Dealing with Bleeding in Early Pregnancy: What to Know and How to Prevent

December 22, 2023

Early pregnancy is often a worrying time for expectant mothers because it is a period of unstable pregnancy. If a pregnant woman experiences bleeding in the first month of pregnancy, it is even more important to be cautious. Let's take a look at what to do if there is bleeding in the first month of pregnancy.


Symptoms of bleeding in early pregnancy

In the early stages of pregnancy, bleeding is mainly characterized by a small amount of bloody discharge from the vagina, similar to the amount of bleeding at the beginning or end of menstruation. The color of the bleeding may be pink, red, or brown. The symptoms of bleeding vary for miscarriage, ectopic pregnancy, and molar pregnancy.

1. Type of bleeding

If the blood appears brown, expectant mothers don't need to worry too much as it indicates that the bleeding has stopped. Just rest more and avoid exercise. If the blood appears bright red, it is important to seek medical attention. Ectopic pregnancy usually causes a small amount of vaginal bleeding, and severe cases may result in internal bleeding. Molar pregnancy can lead to varying amounts of bleeding, but if not detected early, it can cause a significant amount of bleeding.

2. Pain

Most expectant mothers who suspect they may be experiencing an early miscarriage will have lower back pain and abdominal pain similar to menstrual cramps. When the pain is severe, the pregnant woman may appear pale and have an increased heart rate, and there may be internal bleeding. Ectopic pregnancy can cause abdominal pain, pale complexion, and increased heart rate. Bleeding caused by molar pregnancy can cause severe dull pain in the lower abdomen.

Prevention methods

To help expectant mothers prevent bleeding in the first month of pregnancy, the following preventive measures are recommended.

1. Sufficient rest, avoid excessive fatigue.

In the first month of pregnancy, avoid heavy physical labor, especially tasks that increase abdominal pressure, such as carrying heavy objects or lifting water. The reasons for bleeding in the first month of pregnancy.

2. Prevent external injuries.

After one month of pregnancy, it is best to wear flat shoes when going out. During pregnancy, try to avoid traveling and working in a vibrating environment. Avoid dangerous movements when doing household chores, such as climbing. Because the first month of pregnancy is the peak period for miscarriage, it is best to avoid risky activities.

3. Maintain a balanced diet. After becoming pregnant, stay away from smoking and alcohol. Stick to a light diet and avoid spicy foods. Try to eat small meals frequently and maintain regular bowel movements to avoid gastrointestinal discomfort.

4. Controlled sexual activity.

Sexual activity can induce contractions in the uterus due to the pressure on the abdomen and stimulation of the cervix. In the first month of pregnancy, the attachment of the placenta is not yet secure, and contractions can easily lead to miscarriage. Although sexual activity can be appropriate during the second trimester, the frequency and intensity should be less than before pregnancy, so expectant fathers should exercise restraint.

5. Maintain a happy mood and stable emotions.

Fresh milk can help pregnant women prevent osteoporosis and stabilize their emotions. High-fiber fruits and vegetables such as oranges and celery can relieve heat and provide vitamins, making you feel happier.


Causes of bleeding in the first month of pregnancy

1. Excessive fatigue

Excessive fatigue or engaging in heavy physical labor during the early stages of pregnancy can cause vaginal bleeding due to the excessive physical and psychological stress on the body.

2. Physiological bleeding

After successful conception, some women may still experience a small amount of vaginal bleeding during their menstrual period. This is just a physiological response and does not require treatment.

3. Miscarriage

Before the placenta is fully developed, the attachment of the embryo to the uterine wall is not yet stable, making pregnant women prone to miscarriage during this stage. When a miscarriage occurs, the separation of the embryo from the uterine wall can cause varying degrees of bleeding when the blood vessels on the separation surface rupture, leading to vaginal bleeding.

4. Ectopic pregnancy

The walls of a woman's fallopian tubes are relatively thin. When the fertilized egg develops to a certain extent, it can cause the walls of the fallopian tubes to expand and rupture, resulting in abnormal vaginal bleeding. This type of bleeding can lead to fainting, shock, or severe abdominal pain in pregnant women. If not treated in a timely manner, it can be life-threatening.

5. Molar pregnancy

Pregnant women with molar pregnancy may also experience bleeding during pregnancy, accompanied by severe morning sickness or palpitations. Women under the age of 20 or over the age of 35, those with a history of miscarriage, and those who have had molar pregnancy should pay attention to whether they are experiencing another molar pregnancy.

6. Cervical lesions

If a woman had cervical lesions before pregnancy, such as erosion or existing cervical polyps, hormonal changes during pregnancy can cause the rupture of surface capillaries and bleeding. Therefore, when a pregnant woman experiences vaginal bleeding in the early stages of pregnancy, a cervical examination should be conducted.

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