Hubei fans ask for help: Under the situation that the epidemic is under control, bleeding in the fifth week of pregnancy, can you protect the fetus yourself?

Health is beauty! Pass your more reliable health knowledge to those who love beauty! The majority of gynecologists from Grade A hospitals look forward to your attention and sharing!

Author: FU Hong has more understanding of women's health. Please note the public number "Dr. Fu Hong". Search keywords such as "hysterectomy", "uterine fibroids", "adenomyosis", "pregnancy preparation", "dysmenorrhea", "fetal abortion", "delayed menstruation", "infertility" and "pneumonia" ". If you read the tweet, you can leave a message, if you have any questions, you can consult the background. During the epidemic, Hubei fan "Yue Ming" issued a private consultation letter: Hello, Dr. Fu. I am a teacher from Hubei Province. Due to the epidemic, I am now pregnant for 5 weeks (last menstrual period 1.12), but there are black and brown secretions below, not many, and no other symptoms. Is this a sign of miscarriage? Dr. Hong's answer is: Have you ever performed a pelvic ultrasound? Are you sure it is an intrauterine pregnancy? If it is an intrauterine pregnancy, a small amount of bleeding can be observed, but if the bleeding persists or discomfort such as lower abdominal pain and fever, you need to see a doctor in time. Fan reply: Thank you Dr. Fu for replying to me so late. I'm just pregnant and haven't tested anything yet. All intersections were blocked. There is no red in the dark brown secretions, and there is no abdominal pain for the time being. Two years ago, the progesterone abortion rate was very low, with no secretions and no abdominal pain. Almost three months before the abortion. Dr. Hong's answer is still: If you don't have a B ultrasound, it is recommended to do a B ultrasound first to exclude ectopic pregnancy. What's the reason? In 2018, the Pre-Pregnancy and Pregnancy Care Guidelines stipulated that pregnant mothers must have an ultrasound examination in the first three months of pregnancy (6-8 weeks of pregnancy) to determine whether it is an intrauterine pregnancy and the gestational week Whether they are alive, the number of fetuses, and the condition of the uterine attachment. What is the significance of determining an intrauterine pregnancy? With the exception of intrauterine pregnancy, the fertilized egg may not follow the normal path and will not enter the Eastern Palace (uterine cavity) for implantation, but will be implanted elsewhere. Medical term is called ectopic pregnancy. According to the implantation site of the fertilized egg outside the uterine cavity, it can be divided into fallopian tube pregnancy, ovarian pregnancy, abdominal pregnancy, broad ligament pregnancy, and cervical pregnancy. Don't underestimate ectopic pregnancy, its incidence is about 2%. The disease is a common acute abdomen in obstetrics and gynecology. Hemorrhagic shock in severe cases is also one of the causes of maternal death due to intra-abdominal bleeding and severe abdominal pain. Therefore, it must attract widespread attention. Except for early pregnancy bleeding, what else is possible besides threatened abortion and ectopic pregnancy? Medically, the entire pregnancy begins on the first day of the last menstrual period. Gestational age is 280 days, or 40 weeks. 31% of embryos undergo spontaneous abortion after implantation, 80% of which are early pregnancy, that is, the pregnancy 12 weeks before pregnancy, which is called early abortion. However, vaginal bleeding during early pregnancy is not caused by abortion factors and mainly includes: 1. Implantation bleeding: Implantation of fertilized eggs occurs about 7 days after fertilization. A few women will shed some red or pink blood, which is called implantation bleeding. Generally, there are no other accompanying symptoms such as abdominal pain and irregular menstruation. This may simply be a physiological response to the implantation of a pregnant egg. This condition does not require treatment, as long as it is kept clean and does not affect embryo development. 2. Threatened abortion: It is the initial stage of spontaneous abortion. It refers to a small amount of vaginal bleeding, usually dark red or bloody leucorrhea, which does not discharge pregnancy material before 28 weeks of gestation, and then paroxysmal lower abdominal pain or lower back pain. Gynecological examination showed that the cervix was not open, the fetal membrane was not broken, and the uterine size was consistent with the number of menopause weeks. After rest and treatment, there are two consequences. The first symptoms disappeared. After the review, the ultrasound examination was normal. These female friends can continue to get pregnant. The second type, such as increased vaginal bleeding or increased lower abdominal pain, can develop into unavoidable miscarriages, which is inevitable. In early pregnancy, 20% to 25% of women experience a small or large amount of vaginal bleeding within a few days or weeks, and nearly half of their pregnancies end in abortion. 3. Ectopic pregnancy: Acute abdomen is common in obstetrics and gynecology, and the incidence is 2%. Typical symptoms are postmenopausal abdominal pain and vaginal bleeding. Abdominal pain usually manifests as faint pain or

