After conception, a woman needs to become more careful in relation to her body and carefully monitor herself. Since then, she has been responsible not only for herself, but also for her unborn child. And this is due not only to the fact that since then the well-being of the baby depends entirely on the actions of the mother, but also to the fact that pregnancy, and especially on early dates, is quite fragile and is fraught with the development of various complications up to spontaneous miscarriages. The most deplorable adverse effect during pregnancy can be detachment gestational sac.

It would seem that a successful conception is a sign of a strong embryo and favorable conditions for the development of pregnancy. However, why do cases of rejection of the fetal egg often occur already in the first weeks of pregnancy? An unambiguous answer to this question cannot be given. Various reasons can become a catalyst for spontaneous miscarriage. Obstetrician-gynecologists distinguish the main ones:

• a sharp hormonal failure;
• previous abortions;
• chronic diseases of the reproductive and reproductive systems of the mother;
• active inflammatory processes in the pelvic area;
• the development of tumors in the body of various etiologies;
• congenital or acquired pathologies of the development of female reproductive organs;
• viral diseases, the onset of which coincided with the first weeks of embryo development;
• gynecological infections;
• hypertension and sudden jumps in blood pressure;
• the impact of negative factors on the body of a pregnant woman (chemistry, radiation, poisonous gases, etc.);
• abuse of alcohol and cigarettes during pregnancy;
• severe stress;
• physical damage to the pelvic organs and abdominal cavity;
• loads;
• genetic abnormalities of any nature in the development of the mother's body.

As you can see, there are a lot of reasons for the detachment of the fetal egg, but the main one, according to gynecologists, is the lack of progesterone, which is necessary for the normal development and functioning of the fetus in the first trimester. Timely observation and proper planning helps to cope with adverse factors that prevent the conception and development of the fetal egg.

Detachment of the fetal egg in the early stages: symptoms

1. Under the detachment of the fetal egg is understood the premature and spontaneous rejection of the embryo from the surface of the uterine mucosa, which is clearly visible on the ultrasound photo. Such a process is abnormal and poses a threat to the life of the embryo, since the fetus cannot survive outside the uterus. The result of complete detachment of the fetal egg is a spontaneous abortion.
2. However, everything does not happen in one second, so there is a stage of partial detachment of the fetal egg, which can still be influenced - to “save” the pregnancy.
3. In the place of gradual rejection of the embryo, there is a tear of the capillaries that fix the embryo on the surface of the endometrium of the uterus. In this place, a blood hematoma occurs. At the next ultrasound examination, an experienced doctor will certainly notice the formation of an unusual, even a small spot on the mucous membrane of the uterus, near the placenta that is forming.
4. Timely diagnosed partial detachment of the fetal egg can be the only trouble for the entire period of pregnancy.
5. Often in the first weeks, a woman who is unaware of her pregnancy cannot recognize signs of chorion rejection. In this case, a change in well-being and vaginal discharge is more perplexing than to understand what is happening.
6. Brownish, light or bright red discharge from the vagina during pregnancy is a hallmark of the onset of detachment.

• clotted purple blood indicates that partial detachment began long before complete and this blood is from a hematoma;
• bloody secretions of a liquid nature indicate the healing of a small gap, but this does not mean that this will not happen again;
• profuse spotting is a sign of a developing miscarriage, which requires immediate hospitalization of the woman.

1. Tangible signs of a threatened miscarriage may be spasms in the uterus and lumbar region. With detachment of the fetal egg, the uterus becomes firm from the tone, which can be felt by tactile method. Rejecting the embryo, the uterus is actively contracting. This leads to pulling, aching pains in the lower abdomen.

Detachment of the fetal egg: treatment

Symptoms of detachment of the fetal egg should never be ignored. Measures not taken in time will lead to a miscarriage or missed pregnancy. Therefore, in case of any doubt, you need to consult a doctor, and even with obvious signs of rejection of the fetal egg, call ambulance. Modern medicine has a large practical and scientific base for the treatment of ovum detachment and the prevention of miscarriages at any stage of pregnancy.

