Treatment with brown discharge during pregnancy

Features of treatment with brown discharge during pregnancy, depending on the causes of pathology

The appearance of any physical discomfort and suspicious symptoms of malaise during pregnancy requires the attention of a specialist. And not only for the sake of the peace of the future mother. Thus, bleeding from the vagina, even the most insignificant, secretions at which have the appearance of an ointment, may constitute a threat of miscarriage or fetal death in the womb. But since the causes of such bleeding may be different, then treatment with brown discharge during pregnancy is carried out by different methods.

How to act?

The appearance of a symptom indicating that there is a bleeding in the bowels of the female body near the growing fetus certainly frightens pregnant women. And since the nervous system in this period is quite sensitive to this kind of news, it often comes about a real panic, which only complicates the situation. After all, strong experiences about quite normal secretions often become the real cause of the threat of termination of pregnancy.

And even if this symptom occurs in the second trimester of pregnancy, when he can point only to the existing pathologies, panic will not be the best friend of the future mother. In most cases, doctors manage to save pregnancy, but a woman should help them in this, keeping calm and hoping for the best.

What if the pregnant woman, who is still too early to give birth, found brown underlays on her underwear or panty liner? The main thing is not to panic, but you can not ignore such a symptom either. If, in addition to scant excretions, the woman does not experience any other unpleasant sensations, she can tell her doctor about the disturbing symptom by phone or go to the gynecologist's office. Until then, you need to try to calm down and limit physical activity. Necessities in a bed mode to such situation are not present, but to be taken care of the future mum nevertheless costs or stands.

But in the presence of intensive discharge, combined with pulling pains in the lower abdomen, nausea, vomiting, do not hesitate. In such a situation, it would be wiser to immediately call an ambulance, rather than risk, going to the doctor on its own or waiting for the reception hours of the district doctor. The fact is that the combination of such symptoms clearly indicates a pathology, and in this case, doctors will insist on inpatient treatment.

The further fate of the pregnant woman will be decided by the obstetrician-gynecologist who observes her, who, after carrying out the diagnostic measures, will be able to tell exactly why the allocation has appeared and whether there is a need for an outpatient or inpatient treatment.

So it should be in theory, but in reality, a doctor's appointment for an ointment on an early date in most cases ends with the appointment of hormone preparations containing progesterone, the most popular of which are "Dufaston" and "Utrozhestan." Most of them give birth to women. Thus, doctors are reinsured, because you can not exclude that the pain syndrome, indicating a threat of miscarriage, may appear later.

The appointment of progesterone medication is due to the fact that in the early stages of most miscarriages occurs precisely against the background of insufficient development of this important for maintaining the pregnancy of a female hormone.

According to statistics, 1-2 women out of 10 have an increased secretion of male hormones (hyperandrogenism), caused by disruption of the endocrine system, which is also considered a risk factor for miscarriage in the early stages of pregnancy. In this case, treatment with brown discharge during pregnancy will consist in the appointment of corticoids, which can level the hormonal background of a woman. These drugs include, first of all, "Dexamethasone", "Prednisolone", "Metipred". However, it is not necessary to abuse such treatment, therefore steroids are prescribed mainly with the proven dysfunction of the adrenal cortex, established by an endocrinologist.

By the way, "Dexamethasone" can be assigned to a future mother in the last months of pregnancy if there is a threat of premature birth. It is believed that the drug gives impetus to the accelerated development of the child and the maturation of his lungs, so that in the case of an emergency the baby after birth could breathe on his own.

These same drugs are used as antiallergic drugs with increased activity of the mother's immune system and a high probability of Rhesus-conflict. They inhibit the synthesis of enzymes and substances that provoke immune reactions. This is very important if the mother's body for some reason starts to perceive the fetus in the womb as an alien body and tries to get rid of it.

When in the early stages of pregnancy the diagnosis of "detachment of the fetal egg" is made, the main thing in the treatment of this pathology is the maximum rest and observance of a diet that prevents intestinal dysfunction (constipation or diarrhea, flatulence), which is very dangerous in this disease. The future mother will also have to give up sex. And this restriction can be delayed for the entire duration of pregnancy, because the risk of repeated detachment or its progression remains for the next months.

In addition to progesterone preparations, when detached from the fetus, accompanied by an increase in the tone of the uterus, pregnant women are prescribed oral or intravenous antispasmodics (No-Shpa, Magnesium sulfate or magnesia, Ginipral, Partusisten, etc.) and vitamins that will support the body of the mother and the fetus at this difficult time for them.

With brown secretions that arise during pregnancy and lasting more than 2-3 days, hemostatic agents are also prescribed (Dicinon, Tranesca, Exacil, Vicasol, etc.). The need for such drugs is due to the fact that the bleeding has not stopped and at any time may increase. And such a violation of blood circulation is dangerous for the baby, and for his mother, leading to the development of anemia and even the death of the patient.

If it comes to the threat of termination of pregnancy in the 2nd trimester, the treatment will be completely different. It is important to remember that any allocation at this time should be considered pathological, but the possibility of maintaining a pregnancy in this situation exists.

