Pregnancy and childbirth, pregnancy calendar, birth of the child, development of the child, health of children.

Occurrence krovjanistyh vydeleny from sexual ways within the first 20 weeks of pregnancy frequent enough event also meets at 20-40 % of all pregnant women. If thus the given inspections show, that pregnancy (plodnoe egg) is in a uterus, this condition (a combination vnutrimatochnoj pregnancy and krovjanistyh vydeleny from a vagina) name "a menacing abortion".

If suddenly at you have arisen krovjanistye allocation from a vagina and to you make the diagnosis "a menacing abortion", it at all does not mean, that pregnancy will necessarily interrupt. Presence krovjanistyh vydeleny specifies only in possibility of interruption of pregnancy.

The majority of women (80 %), despite krovjanistye allocation at early stages, wear pregnancy to term and have healthy children.

The possible reasons of occurrence krovjanistyh vydeleny against vnutrimatochnoj pregnancy

Some women can have insignificant krovjanistye allocation from sexual ways to days expected menstruatsii. So for example if last menstruatsija was on September, 5-10th allocation can arise on October, 5-10th or on November, 5-10th already against developing pregnancy.

Sometimes occurrence krovjanistyh vydeleny is connected with insignificant travmatizatsiej necks of a uterus as a result of intimate affinity.

Infection presence in a vagina or a uterus neck also can cause occurrence krovjanistyh vydeleny.

If pregnancy has stopped the development and starts to exfoliate from uterus walls it too leads to occurrence krovjanistyh vydeleny.

In most cases the reason krovjanistyh vydeleny against developing pregnancy remains to the unknown person.

Signs and symptoms of a menacing abortion

The most frequent symptom of a menacing abortion are krovjanistye allocation from sexual ways. Pains in a waist, nagging pains in the bottom of a stomach can precede occurrence and accompany allocation.

Survey at the doctor.

Survey of the doctor is necessary both in the beginning occurrences krovjanistyh vydeleny, and further in dynamics what to define safely or not there is a pregnancy development. At inspection the doctor spends gynecologic survey what to find out:

• The sizes, the form, uterus position
• Condition of a neck of a uterus which at presence krovjanistyh vydeleny can be closed, slightly opened or opened

At gynecologic survey, however, it is impossible to glance in a uterus and, hence, to estimate, that occurs to an embryo and a placenta. Therefore, in all cases of occurrence krovjanistyh vydeleny against pregnancy carry out ultrasonic research (ultrasonic) which allows to see that occurs in a uterus cavity.

If on ultrasonic the fruit with palpitation it means is accurately visible, that pregnancy is live and develops. On early terms of pregnancy (till 7 weeks) not always it is possible to see palpitation on ultrasonic. In this case, to define pregnancy develops or not, spend repeated measurements of level horionicheskogo gonadotropina. Horionichesky gonadotropin (HG) is a hormone of pregnancy which is developed by placenta cages. Its concentration progressively increases in blood of the woman with increase in term of pregnancy and reaches a maximum level in 8-10 weeks. If level HG mismatches pregnancy term at primary definition or falls at repeated measurement HG (usually in 48 hours after the first test) it specifies in not developing (lost) pregnancy.

Besides hormonal tests, also make the general analysis of blood objectively to estimate degree krovopoteri; if there is a suspicion on an infection as the reason krovjanistyh vydeleny dabs from a vagina and a uterus neck undertake.

Recommendations

The confinement to bed and sexual abstention for all period of presence krovjanistyh vydeleny promote intensity reduction vydeleny and painful sensations in a waist and in the bottom of a stomach.

Additional recommendations are given to each woman individually depending on results of survey, ultrasonic and data of laboratory inspection.

Disturbing signs at which occurrence it is necessary to contact the attending physician immediately:

• Strengthening krovjanistyh vydeleny from a vagina (necessity of change of a hygienic lining each hour);
• Occurrence shvatkoobraznyh or strong pains in a stomach;
• Dizziness, strong weakness;
• Occurrence krovjanistyh vydeleny from a vagina after 12 weeks of pregnancy.

Remember that occurrence krovjanistyh vydeleny from sexual ways (even very insignificant) in any terms of pregnancy deserves consultation of the doctor.