozen pregnancy was cleared, after 2–3 days of abundant blood loss, the smear can last up to 2 weeks. In the case when the body rejects the fetus independently, the described discharge may last several weeks, depending on the duration of the pregnancy.
Discharge with blood during menopause
The presence of blood serum discharge from the vagina is permissible if they are indicated before the onset of menopause.
This is due to the completion of the reproductive period and hormonal changes. Menstruation gradually disappears, and scant bloody mucus may appear instead.
With the onset of menopause, this symptom indicates a pathology that often develops or becomes aggravated at this particular moment.
Must be alert to mucous discharge with streaks of blood in any week of pregnancy, when they are accompanied by nagging pain. Getting first pink, then brown, vaginal mucus indicate a threatened miscarriage. In the last trimester, secretion from the blood can mean both the likelihood of a pregnancy failure and premature birth.
It happens that the fetus dies in the womb, but is not rejected by the body. A pathology appears leaking bloody discharge and dull painful sensations. If you leave the symptom without attention, the sepsis of nearby tissues may begin, which threatens not only the health of the woman, but also her life. In this case, the dead embryo has to be scraped.
Bacteria and infections
Inflammatory processes are most often the cause of the described discharge. If they have developed against the background of an infection, they may have a yellow, purulent color and smell like rot or rotten fish (in the case of bacterial vaginosis).
White discharge with blood speaks of neglected inflammation of the fallopian tubes. It is accompanied by an unpleasant smell and fever.
In some cases, sexually transmitted diseases are indicated by bloody daubs, purulent aroma and discomfort in the form of itching and burning.
To establish the exact cause of the phenomenon of excretion of ichorous from the genitals, you need to contact a specialist and conduct a diagnosis. In most situations, pathology helps to identify ultrasound. Many diseases are amenable to medical treatment, general or local. If they are running or a large area of genital tissue is affected, only surgery can help.
Blood discharge during early pregnancy
At any gestational age, there is a chance that you will find blood-stained vaginal discharge. In the early stages of pregnancy, this kind of discharge can occur at a time when menstruation should begin on a menstrual schedule.
It is not uncommon to hear the opinion that this is quite a normal phenomenon, especially in the early stages of pregnancy. In reality, the situation is quite the opposite.
Blood discharge at any stage of pregnancy should alert you immediately, and the sooner you see a doctor, the sooner this issue is resolved. Especially in the first 12 weeks of pregnancy, blood flow is the first sign of a threatened miscarriage.
The most critical for all abnormal phenomena are considered 4-5 week, 8-9 week and 12-13 week of pregnancy. It is on these terms that the greatest number of threats of losing a child occurs.
The appearance of blood serous secretions is often associated with the detachment of the ovum. In other words, an egg cell that is already fertilized for one reason or another is detached from the uterine wall.
This can occur partially or completely. The discharge may be as small smearing, brownish in color, and may be, abundant bloody.
Quite often, they are accompanied by cramping pain in the lower abdomen and lower back.
There are several reasons why this can be a detachment of the ovum. If the mother's body does not produce enough progesterone, it is a hormone that is designed to protect the embryo in the first months of its development.
If the level of the male sex hormone - androgenome is exceeded in the mother's body, which leads to the detachment of the ovum. If the gestational sac attached to the wall of the uterus in the place where the fibroids or endometriosis site is located, this leads to a poor supply of blood to the gestational sac.
Various genetic changes, a non-developing pregnancy, and quite serious fetal malformations can provoke the threat of termination of pregnancy and, accordingly, the appearance of discharge from the blood. And the last reason that can cause blood flow is ectopic pregnancy.
The woman, as a rule, feels pain in the lower abdomen or on the right and on the left, which give to the rectum. Outwardly, this is manifested in dizziness, loss of consciousness, pallor of tachycardia. These are signs of internal bleeding.
All the reasons mentioned are the most common. But there are other reasons that can cause the appearance of bleeding, and accordingly, a threat to pregnancy.