In the second and third trimester of pregnancy, a special danger to the future mother and her baby is the placental abruption, which often happens against the background of her presentation. The precautions in this case are the same as for the detachment of the fetal egg in the early stages of pregnancy: physical and emotional rest, diet, rejection of sexual contacts. Ideally, a woman should be placed in a hospital right up to the very birth, where she will be under the supervision of doctors.

The tactics of treating placental abruption depend on many factors: the period of pregnancy, the state of health of the future mother and fetus in her womb, the size of the exfoliated placenta, because the more they are, the higher the risk of hypoxia in the unborn baby.

If the detachment occurred in the second trimester of pregnancy, when the fetus is not yet considered fully formed and capable of life outside the womb of the mother, the situation is most tense. With an insignificant amount of the exfoliated placenta and normal indices of the baby's life, doctors do everything to keep the pregnancy for several more weeks. Future mothers are prescribed drugs for relaxing the uterus in the context of tocolytic therapy. These can be preparations from different groups:

• beta-andrenomimetiki, for example, Terbutolin and Ritodrin,
• inhibitors of the synthesis of prostaglandins ("Indomethacin", etc.)
• calcium channel blockers ("Nifedipine"),
• blockers of oxytocin receptors, etc.

The choice of the relevant situation of the drug is entirely within the competence of doctors, but more often than not they resort to the appointment of a proven magnesium for years, which has helped to save more than one child's life.

Vitamins to future mothers with a problem pregnancy can be prescribed at any time as an important addition to therapeutic treatment. In the case of detachment of the placenta or fetal egg, they are especially important, because a child already begins to lack nutrients as a result of impaired blood circulation, and if the mother's blood is also depleted of vitamins and minerals, the situation will become even more acute.

To maintain the normal condition of the uterus and prevent muscle spasms, spasmolytics can be prescribed further. Treatment with brown secretions in the detection of a complicated pregnancy is carried out using hemostatic agents and iron preparations. This is especially important if the bleeding has a significant intensity, as indicated by the abundant discharge of dark color.

If the detachment is strong and affects the fetal condition, premature birth is indicated regardless of the gestational age. Placenta previa in this case is an indication for caesarean section, however, as well as situations with severe bleeding or immaturity of the uterus. If the maturation of the uterus is completed and it is able to open up for delivery, perform an autopsy of the bladder by artificial means and thus stimulate natural childbirth.

Brown discharge during pregnancy can arise as a symptom of infectious and inflammatory diseases of the female sexual sphere. In this case, the pregnant woman is prescribed treatment in accordance with the detected infection.

The easiest way is with viral pathologies, for which it is sufficient to strengthen immunity by medicinal and alternative methods. Treatment of bacterial infections requires the use of antibiotic therapy, which in pregnancy is undesirable, but is permissible if the infection becomes a factor that causes fetal developmental disorders or the threat of termination of pregnancy.

Candidiasis usually requires the use of antifungal agents, but they are known for their toxic effects on the fetus, so women tend to use local antiseptics and alternative recipes that can pacify the infection, i.e. Reducing the activity of fungi and somewhat reducing their number. Such antiseptics are "Miramistin", "Chlorhexidine", "Chlorophyllipt", "Hexicon" and some other drugs allowed during pregnancy.

It must be said that universal antiseptics are included in the treatment regimen of any type of sexual infections, because they can reduce the dosage of the special drugs used. And this is very important if we take into account the negative impact on the fetus of both the pathogens themselves and the drugs used to control them.

Effective drugs

Even if the doctors occupy a wait-and-see attitude in the treatment of brown discharges arising during pregnancy, this does not mean that the patient will have to sit back and do nothing. Peace and diet for pregnancy pathologies, although they are a mandatory requirement, are not able to correct the violations that arise in the body of a future mother. This is facilitated by drug therapy.

The most popular drug that is prescribed for pregnant women with brown secretions in the early term is Dufaston. The active substance of the drug is an analog of human progesterone with the corresponding action in the plan for maintaining pregnancy. The drug is not characterized by corticoid, estrogenic or androgenic effects and side effects characteristic of synthetic progestins, so when pregnancy it is considered quite safe.

If there is a threat of miscarriage, the drug is prescribed according to the following scheme: 1 supplement - 40 mg, subsequent 10 mg at intervals of 8 hours. The scheme is used for a week, after which you can gradually reduce the dosage. It is true that in some cases it is necessary to adhere to the established treatment regimen up to 16-20 weeks of pregnancy, if a decrease in dosage is accompanied by a re-occurrence of symptoms indicative of the existing threat of miscarriage.

It is not uncommon for women to have pregnancy disruptions on a regular basis. In this case, the drug is recommended to start drinking during pregnancy planning in the interval from 11 to 25 days of the menstrual cycle. Dosage in this case should be 10 mg, and the frequency of taking tablets - 2 times a day. This pattern should be adhered to before the 20th week of pregnancy, after which you can gradually reduce the recommended dose, according to the individual doctor's appointment.

The drug "Dyufaston" has very few contraindications. It is not prescribed for hypersensitivity to the components of the drug and the occurrence of pruritus or other symptoms of allergy during previous hormone receptions. Caution should be observed for patients with liver pathologies, although the drug does not cause serious damage to the body.