1. A high probability of miscarriage requires mandatory hospitalization. In this case, a woman is prescribed bed rest, to the extent that she cannot sit, it is necessary to completely exclude movements, especially sudden, sexual contacts and stressful situations.
2. It is recommended to slightly raise the legs while lying down, for example, with a pillow. It will also be useful to continue to keep a schedule for measuring basal temperature - to keep your finger on the pulse. The slightest change, especially a decrease in basal temperature, should be reported to your doctor immediately.
3. To reduce uterine tone, gynecologists prescribe drugs whose action is aimed at reducing spasms, for example, no-shpu or magne B6. To relieve stress and calmness, it can be a tincture of valerian or motherwort. If a partial detachment of the fetal egg is clearly visible on ultrasound, hemostatic medications may be prescribed.
4. Almost mandatory is the treatment of progesterone deficiency with Utrozhestan or Duphaston, as well as the use of multivitamins, vitamin E and folic acid.
5. In addition, nutrition is important in this case - the optimal diet to prevent the formation of gases and constipation.
6. After the course of conservation, a woman can spend the rest of the pregnancy outside the hospital walls, but under the same close supervision of a doctor and vigilance on her part.

Preventing the detachment of the ovum and the rejection of the embryo, with sufficient information, is not so difficult in the context of modern advances in the field of medicine. The main thing in this case is the efficiency and precise control of your condition, regular visits to the doctor observing you and scheduled ultrasound examinations. Experienced obstetricians, thanks to analyzes, can diagnose the development of pathology in advance and prevent it at an early stage, so regular testing is necessary in such a delicate matter as the birth of a new life.

If a pregnant woman is diagnosed with such a diagnosis, then it should be remembered that this is not yet a sentence. With timely and proper treatment, everything can end well and a healthy child will be born.

Most often, detachment of the ovum occurs in the early stages of pregnancy and, unfortunately, it leads to spontaneous abortion. Sometimes a woman does not even have time to understand that her pregnancy has stopped, because she still did not suspect about her onset, attributing this to a failure of the menstrual cycle. But such a complication of pregnancy can occur at any time during the gestation of the baby. For more later dates this is called placental abruption.

The diagnosis itself sounds ominous. But a woman must understand what is actually happening in her body, and what is the reason for such a pathology.

After fertilization of the egg in the fallopian tube, the zygote, as the newly formed cell is now called, begins its movement to the uterus, where its further development will continue. This happens in about a week. At this time, the uterus is preparing to meet the "new tenant". Its walls become loose, the tone decreases, blood supply increases.

Once in the uterus, the fetal egg is attached to its walls, as if growing into it with the help of thin villi-capillaries, through which nutrients and oxygen will be supplied to it. Sometimes a fertilized egg cannot attach itself to the wall of the uterus. Often this happens due to the high tone of the uterus, as well as due to previous abortions or operations on the uterus. Without nutrition and oxygen, the embryo dies and is rejected from the body. Spontaneous miscarriage occurs.

But even if the zygote has already attached to the walls of the uterus, detachment of the fetal egg may begin. It can be partial, and occurs most often due to nervous strain, stress, heavy lifting, infections, or abdominal bruises.

In later pregnancy, the detachment of the ovum is called placental abruption. The cause may be late toxicosis, accompanied by an increase in blood pressure. With high water or multiple pregnancy increased intrauterine pressure. It can also lead to placental abruption.

Among the factors that can lead to detachment of the fetal egg are called and bad habits women - smoking and drinking alcohol. But this has not been reliably proven.

Signs of detachment of the ovum

The final diagnosis can only be made after an ultrasound examination. But if a woman has bloody discharge from the vagina, pain, sharp or pulling, in the lower abdomen, general weakness and fatigue, then you should apply for medical care. The woman should also be alerted by the fact that the child does not move for a long time, or his movements are weak. After an ultrasound, the doctor can say with certainty whether there is a threat to the life of the fetus, and whether it is possible to help a woman maintain a pregnancy. The placental abruption does not threaten the woman herself.

If the detachment of the fetal egg occurred by 1/3, then with the timely hospitalization of the expectant mother and the appropriate treatment, everything can return to normal.

Strict bed rest, elimination of any stress, both physical and emotional, is the key to success in the treatment of this pathology.

After a complete examination of the woman, complex treatment is prescribed. The most commonly used preparations containing progesterone. As a rule, after 10-15 days, the condition of the expectant mother stabilizes, and she safely carries the pregnancy to the end. But sometimes, especially in the later stages, you have to observe bed rest until the very birth.

If, after the examination, it turns out that placental abruption has occurred by half, then this is already a clear threat to the life of the fetus. The child does not receive sufficient nutrients and suffers greatly from asphyxia. In this case, carry out premature birth by caesarean section.

The expectant mother should not be very worried and afraid that the detachment of the fetal egg will certainly occur. Precautions, of course, must be observed, but remember that such a pathology is rare, about one case in 120 pregnancies. And in almost 90% of cases everything goes well. Most importantly, avoid stress, strong fears, heavy lifting and abdominal bruises. Wise nature has taken good care of your baby to feel safe in his "water house".