There is another reason for the possible bleeding during pregnancy. She is not so tragic and it is possible that she will not suffer any consequences. There is a possibility when the ovum is in its place and there is no rejection, but the inner layer of the uterus begins to be updated.
Thus, it is as if ordinary menstruation occurs, only perhaps less abundant than usual. This process takes place partially and does not pose a threat to the ovum, but this is not a reason to calm down. First, you do not know what is really happening.
And, secondly, this phenomenon is a sign that your body lacks certain hormones, which in itself requires treatment.
Spotting is possible in the second half of pregnancy and even during childbirth. In these cases, the main reason is placenta previa, i.e. its wrong location.
In this form, it blocks the exit of the child into the cervical canal. In such cases, bleeding more often occurs in the third trimester and does not show any painful sensations.
Such placenta previa, is well diagnosed by ultrasound, and doctors are ready for such a possible complication.
Premature separation of the placenta from the walls of the uterus also causes bleeding, in which case the woman feels pain in the abdomen and the uterus is in a tense state.
A few weeks or days before the onset of labor, it is possible for a mucus plug to close off, which closes the cervical canal, and with it, it is possible to release some blood.
In any case, and at any time, at the slightest appearance of blood-suckling discharge, it is necessary to immediately consult a doctor to rule out all serious consequences and start treatment in time, if necessary. It is better to refrain from independent diagnoses.
What do serum discharge during pregnancy lead to? Is it dangerous?
I will not reveal any secrets if I say that bleeding is not a good sign for a pregnant woman, but they are different and you need to be able to distinguish them.
Serum blood discharge is considered to be the norm in the earliest periods when the egg cell only tries to attach to the uterine epithelium.
This happens approximately from the first to the second week of pregnancy and the discharge can be mistaken for the beginning of the month.
Throughout the first trimester, discharge may appear regularly, approximately when the plan should have been monthly. But gynecologists claim that there are certain periods when there is a risk of miscarriage and discharge at these moments can be a signal.
This is 4-5, 8-9, 11-12 weeks of pregnancy, so try to be especially careful and careful during this period. At the end of pregnancy, such an appearance is also quite likely. Only now they can appear on the lump of mucus in small patches, it is a sign that the birth will begin soon.
Unfortunately, there are other reasons for which the blood flow during pregnancy is alarming, especially if it is accompanied by any pathology. For example, the threat of termination of pregnancy. When it starts, the embryo is rejected by the uterus and a small amount of blood is secreted.
If the process is not very pronounced, then the discharge may be brown. You should see a doctor, you may need to go to the hospital for a while, you may be able to stay at home, but with strict observance of all instructions of the doctor.
As a rule, in almost all cases of timely treatment, both the mother and the child remained in order.
The next reason may be missed abortion. In the early stages in such cases, a spontaneous abortion occurs, but medical assistance and cleaning are then necessary. However, such a diagnosis can be confirmed only with the help of an ultrasound scan and preferably on several devices in order to avoid mistakes and not get rid of the living fetus.
Blood secretions can begin with ectopic pregnancy. If you have a suspicion about this, you should pass all examinations as soon as possible and, if the diagnosis is confirmed, terminate the pregnancy as a matter of urgency.
There are a lot of factors that imply blood flow, it can be placenta or placental abruption, premature birth, cervical erosion, genital infections, etc. in any of these cases, you can not pull, you need to ask for help.
And if, in addition to discharge, your temperature has greatly increased, bleeding has started, or severe pain has spread to the rectal area, call an ambulance immediately and wait for the doctors in a lying position.
Arm yourself with knowledge and never face such situations, healthy and carefree pregnancy!
Sources: http://www.detka-konfetka.ru/articles/pregnancy/techenie_beremennosti/8608.html, http://www.kid.ru/problemy-pri-beremennosti/sukrovichnye-vydeleniya-pri-beremennosti.php, http://club-mam.com/vydeleniya-pri-beremennosti/sukrovichnye-vydeleniya-pri-beremennosti.html
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What are the causes and what is the danger of bleeding during pregnancy?
Pregnancy - a period during which a woman is especially attentive to her health.