Among the side effects when taking "Dufaston" is to identify headaches and mild allergic reactions (itching, rashes on the body, redness of the skin, etc.). More severe reactions (angioedema) have been reported rarely. There are also minor disruptions in the liver, which are characterized by weakness, abdominal pain, jaundice, but they usually occur against the background of already existing organ pathologies. Other rare symptoms are hemolytic anemia, peripheral edema, increased sensitivity of the mammary glands and bleeding of the breakthrough. The latter are treated by increasing the dose of the drug.

The second popular with the threat of miscarriage hormonal drug is "Utrozhestan" - a drug based on natural micronized progesterone, available in the form of capsules. A special feature of the drug is that the capsules can be used both for oral administration and for insertion into the vagina. The drug is often prescribed to those women who have Dufaston cause nausea, increased secretion and other undesirable side effects.

Treatment with progesterone with brown secretions, which are a symptom of pathology during pregnancy, can be carried out either orally (with confirmed deficiency of progesterone production) and intravaginally. The standard dose is 200-300 mg, but in this case, an individual approach is important, taking into account the needs of the organism of a particular pregnant woman. The prescribed dose should be divided into 2 divided doses. Ideal is the reception of the first dose in the morning, and the second - in the evening.

You do not need to chew or open capsules. They are swallowed whole and washed down with water.

When the threat of miscarriage and for the treatment of habitual miscarriage, which is caused by a deficiency of progesterone, the drug is prescribed at a dosage of 400-800 mg per day. Capsules are injected deep into the vagina twice a day (2 to 4 capsules containing 100 mg of progesterone per procedure). Treatment with the drug is possible in both the first and second trimester of pregnancy.

The drug is used as a maintenance therapy and during IVF. Use capsules for intravaginal administration at the same dosage as when a miscarriage threat occurs. The first administration should coincide with the day of gonadotropin injection. This treatment regimen should be adhered to for up to 8 weeks, after which the doctor decides whether to continue taking the medicine or canceling it. After IVF, "Utrozhestan" is allowed to apply until the 37th week of pregnancy, after which the onset of labor is completely permissible.

Despite the fact that progesterone for a woman's body is not an alien substance, the use of the drug is considered dangerous in the following situations:

• with severe uterine and vaginal bleeding (for intravaginal application),
• with a tendency to thrombosis (for oral administration),
• at suspicion or presence of malignant neoplasms in tissues of genitals and mammary glands,
• with porphyria,
• in the case of incomplete abortion,
• with hypersensitivity to the components of the drug and the occurrence of allergic reactions against the background of its administration.

The drug is not recommended for oral administration in patients with severe liver disorders.

On side effects of the drug, women complain very rarely, especially in the case of intravaginal use. The increase in masticious discharge when the drug is administered into the vagina or into the oral cavity is noted much less often than with the oral administration of Dufaston. The oral reception of "Utrozhestan" can be accompanied by drowsiness and light dizziness, appearing several hours after taking the drug. Hypersensitivity reactions and allergy manifestations may be related to the fact that peanut oil is included in the capsule composition.

Brown discharge from the uterus and vagina is nothing more than a mixture of vaginal secretions with blood particles that managed to change their color under the influence of enzymes. That is, it's about bleeding. In pregnancy, any bleeding is considered dangerous, especially those that last long or regularly recur. Sometimes a minor hemorrhage becomes a harbinger of serious bleeding. This can not be allowed, so future mothers are prescribed hemostatic drugs (hemostatics) in advance.

"Traneksam" is one of the most popular haemostatic drugs actively used in obstetrics and gynecology. The drug is prescribed for bleeding and the risk of their development during pregnancy, childbirth and the postpartum period.

The drug is available in the form of tablets and a solution for intravenous administration. At pregnancy the preparation can be appointed in any form. Tablets are usually prescribed in a dosage of 1 to 1.5 g (4-6 tablets) with a reception rate of 3 or 4 times a day. The duration of treatment depends on the intensity of bleeding and its cause (usually from 3 to 14 days).

The Tranexam solution is intended for intravenous infusions, which are most effective in cases of intensive bleeding or severe condition of a woman, and also if oral administration of the drug is impossible for certain reasons. A solution is used for slow injections or infusions at a rate of 1 ml per minute. A single dose of the drug is calculated as 15 mg per kilogram of the patient's weight. The interval between administrations should be 6-8 hours.

In the instructions to the drug as contraindications to the use noted: hypersensitivity to the components of the hemostatic and subarachnoidal bleeding (hemorrhage into the cavity between the arachnoid and the soft dura mater). It is considered undesirable to take the drug and those patients who previously had problems with blood coagulability (increased coagulability, a tendency to thrombosis, thrombosis of blood vessels, etc.).

Particular care should be observed by doctors, prescribing the drug for kidney failure, color vision, vascular thrombosis, thromboembolism, thrombophlebitis and other pathologies associated with blood clotting disorders and the formation of thrombi.