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Detachment of the ovum during pregnancy

As soon as she learns about her pregnancy, a woman must immediately begin to treat herself and her own health more carefully, carefully and responsibly. Firstly, from this moment on, the life of the unborn baby depends entirely on the well-being of the mother's body. Secondly, pregnancy itself causes a temporary decrease in a woman's immunity. Thirdly, none of us is immune from the development of complications when carrying a child. Fourthly, most of them manifest themselves precisely in the early stages of pregnancy - in the first trimester, which has the highest number of spontaneous abortions during pregnancy.

One of the most dangerous complications during the period of bearing a child can be detachment of the fetal egg during pregnancy.

Detachment of the ovum: symptoms

Detachment is said to be when the fetal egg prematurely begins to be rejected from the uterus, which, naturally, poses a threat to his life. Outside the uterus, the fetus cannot exist, and therefore complete detachment ends with its death and miscarriage. In fact, detachment is the initial stage of spontaneous abortion.

As the chorion peels off, the vessels that attach it to the uterus rupture, and a bruise occurs in this place - a hematoma. During the passage of an ultrasound, a specialist will certainly notice a hematoma forming near the placenta even at a very early stage. If the detachment is partial and not very pronounced, then perhaps this will be the only sign of a violation during pregnancy, fortunately detected during a routine ultrasound examination.

But very often a woman who begins rejection of the chorion or fetal egg is able to notice the symptoms of detachment on her own by changes in her own well-being and in the color of vaginal discharge.

The most characteristic sign of the onset of detachment and the threat of termination of pregnancy is spotting during pregnancy. Traces of brown gore indicate that the hematoma formed earlier, and this is the contents coming out of it. It is this kind of discharge that is characteristic of detachment of the fetal egg. The appearance of ichor from the genital tract indicates the "healing" of the tear, but relapses are not excluded. A change in spotting towards red is considered as a critical sign of a developing miscarriage and requires immediate hospitalization of the pregnant woman.

Threat harbingers can be cramping or pulling pains in the lower abdomen and in the lumbar region (reminiscent of menstruation), as well as a feeling of hardness of the uterus: due to increased tone, it spasms, rejecting the fetus, which a woman can feel as a petrification in the lower abdomen.

Detachment of the fetal egg: causes

Why the fetal egg of a normally started and seemingly successfully developing pregnancy suddenly begins to be rejected is not easy to answer. This may contribute great amount various factors and causes, among which experts distinguish the following:

• hormonal disorders;
• past abortive cleansing;
• diseases of the reproductive system of the mother;
• the presence of tumors of different etiologies;
• inflammatory processes in the pelvic organs;
• physiological pathologies in the development of gynecological organs;
• infectious and viral diseases during pregnancy;
• sexual infections in a pregnant woman;
• high blood pressure;
• the impact of harmful external factors on the body of the expectant mother (chemicals, gases, etc.);
• bad habits during pregnancy;
• strong physical activity;

Detachment of the fetal egg

Early pregnancy is most at risk. Most miscarriages occur in the first weeks of pregnancy. Therefore, newly-made expectant mothers should take care of themselves from the first days.

The cause of spontaneous abortion in early pregnancy may be the detachment of the fetal egg. Rather, it is its first stage. The fetal egg begins to be rejected from the chorion, a wound is formed here due to damage to the vessels, blood accumulates behind the fetal membrane, forming a hematoma, which is why this phenomenon in obstetrics is also called a retrochorial hematoma. This blood formation can increase and further contribute to the detachment of the fetal egg. Ultimately, there is its complete rejection and death.

If no action is taken, it is almost certain that the pregnancy will be terminated. However, timely treatment in most cases can stop the process.

Causes of detachment of the fetal egg

Why the fetus begins to be rejected in each case is almost impossible to find out. But there can be a large number of reasons contributing to such a beginning miscarriage:

• hormonal disorders (in particular, a lack of progesterone in a woman's body);
• pathology of the structure and development of the uterus;
• gynecological diseases;
• transferred infectious and viral diseases;
• fetal malformations;
• performing artificial abortions in the past;
• other adverse factors (domestic, environmental, industrial).

Symptoms of detachment of the ovum

Unfortunately, it is not possible to predict detachment, but this can happen with any of the pregnant women. Therefore, each of them must be extremely attentive to themselves and immediately respond if any suspicious signs appear. The probable rejection of the fetus will first of all be indicated by pulling pains in the lower abdomen, which can radiate to the lower back as during menstruation, accompanied by spotting. You should immediately go to the hospital if you find traces of blood on the linen (with detachment, they have a coffee or bloody color). brown discharge they say that the hematoma is already beginning to resolve, but a second tear is not ruled out, therefore, if you do not want to tempt fate, then it is better to seek medical help. Usually a detachment is diagnosed by ultrasound.