A global restructuring occurs in all organs and systems, including the nature, color, amount of discharge from the genital tract, this is the result of physiological processes.
However, any deviation becomes a cause for concern. Spotting during pregnancy may appear normal, but often they require urgent action.
Normal discharge during pregnancy
After fertilization of the egg, the production of progesterone increases, due to this the menstrual cycle changes - monthly periods stop.
In the absence of pathology, a bright, translucent discharge is found in a woman - the vagina secretes normal mucus and replaces the epithelial layer.
With the course of pregnancy, the viscosity, structure, intensity of secretion from the genital tract changes, this is due to physiological processes.
In the first trimester, progesterone is responsible for the functioning of the reproductive system, in the second and third - estrogen. These hormones are responsible for the nature of vaginal secretions. There are rates of discharge by week:
- 1 week - conditional period, it starts from the first day of the last menstruation, the body prepares for fertilization, the discharge is identical to menstrual secretion,
- 2 week - discharge becomes mucous, can be detected blood impurities - the period of attachment of the egg to the walls of the uterus,
- 3 week - maybe a small bleeding, indicating implantation, another variant of the norm - pink, brown, yellow discharge, lasting several days,
- 4 week - the completion of implantation is accompanied by a thick secret of white, odorless, blood can be detected,
- 5 week - a transparent secret, no smell, any change is a sign of the pathological process,
- 6 week - transparent or white odorless discharge,
- 7 week - liquid abundant discharge,
- Week 8 - light discharge of the usual consistency and color, a slightly sour smell is possible,
- 9-10 week - liquid watery secret, odorless,
- 11 неделя – отделяемое нормальной консистенции, не имеющее цвета или светлое,
- 12 неделя – возможно присоединение кисловатого запаха,
- 13-25 неделя – прозрачные, жидкие выделения, объем больше по сравнению с первым триместром,
- 25-36 - the amount of secretion is moderate or abundant, white, the smell is sour,
- 36-40 week - moderate amount, whitish color,
- before childbirth mucus is detected, sometimes with streaks of blood - discharge of mucus plug.
Any abnormalities should be reported to the doctor. Especially if they are accompanied by pain, other unpleasant symptoms or detection of blood - this can be a sign of the onset of the pathological process. The faster assistance is provided, the more favorable the outlook.
Up to 70% of women face bleeding during pregnancy. In some cases, they are observed in the early stages of carrying a child, sometimes before birth. Allocation may be physiological or pathological.
Only a specialist can determine this.
First Trimester Spotting
The first 12 weeks are the most important, since it is during this period that all organs and systems of the fetus are laid down. Most often, the selection of blood is found in the first trimester. Such processes may be a variant of the norm:
- the attachment of the fetus to the wall of the uterus in a week after conception may manifest itself in small bleeding,
- bleeding in the days of the alleged menstrual period with hormonal failure or growth of placental tissue.
Such bleeding is not dangerous, they are short, of small volume and pass on their own. The physiological causes of bleeding end there. In other cases, bleeding occurs as a symptom of a pathology or a disorder during pregnancy.
Risk of miscarriage
The causes of miscarriage are different, similar processes occur in the presence of pathology in the mother or fetus, as well as under the influence of external factors.
The most common cause of miscarriage are genetic changes caused by hereditary disorders or mutations. Tactic therapy depends on the cause of the threat of miscarriage.
The patient is hospitalized in the hospital, all the drugs are prescribed by the doctor, self-treatment is excluded, a number of medicines can aggravate the condition.
In the initial periods - until about the middle of the second trimester, miscarriage proceeds in several stages:
- miscarriage starting,
- abortion in progress
- incomplete or complete miscarriage.
Detection of traces of blood is possible at the first stage. Signs of threatened miscarriage should be known to every woman:
- vaginal bleeding of varying intensity: light or heavy, may last for a long time or disappear after appearance,
- pulling pains in the lower abdomen,
- increased urination.
Under the influence of hormones, the mucous membrane of the cervix becomes loose, edematous. Any impact on it can lead to microtrauma. Bleeding is possible after sexual intercourse or medical examination. This is not a threat and should not cause alarm, as the provoking factor is clearly monitored.