Among the side effects of the drug are the following reactions:

• on the part of the gastrointestinal tract (with oral administration, heartburn, nausea and vomiting, loss of appetite, intestinal distress),
• from the side of the nervous system (the appearance of weakness, drowsiness, dizziness, impaired perception of the color scale),
• the cardiovascular system on the drug can respond with a rapid pulse (tachycardia), pain behind the sternum due to the fact that the viscosity of the blood rises and the heart becomes more difficult to pump,
• Thrombosis and thromboembolism are also possible,
• Complaints on allergic reactions, which usually occur in mild form, are not ruled out.

The solution for intravenous administration involves slow injections and droppers. If it is administered more quickly than recommended, there is a risk of a strong reduction in pressure (arterial hypotension).

Any form of the drug is highly undesirable to combine with other hemostats, because such therapy can lead to increased thrombosis.

Dangerous in pregnancy are not only the bleeding themselves, but also accompanying them for various pathologies symptom of traumatic pain in the lower abdomen. This symptom arises from the increase in the tone of the uterus, which begins to actively contract and may simply push the fruit out. If the doctor diagnosed an increased tone of the uterus, he will prescribe drugs that help relax her muscles and weaken the activity of the organ.

"Terbutaline" is beta-andrenomimetic, which, along with popular magnesia, is used when there is a threat of abortion associated with increased muscle tone in the uterus. It is used as part of tocolytic therapy of pregnant women, starting from the 16th week of pregnancy. Its use is permissible up to 37 weeks.

The same drug is prescribed for istrmico-cervical insufficiency, a characteristic symptom of which is the opening of the uterus long before the onset of labor, and in the postoperative period after suturing, not allowing the fetus to come out ahead of time. In these situations it is very important to prevent an increase in the tone and activity of the uterus.

There are different forms of drug release, but with the threat of termination of pregnancy, the drug is prescribed in the form of a solution. Use it for intravenous long infusions, the duration of which is 8 hours. A single dose of the drug - 5 mg. Further maintenance therapy with the use of tableted forms is carried out. In this case, "Terbutaline" is prescribed 2 tablets three times a day.

The course of treatment is purely individual, as are the causes that cause the appearance of brown secretions and the threat of losing a child. The drug may be administered in several courses if the symptoms recur. After 37 weeks of pregnancy, its use is undesirable, since this can negatively affect a woman's ability to give birth to her child herself.

Contraindications to the use of drugs are certain diseases of the cardiovascular system, because the inner shell of the heart also consists of muscle tissue, which the drug can have a relaxing effect. The medicine is not prescribed for heart defects, which are not amenable to correction, with sinus tachycardia, extrasystole. Other contraindications are hypersensitivity to the components of the drug and hyperthyroidism (thyrotoxicosis caused by active production of thyroid hormones).

It is not customary to appoint Terbutaline with the diagnosis of placental abruption, intrauterine infections, and pyelonephritis of pregnant women. Caution in the appointment and use of the drug should be observed in hypertension, diabetes, pheochromocytoma, arrhythmia, heart failure, epilepsy, including cases of epileptic seizures in the anamnesis, in the penultimate trimester of pregnancy.

Reception of the drug may be accompanied by the following unpleasant symptoms: increased heart rate and tachycardia, requiring a lower dose, tremor, anxiety, sleep disorders, dizziness, migraines. Some patients report increased sweating, weakness, heart rhythm disturbances, fluctuations in blood pressure in one direction or another, weakness of the bladder, allergic reactions.

There may also be fluctuations in blood sugar levels, the appearance of reactions from the digestive tract (heartburn, nausea and vomiting, the appearance of an unpleasant aftertaste in the mouth, which usually appears after taking the tablets).

The drug is not recommended to be used simultaneously with adrenomimetics and antidepressants because of the danger of increasing side effects of the latter. Beta-blockers are able to reduce the effectiveness of Terbutaline, so this combination treatment is also considered undesirable.

Treatment of infections of the genital tract, which may cause the appearance of brown discharge during pregnancy, can not be imagined without local antiseptics, which are capable of affecting the pathogens directly at the site of their localization. And since we are talking about the sexual sphere of the future mother, it should be understood that not every drug introduced into the vagina or rectum located in the immediate vicinity of the uterus will prove quite safe for the fetus.

"Hexicon" - vaginal suppositories and tablets, allowed for use during pregnancy. The active substance of the drug is chlorhexidine - antiseptic, the sensitivity to which shows most pathogens. The medicine has a strictly local effect destructively affecting the pathogenic microflora and without harming the normal, existing in the vagina and ensuring its normal acidity. The fact that the drug does not penetrate the blood and through the placental barrier speaks in favor of its safety for the fetus.

Suppositories and vaginal tablets "Geksikon" are intended for insertion deep into the vagina. Using tablets, they must be moistened with warm water before use. Both forms of the drug are used twice a day for 1-1.5 weeks (1 tablet or suppository per procedure). After the introduction of a suppository or pill for a while, it is recommended to lie down so that the drug has time to act, rather than flowing out immediately along with the secretions.

