How to Stop Bleeding During Pregnancy | गर्भावस्था में खून बहने के कारण : Ectopic Pregnancy

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Dr. Heena Chawla
Gynecology

How to Stop Bleeding During Pregnancy | गर्भावस्था के दौरान रक्तस्राव कैसे रोकें एवं कारण

How to stop bleeding during pregnancy, How to stop bleeding during pregnancy, In this video, SimpliHealth expert, Dr. Heena Chawla, Consultant gynecologist at Apollo Clinic and CHD City Hospital, Chandigarh, is talking about the reasons for pregnancy bleeding and ectopic pregnancy and answers questions like: 

  • What are the causative reasons for pregnancy bleeding
  • Is every bleeding that occurs in pregnancy a sign of miscarriage? 
  • How can we infer that this bleeding leads to miscarriage or will heal on its own routinely? 

Bleeding in pregnancy is a very common condition. Almost 20 % of pregnancies are associated with bleeding. Statistically, 2 out of 10 result in bleeding during pregnancy. 

Types Of Bleeding During Pregnancy

We will discuss the types of bleeding during pregnancy in detail. 

Implantation Bleeding | How to Stop Bleeding During Pregnancy

First is implantation bleeding. This type of bleeding occurs after fertilisation; the embryo implants itself towards the inner lining of the uterus, i.e., on the endometrium. This implantation may result in spotting, but this bleeding usually occurs before the missed period. Precisely this bleeding occurs within 6-7 days of ovulation. And usually, it lasts for 1 -2 days maximum, it is light pink, and this does not require any treatment. 

Usually, we advise our patients to go for a pregnancy test whenever they miss their periods. If the test is positive, we can carry out a normal pregnancy. If the pregnancy test is positive and then it is bleeding, then we need to be cautious. Under these circumstances, we must consult our gynecologist as it could be an early sign of miscarriage. 

Threatened abortion 

Often the fetus may get separated from the endometrium a little, and all other parameters of the fetus are normal. Then this condition is called a threatened abortion. There is separation but not to that extent, so we give progesterone injection to support the implantation and advise rest. 

Signs of miscarriage 

Eventually, it gets settled. Apart from this, sometimes pateitns may have heavy bleeding, or there are clots, or they are having cramps, so these could be a sign of miscarriage. Still, we need to check whether the foetus is adequately expelled from the uterus after separation or not. Is it incomplete separation or complete? If it is incomplete separation, it may result in heavy bleeding, ultimately causing infection in the uterus. 

So for this type of bleeding, we must consult our doctor. Usually, whenever you are heavy bleeding accompanied by clots and intense cramps, it gives an idea of miscarriage. 

Subchorionic Hematoma

Apart from this, one other thing you must have read in ultrasound is a subchorionic hematoma. In subchorionic hematoma, there is blood pooling, resulting in clots between the foetus and the inner lining of the uterus. If the clot is small in size, we try to treat it with medicines and progesterone injection for support, and gradually it settles. But if the size of the clot is large or there is a big size hematoma, then there is an increased chance of miscarriages. 

Ectopic Pregnancy 

Apart from this, there is another important condition called an ectopic pregnancy. 2 out of 100 pregnancies could be in the fallopian tube, ovary, or any other place but not the uterus. We call this condition ectopic pregnancy. This pregnancy test would come positive, but the patient may have bleeding, intense pain, and dizziness. 

If you observe any of these signs, then it is an emergency condition because the diameter or lumen of the tube is tiny; it is self-evident the foetus can’t grow in tubes. In severe cases of pregnancy, there is a rupture of tubes resulting in the pooling of blood in tubes leading to life-threatening conditions. Under these circumstances, we must consult our doctor and get treatment accordingly.

Molar Pregnancy 

 Another condition is a molar pregnancy. This type of pregnancy is very rare, but the tissues present in the placenta wall are overgrown. Dense tissues in the placenta wall might result in bleeding, and sometimes bleeding may occur even after the DNC. There is recurrent bleeding after repeated DNC., so we suspect molar pregnancy under these circumstances. We need to discontinue the pregnancy as there is repeated growth of molar or abnormal tissues. 

Other Reasons For Pregnancy Bleeding 

Lastly, there are a few reasons, like infection in the cervix, which is the mouth of the uterus, which might result in bleeding. For this, we prescribe medicine and antibiotics to settle this bleeding. The most important thing that I want to convey is that if you are bleeding during pregnancy, you must consult your gynecologist, get your ultrasound, take medicine, and don’t ignore this condition.

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