It is important at the planning stage of pregnancy to diagnose and treat pathology, including diseases of the reproductive system.
If a fibroid or fibromatosis is diagnosed in a pregnant woman, the embryo can adhere next to the nodes, its growth causes stretching of the tissues, and as a result bleeding can begin. The excretions in this case are of a drab character and last for several hours.
Insufficient progesterone secretion
Progesterone is a hormone synthesized by the ovaries that controls pregnancy. Its additional source is the placenta, increasing its level supports attachment of the fetus to the uterine wall and growth.
An insufficient amount of progesterone synthesis may be due to hereditary ovarian failure (hypoplasia or aplasia), inflammatory diseases, injuries, cysts of postoperative disorders. With a hormone deficiency, the endometrium becomes thinner and bleeds.
This is possible not only in the first trimester, but also in the later periods - with the course of pregnancy, the level of progesterone should increase.
Second Trimester Spotting
In the second trimester of pregnancy, the cause of bleeding most often is premature placental abruption - partial or complete rejection.
Such processes should occur at the end of the generic period, but sometimes under the influence of pathogenic factors (heart disease and blood vessels, renal pathology, endocrine disorders, inflammatory, dystrophic changes of the uterus), this process can begin during pregnancy.
The placenta is moved as a result of the accumulation of blood between it and the wall of the uterus. Most often, such a pathology is experienced by women who are not coming to the first birth - this is due to changes in the endometrium.
Symptoms of placental abruption:
- bloody issues,
- hypertonus of the uterus,
With the detachment of the edges, brown discharge is detected, but if the process starts from the center, the fluid accumulates between the uterus and the placenta, a hematoma is formed. If the fluid cannot find a way out, blood soaks the surrounding tissues.
Third Trimester Spotting
The main cause of bleeding in the last trimester is placental abruption. This condition is most dangerous in the second half of pregnancy. In the early stages of the placenta has a reserve of growth. Such processes can cause death of the fetus and mother, therefore women with such a diagnosis are hospitalized in the hospital.
Spotting during pregnancy appear in the case of placenta previa. In some cases, it is low, overlapping the uterus. Such a situation creates a risk of prematurity and hypoxia of the fetus, as well as premature birth.
The leading symptom is repeated bleeding of varying intensity, depending on the degree of presentation. This can develop at any stage of pregnancy, but more often after 30 weeks.
From a placental abruption, this condition is distinguished by the absence of pain.
Small bloody discharge at week 37-40 is a sign that the cervix is starting to open. As a rule, this happens the day before the birth, along with a small amount of blood comes mucus plug.
Detection of bleeding during pregnancy should be the reason for an emergency visit to the doctor. First of all, it is necessary to identify the cause of this state.
If the bleeding is not related to the physiological processes in the body of a pregnant woman, then treatment begins immediately after the diagnosis is established.
Depending on the nature of the revealed pathology, conservative and surgical methods can be applied.
Most often, for the treatment of conditions that entailed bleeding during the child's pregnancy, medications are used. Drugs are selected based on the diagnosis, the patient's condition and medical history. By prescribing any drug, the doctor takes into account the effect of the drug on the fetus.
Used drugs in the following groups:
- antispasmodics (no-shpa),
- hemostatics (aminocaproic acid),
- progesterone drugs
- tocolytics (partusisten),
- glucocorticosteroids (Dexamethasone),
- plasma replacement therapy with the loss of a large amount of blood (Reopoliglyukin),
- iron preparations (ferrum-lek) for anemia,
- antibiotics for infection of the genital tract (Amoxicillin).
In most cases, with timely provision of qualified assistance, it is possible to maintain the pregnancy. The prognosis depends on the cause of the appearance of blood. A wide range of hormonal drugs can replace the deficiency of progesterone, treatment of concomitant diseases reduces the risk of threatened abortion.
The operation is carried out if conservative therapy can not have the desired effect. The decision to conduct surgery is made on the basis of the clinical situation.