"Hexicon" in pregnancy can also be offered as a preventive agent. Due to the wide spectrum of action of chlorhexidine, the drug is able to prevent infection with chlamydia, ureaplasma, gonococcus, trichomonas and other sexually transmitted infections, therefore, during sexual intercourse, the suppository can be used to prevent especially dangerous diseases during pregnancy. In this case, the use of suppositories is justified within the next couple of hours after coition without the use of protective agents.

The active substance of suppositories and tablets is a wonderful antiseptic, with which you can sanitize (disinfect) the birth canal on the eve of a joyful event. Sanitation can be carried out both with the help of these forms and with a solution. This helps to prevent the infection of the infection in the cervical canal and the woman's vagina on the skin and mucous baby, as is often the case with the diagnosis of "thrush".

"Geksicon" doctors during pregnancy can appoint and in viral pathologies (for example, with genital herpes and HPV), and with candidiasis. True, in the latter case, the drug is effective only as part of complex therapy as an anti-inflammatory and anti-edematous. It is able to fight bacterial microflora, increase local immunity, but fungi remain insensitive to it. Brown discharge due to the anti-inflammatory effect will eventually become white curdled, but the activity of fungi will decrease slightly and only for a while.

The drug is designed to treat patients older than 12 years, but it is not prescribed for individual sensitivity to the active ingredient and other components of the drug. Caution should be observed by future mothers, who previously had allergic reactions.

During pregnancy, with the consent of the doctor, the suppository and tablets can be used at any time. In this case, you need to consider that the drug can trigger allergic reactions in the form of rash, itching, burning in the area of application, which requires the withdrawal of the medicine.

[1], [2]

Physiotherapeutic treatment

It may seem that during pregnancy the effect of physical factors is not relevant. Many future mothers are in doubt about the procedures of physiotherapy, worrying about the fact that they can adversely affect the condition of the fetus and the course of pregnancy. But do not worry, because a properly selected scheme of physiotherapy treatment is not only not capable of harming, but rather helps to save a troubled pregnancy and prevent all sorts of complications.

So, to improve immunity and prevent infectious diseases, procedures for irradiating a pregnant woman with ultraviolet rays will prove useful. Especially relevant is the treatment in periods when the days are much shorter than the nights and the lack of sunlight begins to affect the well-being of the future mother. Galvanization of the collar zone allows you to combat the symptoms of early toxicosis.

But galvanization with magnesium preparations helps to avoid the injection of magnesia, which for a woman is an extremely unpleasant procedure, accompanied by hot flashes, a feeling of heat in the lower part of the body, dizziness, etc. Currents in themselves contribute to relaxing the uterus, which is in a tonus, and magnesium only enhances their effect, getting directly into the tissues of the uterus, and not traveling throughout the body.

Electrophoresis with bromide preparations has a relaxing effect on the entire nervous system, reducing the overall tension, improving sleep and feeling pregnant, contributing to the removal of spasm of the muscles of the uterus.

Variable currents that provide electrorelaxation and exposure to certain points in the body help to reduce the activity of the uterine muscles, which cease to contract and pose a threat to the fetus in the womb.

Hypobaric oxygenation can be prescribed if, due to a violation of the blood supply, the child begins to lag behind in development. This procedure allows to improve blood circulation in the placenta and promotes the appearance of new small vessels in its tissues.

Treatment with physical methods with brown discharge during pregnancy requires extreme caution. With active uterine bleeding, such procedures can not be prescribed. But they will have a positive impact on the condition of the mother and child after the blood loss has been stopped.

The choice of methods of physiotherapy during pregnancy is limited only by the sparing effect that is provided by heliotherapy, hydrotherapy, electrophoresis, relaxation techniques. In addition, all these methods are effective only in combination with drug treatment, they can be separately administered only for preventive purposes. However, doctors do not resort to physiotherapeutic methods of treatment infrequently, because these methods have not been sufficiently studied so that they can be safely prescribed to a wide range of patients.

It should be understood that physiotherapy alone will not help to cope with bleeding, even so meager that it appears in the form of smearing brown secretions. But it helps to prevent the appearance of such a symptom, and in case of premature termination of pregnancy, it allows the woman's body to recover more quickly, so that she does not have any further problems with conception and bearing pregnancy. The longer the process of recovery takes, the fewer chances of a successful outcome.

When is there a need for surgical treatment?

When an ectopic pregnancy or a bladder drift is detected, surgical treatment is indicated. In the first case, the embryo is removed operatively, and the uterine tube, where it was, is sutured, which does not prevent after a recovery period (about six months) to try again to conceive and bear the child.

In the case of a gall bladder, in which neoplasms in the form of bunches of grapes are prone to progression and growth, the doctor delivers the decision about non-intervention or surgical operation in conjunction with the patient. The fact is that in the vast majority of cases it is a partial bubble drift. If it is small and does not increase in size, the woman has a certain chance to give birth to a normal child. But the presence of heavy bleeding, the existing risk of rupture of the uterine tissue as the fetus grows, the presence of tumors in the vagina (for example, cystic ovaries) or the germination of the tissues of the bladder drift into the endometrium are strict indications for the surgical operation.