Read also Frozen pregnancy in the early stages

By the way, there is an opinion that natural selection occurs at the initial stage of pregnancy. And if the fetus is complete and self-sufficient, then it will survive without outside help. In the process of his struggle for life, detachment can be repeated several times, but in the end, the fetal egg is securely fixed and begins to grow and develop safely.

In general, not all women prefer to go to the preservation of the detachment of the ovum in the early stages. However, doctors insist: the risks of abortion due to the onset of fetal rejection without treatment are incredibly high.

Treatment of detachment of the fetal egg

If suspicions of detachment of the fetal egg are confirmed, the woman will certainly be admitted to the hospital. Detachment is treated in a hospital and under the supervision of doctors, although you have the right to refuse hospitalization.

The most important thing when detachment has begun is the complete rest of the pregnant woman. You can not only do more or less hard work, but even walk. The abdominal wall should be in an absolutely relaxed state, and this is possible only in the prone position. When performing any actions, it is at least to the smallest degree, but still tenses, and when walking, vibration is still created and, in any case, intra-abdominal pressure increases, which also brings the uterus into tone and can only accelerate detachment. In addition, your doctor may recommend that you place a pillow or bolster under your buttocks to help drain blood from your pelvic area.

Too active intestinal motility now also poses a certain danger, which is why a woman is prescribed a sparing diet with the exclusion from the diet of foods that strengthen, weaken and cause gas formation, as well as coffee and tea.

There is no need to talk about sexual contacts: any sex with the threat of termination of pregnancy is strictly prohibited!

Equally important is the emotional peace of the expectant mother. It is necessary to exclude any stress and worries from a woman's life.

Unfortunately, medication is also not enough, but they help to keep the pregnancy, doctors say. These can be hemostatic drugs (Etamzilat), antispasmodics (No-shpa, Papaverine, Magne B6), sedatives (mainly Valerian Extract), vitamins (mainly folic acid and vitamin E), hormonal drugs (Dufaston, Utrozhestan) and others. All appointments must be made by the attending physician.

The duration of treatment in each individual case will be different, but it will be at least two weeks. In many ways, it depends on the degree to which a woman complies with all medical prescriptions. So if you want the fastest improvement, then follow them strictly.

In the future, a pregnant woman who had a detachment of the fetal egg in the early stages should be under strict medical supervision until the very end of gestation. Do not neglect scheduled check-ups and examinations. Gynecologists say that the increased risk of recurrence persists until the placenta completes its formation.

Especially for beremennost.net — Elena Kichak

Detachment of the fetal egg

Symptoms, causes, consequences and treatment of detachment of the fetal egg

Detachment of the fetal egg is a fairly common pathology that occurs mainly at the end of the first and beginning of the second trimester of pregnancy. As a result of detachment from the chorion of the fetal egg, a hematoma is formed - a cavity with accumulation of blood. It is the hematoma that is diagnosed with the help of ultrasound, and on the basis of it a diagnosis of "threatened abortion" is made.

Symptoms of detachment of the ovum are always present in the case of a large detachment. These are bloody discharge from the genital tract and spasmodic pain. If the hematoma is very small, a few millimeters, it can only be diagnosed using ultrasound and is an accidental finding, while the woman considers herself absolutely healthy.

Many expectant mothers are interested in what causes the detachment of the fetal egg to occur in order to try to prevent the development of this pathology. However, there is no one specific reason. There are a lot of them. This is an increase in blood pressure, and, possibly, a lack of progesterone, and features of the chorion vessels, etc. Therefore, it is better not to study what a detachment of the fetal egg is without the need, but to register for pregnancy in a timely manner and undergo all recommended examinations on time, plus to comply correct mode work and rest, eat right.

The consequences of detachment of the fetal egg for the mother and fetus depend on its size. As a rule, with a detachment of more than 40 percent (compared to a fetal egg), a miscarriage occurs. With a slight detachment with a tendency to reduce the hematoma, there are no threats to the development of the fetus. This diagnosis may sound like this - partial detachment of the fetal egg with the formation of a hematoma. With such a diagnosis, a woman is placed in a hospital and the size of the hematoma is monitored by ultrasound. They must decrease. Brown discharge in the process of recovery is considered a positive diagnostic criterion - this is the “old” blood coming out, the hematoma is emptied. If, on the contrary, the hematoma becomes larger, the partial detachment of the fetal egg can become complete, and a miscarriage will occur.