When abortion is in progress, curettage of the uterus is performed, and in ectopic pregnancy, the ovum is removed using endoscopic surgery. Polyps can be removed without harming the child, and cauterization of cervical erosion is also possible.
Surgical treatment in pregnant women is carried out in advanced cases, timely access to a doctor makes possible the successful use of medicines in the early stages of the disease.
First to help with bleeding
To preserve pregnancy, it is urgent to take a number of measures:
- call an ambulance
- provide a pregnant woman rest
- take a horizontal position with raised legs,
- with a strong pain syndrome, take an antispasmodic (No-shpa),
- apply cold to the lower abdomen,
- don't take a bath
- Do not insert a tampon into the vagina.
Women who have preserved a pregnancy on the background of blood discharge should observe complete emotional peace, as well as temporarily give up sex.
During the rehabilitation period, sedatives, physiotherapy and other non-drug methods of treatment are prescribed. If there is evidence, the drugs used for treatment in the hospital are prescribed for admission and after discharge of the pregnant woman.
It is important to exclude stressful situations, healthy food, walks in the fresh air.
The female body is designed in such a way that the secret of different structure and quantity is constantly released from the genital tract.
In many cases, they allow one to assess the patient's condition, the presence of pathological processes, especially during pregnancy.
Detection of bleeding in the period of childbearing is not a reason for panic, however, you should see a doctor as soon as possible. By following the treatment guidelines, complications can be avoided.
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Blood discharge between menstruation and during pregnancy
The nature of vaginal discharge is an indicator of women's health. After all, they are the first to respond to inflammatory and infectious processes occurring in the vagina or reproductive organs, changing their color, texture and smell.
For example, the appearance of ichor in vaginal secretions may indicate the occurrence of acute inflammations that must be treated immediately, as they can lead to serious health problems. But sometimes blood discharge occurs for physiological reasons that do not require any therapy.
And when their appearance is natural, and when it is a reason for going to a doctor, we will now tell.
Dalactus is a streak of blood that is present in the vaginal secretion. They can appear in different phases of the menstrual cycle and in most cases is not an indicator of the development of pathologies.
For many women, the rye appears in the middle of the menstrual cycle when ovulation occurs.
This period is characterized by the release of the egg from the dominant follicle, during which there is a rupture of its shell and damage to its small capillaries, resulting in a slight bleeding, which is manifested by streaks of blood in the vaginal secretion. As a rule, in this case the number of veins in the secretions is small and they are observed no more than 3-4 hours.
Also, the appearance of ichor from the vagina can occur several days before the onset of menstruation and within 1-2 days after their completion. In the first case, its occurrence indicates the onset of menstruation.
At first, a small amount of them is noted, but after the volume of blood streaks increases and after a few days, menstrual bleeding opens. The appearance of blood discharge after menstruation is also not a deviation.
In this case, they are a sign of the end of menstruation and the release of blood residues from the uterus.
All these conditions are completely natural and do not require any medical procedures. However, if a woman has no health problems, such secretions are almost never accompanied by itching, burning, irritation, pain, and other unpleasant symptoms.
Other non-pathological causes
The appearance of blood discharge can occur as a result of other conditions that have no relation to the development of pathologies. Most often, their occurrence is observed after mechanical injury of the vaginal mucosa, resulting from:
- Rude intimacy.
- Instrumental diagnostic gynecological examination.
- Conducting gynecological procedures (after installing the IUD, cauterization of erosion, biopsy, etc.).
Quite often, the occurrence of blood secretions is observed after curettage (abrasion) of the uterus, for example, with the aim of terminating pregnancy in the early stages or cleansing the uterus when the placental particles are not fully released after delivery. Also, this procedure is often used to remove overgrown inner uterine epithelial layer, fibroids or polyps.
At the same time, such excretions can be observed one or two days after the procedure, since the first few days after abrasion there is abundant bleeding, which is associated with damage to the integrity of the uterine mucous membranes.