But on the other hand, it can not be ruled out that at some point the disease can begin to progress. And in this case, two unpleasant outcomes are possible: the arrest of development and death of the fetus or the germination of tumor tissues into the uterus and the malignant degeneration of its cells. To avoid such dangerous situations, doctors insist on an operation to remove the bladder drift along with the embryo. In half of the patients who abandoned the operation, there is a spontaneous secretion of the bladder drift, i.e. Premature births at different times, others have the risk of moving the disease into more serious forms during pregnancy or in the near future, requiring oncologist surveillance.

At a small period of pregnancy, doctors can resort to curettage pathological tissues curette and finger removal of the bladder drift. These manipulations take up to 12 weeks of pregnancy. Vacuum aspiration is allowed for up to 20 weeks and only if the tissue does not germinate into the uterus and vagina, the malignant process is excluded, there is no threat of rupture of the uterus, severe bleeding.

After removing the tissues of the bladder drift surgically, some of them are taken for histological examination to exclude or confirm the malignant process. Later the patient will have to undergo regular examinations of ultrasound and X-ray of the lungs. In the postoperative period, she will have constant monitoring of hCG, chemo- and radiotherapy may be prescribed.

If it is a question of multiple pregnancy, in most cases, doctors take expectant tactics, because in such a situation, the threat usually exists only for one of the embryos in the placenta of which the bladder drift develops. A normally developing fetus will grow and displace an inferior one, which itself aborts itself.

Frozen pregnancy is a pathology in which the fetus stops its development. Most often it occurs on a period of up to 20 weeks. A child at such a time is considered to be non-viable, so to keep pregnancy in this case does not make sense. Fetal death in the womb is a strict indication for abortion. Depending on its term, vacuum aspiration or cleaning is carried out, i.e. Abortion, implying the removal of the frozen embryo and its membranes.

Surgical treatment with brown discharge during pregnancy, as we have already mentioned, is often prescribed and with placental abruption complicated by its presentation, bleeding, weakened condition of the future mother or fetal weakness. In these cases, doctors resort to caesarean section. The recovery period after such an operation is, of course, longer than after natural births, and subsequent pregnancies are very likely to be resolved in this way. But this is a real chance to save the life of both mother and child, avoiding possible complications during childbirth.

It should be understood that medical doctors try to resort to surgical treatment of pregnancy pathologies only in extreme cases, if normal physiological births are simply impossible or can harm the health of women and children (for example, provoke rupture of the uterus or hypoxia of the fetus).

Alternative treatment

It would seem that when it comes to bleeding, threatening the danger of early termination of pregnancy, then, what alternative treatment can we talk about? Is it possible that there are such non-medicament means in nature that can prevent such sad consequences and at the same time do not harm either the future mother or her unborn baby?

The doctors have an ambiguous question to this question. They do not reject the benefits of recipes based on the wisdom of our ancestors, but do not consider them an equivalent substitute for the drugs used in this case. Although in the complex treatment many alternative methods and agents may well be welcomed by gynecologists.

But again, you need to consider the cause that causes the appearance of brown discharge and other symptoms of pregnancy pathology. So, with ectopic or frozen pregnancy and bubble drift, alternative wisdom can hardly help to solve the problem without surgery. But with the threat of miscarriage or premature birth, when the baby is alive, but is in danger, you can try to strengthen the effect of traditional treatment with alternative methods.

With brown discharge during pregnancy, folk treatment means the use of herbal formulations that help reduce the tone of the uterus, calm the woman's nervous system, and reduce the likelihood of the discovery of severe bleeding. But herbal treatment is not able to increase the level of progesterone in the body of a future mother, so necessary to maintain pregnancy, to stop bleeding, to stop the onset of labor. These are additional preventive measures that are designed to prevent a threat from occurring rather than stop a miscarriage that begins.

Based on information on the treatment of the threat of miscarriage and infectious and inflammatory diseases of the genitourinary system during pregnancy using phytotherapy, it can be concluded that the most safe in this period are the harvest of herbs, rather than one-component medications.

In some sources, you can find recipes, where the main components of medicinal potions are the flowers and leaves of marigold or the roots of elecampane. At the same time, rather high dosages (strong decoctions) are used, which, as we know, are capable of provoking a miscarriage. The fact that these recipes have helped one or two women does not mean that they will benefit others.

But in the collection of calendula and elecampane in case of a problem pregnancy are not prohibited, because in this case their dosage will not be so high. To prevent premature births, the following charges may be used:

• Green stalks of rye, flowers of marigold, angelica grass (20 grams each), rhizome roots, buds and nettles (10 grams each). Cooking infusion, bay 2 tbsp. Collecting herbs ½ liter of boiling water and leaving to infuse for 3 hours. Strain, take the infusion of ½ cup 3 times daily before meals.
• Licorice roots and elecampane (30 g each), black currant berries (20 g), root of tin and nettle leaves (10 g each). Bay 2 tbsp. Of vegetable collection with a glass of boiling water put the composition on a small fire for a quarter of an hour, then remove it from the plate and insist for another 20 minutes. Take the decoction in the same doses and according to the same scheme as the previous one.
• Grass and dandelion root are not considered dangerous during pregnancy, so they often take a decoction of women to prevent miscarriage. 1 dessert spoon of shredded raw material pour a glass of water, boil for a couple of minutes and remove from heat. When the composition becomes warm, it can be filtered and drunk in small sips during the day.
• When diseases of the urinary system are useful collection of herbs containing nettle, yarrow, fennel seeds, chamomile, plantain, St. John's wort, calendula, medicinal sweet clover.