As for the treatment, it is, for the most part, symptomatic. If there is uterine tone, it is removed with the help of tocolytic drugs. With abundant bleeding, hemostatic drugs are prescribed. It also makes sense to prescribe progesterone preparations, preferably Utrozhestan, in order to prevent a possible lack of progesterone and save the fetal egg with the embryo.

From the expectant mother herself, bed rest and cessation of sexual activity for at least a few weeks are required. Only such a detachment of the fetal egg in the early stages of pregnancy requires treatment, according to modern doctors. The main thing is to do everything so that nothing prevents the hematoma from emptying and reducing its size.

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• Inflammatory process in the pelvic organs;
• Physiological disorders in the development of gynecological organs;
• Infectious viral disease of the expectant mother during pregnancy;
• sexual infection;
• The impact of negative external factors on the body of a pregnant woman (gases, chemicals, etc.);
• Too much physical activity;
• Nervous shocks.

The main reason, according to the vast majority of experts in this field, is progesterone deficiency.

This violation prevents the further successful bearing of the child, since the body does not produce or produces less than necessary, the main hormone of pregnancy - progesterone. It is the latter that is responsible for the maintenance and development of pregnancy.

If a woman does not notice threatening signs or ignores them, no measures are taken, then in most cases the fetal egg will be completely rejected by the uterus. In this case, the pregnancy will either freeze, or a miscarriage will occur.

That is why the expectant mother should consult a doctor at the first disturbing symptoms, and if bleeding has already begun, then call emergency care and go to the nearest medical facility.

It should also be noted that with timely assistance to the hospital, there should no longer be any cause for alarm, because gynecologists and obstetricians are on this moment have vast experience in the treatment of such pathological conditions. When applying, if it, of course, happened on time, the detachment that has begun can be eliminated as soon as possible.

In the case when there is a high probability that the partial detachment of the fetal egg will progress, the woman is placed in a hospital. In both the first and second cases, she needs absolute rest, which is not only in bed rest. You can not sit and walk, make sudden movements, sexual contacts are completely excluded, as well as stressful situations.

It is also helpful to lie down with your feet slightly above body level. In the first trimester, it is recommended to regularly measure the basal temperature, such a measure will allow you to monitor the course of pregnancy, for example, if the thermometer readings decrease, you should consult a doctor, as this is a bad sign.

To eliminate the tone of the uterus, antispasmodic drugs are prescribed, usually Papaverine, No-shpa or Magne B6. Relaxing and soothing therapy is also shown, which consists in taking valerian or motherwort.

If necessary, hemostatic medications (pr. Dicinon) and progesterone therapy (Dufaston, Utrozhestan) are prescribed. During the period of bearing a child, especially in the initial stages, it is recommended to take vitamins.

Often they are prescribed at the planning stage, but if a woman has not taken them, the gynecologist recommends folic acid, tocopherol (vitamin E) and multivitamins.

Vitamin therapy is standard during pregnancy, but the drugs may vary depending on the condition of the woman and the course of the process. Also, when detaching, it is recommended to adhere to a sparing diet, which refers to measures to prevent gas formation and stool retention.

After the threatening condition is eliminated, and the woman is discharged from the hospital home, it is necessary to monitor her pregnancy more carefully. Increased attention is provided, at least until the 16th week, however, both the woman herself and the doctors need to be on their guard until the birth itself.

It is quite possible to stop a dangerous violation and prevent a miscarriage. The main thing is that the first threatening symptoms are noticed in time. A woman should be extremely attentive, especially to the nature of the discharge, and must also adhere to the recommendations of doctors, because if you delay, the chance of maintaining a pregnancy decreases every minute.

It is necessary to regularly attend a antenatal clinic, take the required tests and undergo other studies, because this can be insurance against the development of various complications. Doctors can detect a disease or disorder at an early stage, and accordingly, take measures to eliminate it, which will save the expectant mother from problems during pregnancy.

Unfortunately, the sad outcome of pregnancy does not always depend on the woman. As a rule, the reaction of her body to the “new resident” plays a primary role. This is how most often experts explain the detachment of the fetal egg. Currently, many representatives of the fair half have to hear such a diagnosis. Should not be confused this definition with the so-called low attached fetal egg. The thing is that these are two completely different concepts. It is important to note that the latter diagnosis still suggests more chances for the survival of the baby inside the mother's womb.

general information

Treatment usually lasts at least one week. However, even after release future mom should be under constant medical supervision. At this time, it is better to limit physical activity, observe bed rest, try to relax more.