If, after cleansing bloody discharge, it is not observed, and pinkish, watery, mucous, brown or blood-like appear instead, then you should definitely inform your doctor as this phenomenon may signal the formation of a blood clot (large blood clot) in the cervical canal, which prevents the withdrawal of blood from the uterus and contributes to the occurrence of stagnation.
In addition to mechanical injury to the mucous membranes of the vagina, contraceptive pills can trigger the appearance of blood flow.
In their composition, they contain hormones that suppress the production of progesterone in the body, responsible for the onset and maintenance of pregnancy.
As a result, a hormonal failure occurs and until the body becomes accustomed to new conditions, the vaginal secretion can constantly change its character and even contain a blood.
But, according to doctors, the adaptation of the body when taking contraceptive drugs should not exceed 2-3 months. If after this time the suze is also observed in the secretions, it means that the drug was chosen incorrectly and must be replaced with another one.
The appearance of blood secretions can occur after the installation of the intrauterine device. In this case, they can also be observed within a few weeks. As soon as the spiral "takes root", the selection will stop.
If this does not happen and painful sensations in the abdomen join the discharge, you should definitely visit a doctor, as the installation of the IUD causes damage to the mucous membranes of the cervical canal and may cause cervicitis.
In some women, the presence of blood in vaginal discharge is noted during the onset of menopause.
Its occurrence is caused by a change in hormonal levels, the extinction of reproductive functions and depletion of the endometrium of the uterus. Observe such discharge may for several months.
And if they are not accompanied by pain or fever, they should not be alarming.
Sucker during pregnancy: norm or pathology?
Women often receive complaints about the appearance of blood-associated discharge during pregnancy. And the reasons for their occurrence in this case are also huge.
In the early stages of gestation, their appearance occurs due to the introduction of the ovum into the uterine cavity, during which the small capillaries of the organ are also damaged.
However, in this case, the ichor in the secretions is celebrated no more than 2 days. Next, the woman should be observed ordinary white.
If this does not happen and the volume of the blood increases, there is a feeling of a fossil of the abdomen or pain, then you should immediately go to the doctor, as such symptoms may signal a decrease in uterus tone, rejection of the ovum or placenta, which will result in spontaneous abortion.
It is also dangerous the appearance of ichor and on the second trimester. In this case, its occurrence may indicate:
- Omission of the fetus.
- Increased / decreased uterine tone.
- Placental insufficiency.
- Inflammatory or infectious diseases.
In all these cases, the woman must necessarily undergo a course of drug therapy. Otherwise, she may lose the child.
In late pregnancy, the appearance of blood-suckling discharge may signal the approach of labor. As a rule, they occur at 37-38 weeks and can be observed for a long time.
If the ichor is accompanied by strong mucous white secretions, then this indicates a cork discharge and requires immediate hospitalization of the woman, since childbirth can begin at any time.
When is the selection of ichorum talking about pathologies?
The appearance of blood in the discharge against the background of the development of pathological conditions is always accompanied by additional symptoms. Among them are:
- Abdominal pain of varying intensity.
- Irritation in the intimate area.
- Unpleasant smell.
- Temperature rise.
Наиболее опасным является то состояние, когда сукровица сопровождается зудом и жжением во влагалище, а сами выделения приобретают зелено-желтый оттенок и истощают тухлый аромат. All these symptoms indicate the development of infection in the genitals, which must be treated immediately. Among the diseases of the sexual sphere, which have such a clinical picture, are:
- syphilis, etc.
Bartholinitis is another disease of the genital sphere, which is accompanied by succinic secretions and pulling pains in the abdomen. It is characterized by the occurrence of inflammatory processes in the Bartholin gland, provocateurs of which can be both infections and inflammation in other organs of the reproductive system.
Also, the appearance of blood in vaginal secretions can occur with the development of candidiasis. This disease belongs to the category of infectious pathologies, but it occurs against the background of the activation of pathogen-conditioned microflora, with the result that an increased activity of fungal representatives of the flora is observed.
In this case, the discharge may look like a granular curd or transparent white liquid mass with blood impurities. At the same time the sour smell, an itch, a burning sensation and a hyperemia of external genitals are always noted.