Since we are now talking about pathologies of pregnancy accompanied by bleeding, it should be remembered that the hemostatic properties are characteristic of grasses such as yarrow, nettle, mountaineer. But these same herbs in large dosages can cause an increase in the tone of the uterus.

The inclusion of licorice, mint, sage, St. John's wort, chamomile, lapchatka and other estrogen-like plants in the medicinal collections can only exacerbate the state of women with hormonal imbalance. A fragrant and buckthorn with a high degree of probability can trigger spastic contractions of the uterus and miscarriage.

As you can see, alternative treatment with the threat of termination of pregnancy is not safe for a pregnant woman and her child. It's one thing if it is conducted by an experienced phytotherapeutist who adheres to strict dosages of herbs and dues. Other, if a woman begins to prepare and take drugs alone, which is fraught with disastrous consequences.

It is especially dangerous if self-medication becomes pregnant when bleeding bleeding occurs, without waiting for a definitive diagnosis and not understanding the reasons for your condition. In this case, the risk of harm to yourself and the child is even higher. However, as then, when the future mother relies only on the strength of herbs, refusing to take medication.

[3], [4], [5]

Homeopathy

It must be said that many future mothers are extremely negative about taking traditional medicines. They believe that pharmacy products with their side effects and toxic effects can harm the child. It is not surprising that with this attitude pregnant women turn to various prescriptions for alternative treatment and homeopathy, ignoring the recommendations of doctors.

In principle, no one will condemn a woman for resorting to homeopathic treatment, whose goal is to restore the body's strength, develop its potential in the treatment of various diseases. Some of the homeopathic remedies have symptoms of a miscarriage in their testimony. Here are some of them:

• Belladonna. It is used to eliminate the threat of miscarriage, helps to keep pregnancy at the beginning of a miscarriage, prevents severe bleeding after abortion.
• Kaulofillum. This medicine is prescribed for women with pathologies that provoke miscarriages in the early stages of pregnancy.
• Hamamelis. The drug is effective in relapsing bleeding during pregnancy and severe bleeding during labor, for example, with placenta previa or early detachment.
• Platinum. This remedy is also prescribed for frequent meager and severe bleeding, especially if the secretions are dark and with clots.
• Pulsatilla. This drug is prescribed as a prophylaxis for miscarriages.
• Sepia. The drug can be prescribed for uterine bleeding in the 2nd and 3rd trimester of pregnancy.

Treatment with brown discharge during pregnancy should be carried out by an experienced homeopathic doctor who understands that the use of homeopathic remedies does not exclude traditional medication, but only complements it, helping to reduce the dosage of unsafe pharmacy products. You can prescribe this treatment only after the woman is examined by a specialist and she will have an accurate diagnosis on her hands. To treat the patient, not knowing the causes of the disease and not taking into account the peculiarities of her organism, can only be a layman, but not a professional.

Forecast

Brown discharge during pregnancy is incorrectly considered a disease. This is only one of the symptoms of possible pathologies. And in some cases, when it comes to the first and third trimester of pregnancy, minor hemorrhages are even considered normal.

Make any predictions about this symptom can only be given the length of pregnancy. Allocations at 2-3 weeks after conception will most likely turn out to be normal, because it is during this period that the fetal egg is fixed in the uterus, which signals a normally developing pregnancy. But at 6-8 weeks and later for 1 trimester, excretions can have a habitual hormonal and non-standard cause.

Hormonal changes in turn can trigger the appearance of regular monthly bleeding, similar to menstrual bleeding, which is not particularly dangerous. But they also become a risk factor for miscarriage in the presence of progesterone deficiency. And the forecast of the threat of miscarriage at this time depends on the timeliness of the future mother's treatment for professional medical care. Diet, emotional and physical rest and correction of the hormonal background usually help to keep the pregnancy, preventing further exfoliation of the fetal egg and restoring the normal nutrition of the embryo.

Brown discharge during a frozen or ectopic pregnancy has an unfavorable prognosis, because in any case, such a pregnancy will have to be interrupted and the woman will need another six months or a year to restore the organism in order to make another attempt to become a mother. However, a later appeal to a doctor about an ectopic pregnancy is fraught with a rupture of the fallopian tube, in which the embryo developed, and this significantly reduces the chances of conception and a normal pregnancy in the future. Surgical treatment for brown discharge with ectopic pregnancy is the only way out of this situation.

It is extremely difficult to predict the outcome of a vesical drift during pregnancy. Doctors are inclined to the fact that such a pregnancy should be interrupted. But on the other hand, there were quite a few cases when, with partial bubble drift, women gave birth to healthy children in the time allotted for this, and in case of multiple pregnancies only one of the embryos died, while others developed normally and were fully born. However, in that case there is a rather large risk of trophoblastic disease in the future if the cells of this benign tumor penetrated the walls of the uterus and then into the vagina. Subsequently, their degeneration and the development of cancer can not be ruled out.