Effects

According to experts, timely and competent treatment makes it possible to give birth to a healthy baby. Unfortunately, most often, miscarriage and detachment of the fetal egg become inseparable concepts, since the baby in the womb does not have normal constant nutrition, as a result, placental insufficiency develops. In this kind of situation, the woman, together with the doctor, decides on further bearing. There can be only two options here - either save the fetus, or clean it.

Conclusion

According to available statistics, recently, detachment of the fetal egg, an ultrasound photo of which can be found in medical journals and books on gynecology, has become quite common. Some explain this fact by bad ecology, frequent stress, unhealthy diet. Others see the reasons in the wrong structure of the uterus. In any case, every woman should understand that the successful outcome of her pregnancy depends on a number of factors that only she can influence.

This uncomplicated complication is one of the most common causes of miscarriage occurring in the early stages of pregnancy in women. It most often occurs soon after conception. Its essence lies in the fact that the fetal egg lags behind the chorion. This phenomenon occurs quite traumatically and is accompanied by the separation of blood, which accumulates in the uterine cavity. Its reservoir is formed, the presence of which further exacerbates the trouble. In the absence of timely medical care, the process ends with a spontaneous abortion. Therefore, it is necessary to very accurately imagine its main essence in order to turn to a specialist in time.

Causes of detachment of the ovum in early pregnancy

It is difficult to dwell on any one specific reason for the occurrence of such a phenomenon. The main factors that serve as prerequisites for the development of complications most often become:

• pronounced deficiency of progesterone in the body of a woman;
• severe nervous strain;
• weight lifting;
• anatomical features of the structure of the uterus;
• various anomalies in the development of the fetus;
• the presence of Rhesus conflict;
• uterine hypertonicity;
• infection;
• gynecological diseases;
• recent artificial termination of pregnancy;
• the implementation of traumatic medical manipulations in the pelvic area;
• development of cancer;
• smoking during gestation;
• alcohol abuse;
• excessive passion for coffee;
• professional hazards;
• the influence of the external environment, etc.

In each case, the cause of detachment of the fetal egg in the early stages of gestation becomes special. It is very difficult to single out the only factor that is most dangerous in the first trimester of pregnancy.

However, every woman needs to have a good idea of ​​the reasons why a miscarriage can happen. Of course, they cannot be used to judge the essence of the process, since the final conclusion is made only after a thorough ultrasound scan. However, knowledge of the basic harmful factors, can prevent the threat of spontaneous abortion.

Symptoms of detachment of the ovum

The pathological process is accompanied by certain manifestations, according to which it becomes clear what exactly is happening to a woman.

It usually starts with discomfort in the lower abdomen. Pain often also extends to the area of ​​the sacrum.

At the same time, a pregnant woman has spotting from the genitals.

In cases where they have a brown tint, it can be said that the hemorrhage occurred much earlier and at present the blood is simply leaving the uterine cavity.

If its color is no longer so pronounced and has signs of an ichor, then a similar sign indicates the onset of healing of the wound surface. However, an urgent appeal to a gynecologist is also required in this case, since a repeated development of the phenomenon is possible.

When spotting has acquired a rich scarlet color, they are considered a critical signal. Then urgent hospitalization of a woman in a hospital is necessary.

Treatment of detachment of the fetal egg

In situations where ultrasound has accurately recorded the fact of the development of pathology, the patient needs to be hospitalized.

In the conditions of admission to the hospital, she is usually assigned:

• antispasmodics;
• drugs aimed at reducing the tone of the uterus;
• tranquilizers;
• hemostatic agents;
• vitamins;
• immunostimulants;
• folic acid;
• hormones;
• progesterone, etc.

The patient usually requires strict bed rest for at least seven to ten days. It is advisable to lie down without movement, completely relaxing all the muscles. A similar need arises in connection with the fact that to stabilize the tone of the uterus and try to reduce intra-abdominal pressure.

A small pillow should be placed under the sacrum to remove accumulated blood from the uterine cavity.

A woman needs to completely avoid any nervous overload, sleep more and try to tune in an optimistic mood.

With strict observance of all the main doctor's prescriptions, detachment of the fetal egg can usually be prevented.

After returning home, the patient must carefully observe the daily regimen, avoid any nervous and physical exertion, and completely refrain from sexual contact. Professional activity is also better to temporarily suspend.

You should take the prescribed drugs and take all measures to prevent the recurrence of pathology.