Generally, irregular vaginal bleeding begins 8 to 12 weeks after menopause, and the amount of bleeding varies. If large blood vessels rupture, it can cause massive bleeding and shock. 5. Pregnancy with an IUD: Some women get pregnant with an IUD (pregnancy with an IUD). 6. Bleeding related to genital inflammation: such as vaginitis, acute cervicitis, cervical polyps and endometritis. Among them, vaginitis and acute cervicitis are often accompanied by vulvar itching and leucorrhea abnormalities (abnormal color and odor), and endometritis may be accompanied by lower abdominal pain. 7. Genital tumors: such as cervical cancer and endometrial cancer. However, some friends will ask questions. Didn't experts say that the number of prenatal tests could be reduced during an epidemic? However, the premise of reducing the number of early prenatal examinations is: if the pregnant woman in the early pregnancy has confirmed intrauterine pregnancy with mild abdominal pain or a small amount of bleeding, she can rest and observe at home; if irregular and small bleeding occurs repeatedly, she should be in Consult with a designated obstetrician and gynaecologist to perform an ultrasound in time to eliminate abnormal pregnancy, such as ectopic pregnancy (ectopic pregnancy) and abortion. If the abdominal pain is exacerbated or the bleeding is increased, or the ultrasound does not confirm the intrauterine pregnancy, the obstetrician and gynaecologist should be consulted in time. If necessary, the doctor should consult the doctor as soon as possible and follow the doctor's recommendations for ultrasound and other examinations. During the epidemic, the self-care and family management of pregnant women is the top priority. 1. Do a good job of self-health monitoring. Pay attention to daily temperature and weight changes, check for symptoms of respiratory infections, and monitor fetal movements regularly. 2. Abnormalities during pregnancy, such as dizziness, blurred vision, palpitations, shortness of breath, vaginal bleeding or fluid flow, abnormal abdominal pain, abnormal fetal movement, etc. If there are signs of childbirth, you should seek medical treatment in a timely manner. Don't delay your condition because you are afraid or worried. 3. When the pregnant woman has mild symptoms such as nasal congestion and throat discomfort, if there is no travel history, life history or close contact history of the patients with coronavirus infection in the high endemic area within 14 days, she will not have a fever and can stay at home for observation temporarily. Rest, monitor body temperature daily, and observe the changes in the severity of symptoms on your own. 4. If a pregnant woman has a history of traveling and living in a high-prevalence area within 14 days, or a patient diagnosed with a coronavirus infection has a history of close contact, medical observation should be performed at home or at a designated location. Pregnant women should pay close attention to their symptoms and monitor fetal activity during the observation period. If there are suspicious symptoms, including fever, cough, sore throat, chest tightness, dyspnea, fatigue, nausea, vomiting, diarrhea, conjunctivitis, muscle soreness, etc. Don't panic, contact the community manager or medical observer immediately to accurately inform your health status and seek medical treatment in a timely manner. For fans of Yue Yue, progesterone had a very low abortion rate two years ago, with no secretions or abdominal pain. Almost three months before the abortion. Is it wise to protect the fetus from bleeding at the 5th week of pregnancy? Dr. Hong's answer is: No. One reason was that she was not sure if she was pregnant in the womb. Dr. Fu Hong also mentioned above that there are many reasons for bleeding in early pregnancy. At present, it is not possible to determine whether the cause of the bleeding is a threatened abortion simply by asking, so there is no indication to protect the fetus. In the past, she had a spontaneous abortion in the first trimester of pregnancy and analysed low progesterone levels. But we should also know that for spontaneous abortion, progesterone levels are more a result than a cause. Chromosomal abnormalities are the main cause of spontaneous abortion in early pregnancy. The occurrence of spontaneous abortion is not evidence of preventive abortion. In what situations do you need drugs to protect your fetus? The indications for luteal support and progesterone supplementation are as follows: 1. In vitro fertilization; 2. History of previous repeated abortions (≥2 spontaneous abortions in the same month of pregnancy); 3. Threat to abortion; 4. Threatened preterm labor What should I do with this fan friend? Someone suggested she lie Threatened premature. What should I do with this fan friend? Someone suggested she lie Threatened premature. What should I do with this fan friend? Someone suggested she lie

4. Pregnant mothers and accompanying family members go to the hospital and wear medical masks. Pregnant mothers are recommended to wear gloves. 5. Minimize the length of hospital stay. Accompanying family members can line up, find someone to wait in a poorly ventilated area, and minimize the time spent indoors. 6. When it is inconvenient to wash your hands, please always carry antibacterial hand sanitizer or disinfection wipes to keep your hands clean. 7. Use hand sanitizer as much as possible after touching hospital door handles, curtains, doctor's lab coats and other hospital supplies. 8. Avoid rubbing your eyes, nose and mouth with your hands. The virus can also spread through contact. 9. After birth check, handle the mask properly, change clothes in time, wash your hands and face. 10. In hospitals and roads, keep a distance of more than 1 meter from others as much as possible. One-click attention to "Dr. Fu Hong" to start a healthy lifestyle! I am Fu Hong, a gynecologist, and I will share more gynecological stories and disease knowledge with you every day! Learn practical health knowledge and be a healthy and happy goddess! What are you waiting for? Press the QR code below and pay attention to Dr. Fu Hong! There will be a lucky draw! Effortlessly code, reward or repost!

WeChat swept and praised the author

enjoy

People admire

It is difficult to send the code word to me by pressing the QR code for a long time. Reward or feel free to forward! Affected by the new Apple regulations, the WeChat value-added function of the iOS version has been closed, and public numbers are supported through QR code transmission.