The prognosis of placental abruption and its presentation is also ambiguous. In itself, the presentation, although a risk factor for premature birth and death of a child during them, does not always lead to pregnancy disruption. This pathology is noted for about one in five women, and with care (rest, physical activity restriction, rest, and in some cases, bed rest), pregnancy is resolved on time and safely.

But with the placental abruption all is not so simple. Brown discharge indicates a beginning of the detachment, and more abundant red discharge will tell about its progression. But on the other hand, one should not exclude the possibility of regular appearance of scant brown discharge, which, although not considered critical, indicates that the risk of premature birth still remains, and the child risks to lag behind in development or even die from hypoxia and a lack of nutrients .

In any case, a pregnant woman with such a diagnosis should be under the supervision of doctors who decide on the stimulation of urgent labor or their delay until the period of sufficient maturation of the fetus.

Brown discharge in infections of the genital tract and inflammatory pathologies of the urinary system is not a very encouraging symptom, as it indicates a severe inflammation with damage to the tissues of the mucosa and hemorrhages. To treat such diseases it is necessary without fail.

Infections of the genital tract are especially dangerous in the first trimester, when the formation of embryo systems and organs is under way and any negative effects can cause the child to lag behind in development. The possibilities for treatment during this period are also limited, but of the two evils, doctors choose less.

As for the pathologies of the urinary system, the lack of effective treatment of pregnant women with pyelonephritis is fraught with a threat to the life of both the mother herself and her unborn baby, since inflamed kidneys, which are under enormous strain, can simply refuse.

Brown discharge on the eve of birth also requires attentive treatment from doctors. After all, if we are talking about the passage of the mucous plug, then nothing pathological in this. But you should always take into account some risk of placental abruption, especially if the presentation has been fixed. The symptom of brown secretions can not be ignored at any time, because in itself it does not speak about the nature of the causes that caused it, and it is possible to prevent the sad consequences only by means of actual treatment in each specific case.

[6], [7],

Prevention

It would seem that to avoid treatment with brown discharge during pregnancy, you just need to prevent their appearance. What could be easier? Balanced diet, moderate physical activity, positive mood, full rest, use of condoms during intercourse, etc. Should be a guarantee of normal pregnancy and the absence of pathological bleeding.

But it is not always possible to prevent the appearance of brown secretions for future mothers. It often happens that a woman leads a healthy lifestyle, is cautious in physical activities, practices proper nutrition, and pregnancy still occurs with complications. We must understand that for the future mother is also important emotional rest, which is not so easy to provide, because a pregnant woman becomes very sensitive to various changes in her body and is inclined to worry even over trifles. In addition, there are reasons of genetic or hereditary nature, which it is very difficult to combat.

And yet a pregnant woman, dreaming of having a healthy child, should do everything possible to ensure that the fetus in her womb develops normally and is born on time. If you avoid the appearance of pathological brown discharge was not possible, most importantly, do not panic and complicate the situation. In most cases, timely treatment to doctors helps save lives for both mother and her baby, and also keep a young woman's reproductive function that will enable her to become a mother in the future.

Even with the threat of pregnancy disruption there are certain preventive measures that will help reduce the likelihood of an unsuccessful outcome:

• Brown discharge is not a sentence yet, and one should try to remain calm with the help of relaxing practices or taking sedatives approved during pregnancy (the same valerian).
• Since the appearance of the symptom and up to the consultation of the attending physician, you need to observe peace and utmost care, refuse to do housework, have more rest.
• In order not to aggravate the threat, it is also necessary to refuse from bad habits (smoking, drinking alcohol, the habit of sitting at the computer, late going to sleep, etc.), which the expectant mother should ideally forget about at the time of pregnancy planning.
• If the doctor appoints a pregnant woman a bed rest, then there is a need. Some mothers have to spend in bed with their legs and pelvis up for several months, but this gives them the opportunity to save pregnancy.
• The appearance of brown secretions during pregnancy is a signal for caution. During this period, you need to abstain from sexual intercourse. And if the allocation pathological and associated with the threat of pregnancy failure, forget about sex, a woman is likely to have up to the birth of the child and recovery of the body after childbirth. That is, a woman will have to choose, and the choice is a purely individual matter. But the one who really waits for the child, and not just wears it in his womb, always makes the right choice, because the pleasure of sex is nothing compared to the life of a little man.
• Any complications of pregnancy require consultation and follow-up by the attending physician. Almost always in such a case, future mums are prescribed medications. And no matter how much the woman would like to avoid such treatment, you can not refuse it. It must be remembered that this is the lesser of evils. No alternative means will help to save pregnancy in serious situations, and even more so there is no sense in waiting for everything to be solved by itself.

Treatment with brown discharge, if they occur during pregnancy and are caused by certain violations of the health of the mother or child, is a very responsible process. Quite often to be treated and to observe the maximum care the woman falls within several weeks and months. But the birth of a healthy healthy child is a worthy reward for suffering for the mother and the doctors' efforts.