Even when the detachment of the ovum by a third has already occurred, specialists are quite capable of stopping the process, subject to the strictest compliance with all requirements.

In cases where the patient goes to the doctor on time, only ten percent of early pregnancy is interrupted for this reason. Moreover, under the supervision of a doctor, gestation ends with a successful birth.

Diagnostics

In order to finally confirm the fact of detachment of the fetal egg, it is required to carry out an ultrasound examination of the uterus.

It is also necessary to obtain data on the processes occurring in a woman's body, so the doctor examines her on a gynecological chair using mirrors.

Of no small importance is the analysis of complaints presented by the patient and a detailed history taking.

After it becomes clear to the specialist full picture what is happening, he will not only make a confident diagnosis, but also prescribe specific treatment. It has a multi-stage nature and includes both the use of symptomatic and hormonal drugs.

Photo ultrasound

The doctor makes the final conclusion only after receiving the pictures taken ultrasonic device. They clearly show a retrochorial hematoma.

The fertilized egg is in the process of separating from the chorion. You can also distinguish between torn vessels and blood accumulating in the uterine cavity. The outpouring usually increases gradually. If treatment is not started on time, then the fetal egg can be completely rejected.

Effects

The most common complications of pathology:

• Risk of spontaneous abortion;
• a miscarriage that has begun;
• abortion in progress;
• partial termination of pregnancy, when part of the fetal egg departs;
• sepsis.

Prevention

Already when planning conception, you need to take a responsible attitude to the state of your health. It is required to carry out all the necessary laboratory and instrumental studies. If any diseases or dysfunctions are detected, it is necessary to undergo a full course of treatment.

You also need to completely adjust your lifestyle.

by the most the best way to avoid detachment of the fetal egg in the early stages of pregnancy, careful observance of precautionary measures becomes.

You should completely get rid of the habit of smoking, as well as any use of alcohol.

Under no circumstances should you lift heavy things or engage in active sports.

It is necessary to regularly take the vitamin-mineral complexes prescribed by the doctor.

It is necessary to monitor the timely emptying of the intestines. An increased process of gas formation or an increase in the contractile movements of the digestive tract can increase the manifestations of pathology.

Intimate life for a dangerous period should be completely abandoned. Until the permission of the gynecologist is obtained, she is under the strictest ban.

It is desirable to eat in small portions several times a day. Should be abandoned:

• sweets;
• muffins;
• acute;
• foods rich in fiber;
• bread with bran;
• legumes;
• peas, etc.

It is also worth temporarily limiting the use of strong brewed tea or coffee.

Such measures will largely avoid the threat of detachment of the fetal egg in the early stages of pregnancy.

The course of therapy is usually about fifteen days. Under the condition of carefully following all the instructions of the doctor, a complete recovery occurs.

But with an existing or continuing risk of miscarriage or a history of spontaneous abortion, it is required to constantly take the drugs prescribed by the doctor.

It is necessary to monitor your condition and at the slightest threat of pregnancy or if you feel worse, seek medical help.

When referring to a hospital for treatment, you must fully follow all the recommendations of the gynecologist.

In the future, the woman is under the special supervision of doctors antenatal clinic right up to the birth. All screenings and scheduled and additional examinations recommended by the doctor should be completed in a timely manner. It must be remembered that the risk of spontaneous abortion persists until the very end of gestation.

Every pregnant woman needs to know that for any uncharacteristic discharge from the genital tract, you should immediately consult a doctor. They are the first to indicate the threat of a miscarriage.

Cramps in the lower abdomen, radiating to the lumbar region, should be especially alarming. The feeling of fullness in the abdomen or increased muscular rigidity of the abdominal cavity should not be ignored.

In case of any pain sensations or the presence of severe discomfort, increased attention to the woman's well-being and urgent consultation with a specialist is also necessary.

For most women, the onset of pregnancy is joyful and important event. The first trimester is the time when the fetus is just beginning to form and has not yet fully established itself inside the uterus. During this period, you need to carefully monitor your health and the course of pregnancy in order to detect possible pathologies in time. One of the complications that can lead to miscarriage is the detachment of the fetal egg.

Process description

Detachment of the fetal egg is the beginning of spontaneous abortion (miscarriage). The egg begins to separate from the placenta, thereby damaging the blood vessels. A hematoma forms at the site of the rupture. It begins to increase, causing further exfoliation.

Detachment of more than 40% of the size of the fetal egg is considered dangerous. In this case, the diagnosis is made "threat of termination of pregnancy." In this case, treatment is mandatory, otherwise the fetus will completely detach from the placenta, which will lead to miscarriage or fading of pregnancy.