In addition, in many females, the tummy begins to stand out due to the presence of a cyst on the ovary. It is a hollow formation, inside of which contains serous fluid.
It occurs, as a rule, as a result of blockage of the ovarian ducts or against the background of hormonal disorders, as a result of which the follicle is not torn, as it should be, but continues to grow, forming a kind of sac.
Such cysts are called functional and they self-dissolve over several menstrual cycles. A woman can celebrate this process when she has to start another menstruation. It is manifested by abundant secretion of mucous secretion with streaks of blood and clots.
But there are such cysts that do not resolve themselves (for example, dermoid). In this case, women often have delays and problems in conceiving a child. Treatment of such cysts is made only by surgery.
Depending on the size of the cystic formation, the operation can be performed both laparotomically and laparoscopically. In the first case, the cyst is removed through an abdominal incision, in the second - through small punctures. After which a stitch is applied to the wounds.
After surgery, a woman can have a copious discharge that is scarlet in color. On the 4-5th day they should stop and daub instead.
If a woman begins to smear from the vagina, while there are pains in the abdomen of a pulling nature, this often indicates the development of endometriosis.
This disease is characterized by an abnormal growth of the internal epithelium of the uterus beyond its limits and is dangerous because it can trigger the development of oncology.
Therefore, with this disease, hysteroscopy is often prescribed, during which the uterus cavity is examined using a special device. In parallel with this procedure, a biopsy is performed, at which cells are taken for microscopic examination.
In addition to these diseases, the following pathologies can provoke the appearance of blood:
- uterine fibroids,
- erosion of the cervical canal,
It should be understood that the causes of blood in the vaginal secretions are vast. Therefore, when it appears, it is necessary to visit a doctor and be examined to ensure that there are no pathological conditions. And if they were identified, it is necessary to undergo a course of treatment in order to avoid serious health problems.
Normal discharge throughout pregnancy
During pregnancy, blood discharge may be one of the normal variants, but in practice this is quite rare. In most cases, such secretions can talk about the threat of pregnancy, but they also should not always be a cause for concern.
Usually they are observed at the beginning of pregnancy, when the woman does not yet know about her position.
This is due to the fact that the egg has only reached the uterus and makes a kind of landing, which is accompanied by such sharp brownish or sugaric secretions.
Usually women perceive them as early periods. Also blood discharge at the beginning of pregnancy can stand out at the moments when menstruation before conception took place.
Dalactus may appear at the time of discharge of the mucus plug at the end of pregnancy and a certain amount of mucus will stand out from the vagina. It may also contain blood blotches, heralding early delivery.
Pathological suckling during pregnancy
If blood discharge accompanied by other symptoms that do not fit the previous description - it means that we are talking about the threat of pregnancy. There is a huge amount of such pathologies:
- The threat of termination of pregnancy, when the embryo can be torn away from the uterus with a small release of blood. In the unexpressed isolation process, they can be either succinic or brown.
If you pay attention to the allocation in a timely manner, the pregnancy can be saved in 95 percent.
In addition, you need to follow certain rules at home: eliminate physical exertion, refrain from sex, avoid overheating of the lower abdomen and pelvis.
- Zamerchaya pregnancy when the embryo freezes in the early stages. After this happens a spontaneous miscarriage. Sometimes it requires the intervention of specialists. Fetal obstruction is confirmed by ultrasound. There is no need to hurry, because there are cases when the diagnosis is wrong and you can “kill” the still alive embryo. It is best to check this diagnosis on multiple devices.
- Ectopic pregnancy is sometimes determined by the presence of blood elimination. If a woman has such suspicions, an ultrasound scan should be performed. If the diagnosis is confirmed, the pregnancy is interrupted. It is advisable to do this as soon as possible.
- Placement of the placenta or its low location can cause poor blood circulation.
- Placental abruption. May occur in the late stages of pregnancy. During the tears of the placenta, blood or sucker is secreted. This condition is very dangerous and requires hospitalization.
- Preterm labor is also accompanied by constant graduated secretions.