Vaginal bleeding with abdominal pain during pregnancy

Vaginal bleeding with abdominal pain during pregnancy may be a sign of a serious problem such as threatened miscarriage, ectopic pregnancy, or placental abruption, and you need to see a doctor immediately. Common causes include abnormal fetal development, hormone fluctuations, uterine contractions, or placental problems. Prompt diagnosis and treatment are key.

1. Threatened abortion is a common cause of vaginal bleeding during pregnancy, usually accompanied by mild abdominal pain. Abnormal embryonic development or insufficient maternal hormone levels may increase the risk of miscarriage. Treatments include bed rest, supplementation with progesterone and other drugs, and, if necessary, pregnancy-preserving treatment.

2. Ectopic pregnancy is another dangerous condition, where the embryo implants outside the uterus, often accompanied by severe abdominal pain and vaginal bleeding. Ectopic pregnancy may cause fallopian tube rupture, which is life-threatening. Treatment options include medication such as methotrexate or surgical resection such as laparoscopic surgery.

3. Placental abruption is the partial or complete separation of the placenta from the uterine wall before the fetus is born, which may cause heavy bleeding and fetal hypoxia. Symptoms include persistent abdominal pain and vaginal bleeding. Treatment should be selected according to the severity. Mild cases can be observed in bed, while severe cases require emergency cesarean section.

4. Other possible causes include cervical polyps, infection or uterine fibroids. Cervical polyps may cause slight bleeding, which usually does not require special treatment. Infections require antibiotic treatment, while uterine fibroids require medication or surgery depending on the situation.

Vaginal bleeding with abdominal pain during pregnancy cannot be ignored. Timely medical treatment is the key to ensuring the safety of mother and baby. The doctor will conduct examinations such as ultrasound and blood tests according to the specific situation to make a clear diagnosis and develop a treatment plan. Pregnant women should pay attention to rest, avoid strenuous exercise, maintain emotional stability, and have regular prenatal checkups to ensure a healthy pregnancy.