Detachment less than 40% in medical practice is called partial detachment of the fetal egg. With a slight detachment, the formed hematoma can overgrow itself, and the fetal egg will again be fixed on the placenta. And yet, if a pathology is detected, it cannot be ignored, since when the fetus is separated from the chorion, it will receive less nutrients. Placental insufficiency may develop.

When this happens in the early stages of pregnancy, the situation may repeat one or more times in the later period. In some cases, by the gestational age of 12 weeks, the fetal egg is already firmly attached to the chorion, and then relapses no longer occur.

Diagnosis of this pathology is possible only with the help of ultrasound, which will show damage. By the size of the hematoma, you can determine the degree of risk for a woman and a child and prescribe appropriate treatment in a hospital.

Symptoms

There are few signs for determining the detachment of the fetal egg, but they are pronounced. If you have any of them, you must definitely contact the "ambulance", without waiting for a scheduled appointment with the doctor.

Reasons for suspicion of an incipient miscarriage are:

• Spasmodic pain in the lower abdomen, radiating to the lumbar region. The sensations are usually similar to menstrual pain. Cramping occurs due to contraction of the uterus, which tries to push out the exfoliated fetus.
• Bleeding. There can be three types:
  • Brown. Most often, this is a sign that an existing hematoma is overgrowing.
  • Sanctuary. They talk about the growth of a hematoma.
  • Bright red. They require immediate hospitalization, as this is a clear sign of an incipient miscarriage.
• Hard abdomen in the region of the uterus. Petrification occurs when the uterus contracts.

If you suspect a detachment of the fetal egg, you should immediately contact a medical facility. Miscarriage can be prevented if treated early.

The above signs and symptoms can signal other pathologies of pregnancy. You don't need to self-diagnose. A correct diagnosis can only be made by a doctor based on the results of ultrasound and, if necessary, other studies.

Causes

It is impossible to say exactly what causes detachment. The factors can be different, and it is not always possible to determine what became the fault in a particular case. Sometimes a woman herself provokes a pathology, not observing the necessary rules during pregnancy. Or the delamination occurs for reasons beyond its control.

Circumstances that increase the risk of a threat:

• Rhesus conflict between mother and child;
• genetic disorders;
• lack of progesterone, less often other hormonal disruptions;
• physical exercise;
• stressful situations;
• frequent abortions prior to current pregnancy;
• bad habits;
• high blood pressure;
• infectious diseases of the genitourinary system.

During pregnancy, you should, if possible, try to exclude the listed factors and keep your health under control, constantly being monitored by a doctor.

Treatment and therapy

Therapy in case of a threat of miscarriage should be carried out in a hospital under the constant supervision of medical personnel. In cases where the detachment of the fetal egg is small, home treatment is allowed, but only with the agreement of the doctor and the implementation of all his recommendations.

The main condition for treatment is bed rest. Get up only when absolutely necessary. In a horizontal position, the uterus can completely relax, which will help the ovum to grow back to the placenta.

It is best to lie on your back with a pillow under your pelvic area. This will help lower blood pressure in the uterine area.

Completely excluded physical activity, any stress. Sexual rest in this pathology is required during treatment. It is desirable to completely exclude sexual contact for the entire period of pregnancy. Before resuming a close relationship, you should consult with your doctor.

Drug treatment for detachment of the fetal egg includes:

1. Antispasmodics to reduce the tone of the uterus - No-shpa, Papaverine.
2. Sedative preparations - motherwort, valerian extract.
3. Hemostatic with severe bleeding - Etamzilat, Dicinon.
4. Vitamins to increase immunity - multivitamin complexes for pregnant women, in particular, folic acid and vitamin E are needed.
5. Hormonal drugs in case of lack of progesterone - Utrozhestan, Duphaston.

Treatment is selected by the doctor depending on the causes of the pathology (if any) and individual characteristics organism.

Among other things, a diet is prescribed that excludes foods that cause increased gas formation, fix stools, or provoke diarrhea. It is not recommended to drink tonic drinks that increase blood pressure (tea, coffee).

Detachment of the fetal egg in the early stages of pregnancy is a dangerous phenomenon that, if left untreated, provokes a miscarriage or missed pregnancy. Modern medicine is able to save the fetus with such a diagnosis. The main thing is not to ignore the symptoms, timely seeking medical help. It is important to follow all recommendations and take prescribed medications.

With timely started and correct therapy, you can avoid the consequences and endure a healthy child. After identifying the pathology, you need to see a doctor for the entire remaining period of pregnancy.