How to take care of low progesterone and vaginal bleeding at 45 days of pregnancy?

The progesterone test value at 45 days of pregnancy is 76.4±23.7nmol, but some patients have low progesterone values ​​at 45 days of pregnancy, and are also accompanied by vaginal bleeding. Many patients worry about miscarriage, so they will use many methods to preserve the fetus, hoping to retain the fetus, but they are afraid that excessive medication will affect the health of the fetus and cause fetal malformations. So, how to care for low progesterone values ​​and vaginal bleeding at 45 days of pregnancy? Let's learn about it together.

It is normal to have low progesterone levels in early pregnancy. After ovulation, if the egg is fertilized, the corpus luteum continues to secrete progesterone. Starting from the 7th week of pregnancy, the placenta secretes progesterone in an amount that exceeds the corpus luteum of the ovary. When placental function declines during pregnancy, progesterone levels in the blood decrease. In case of ectopic pregnancy, the progesterone level is low. If the progesterone level is >78.0nmol/L (25ng/ml), ectopic pregnancy can be basically ruled out. If the single progesterone level is ≤15.6nmol/L (5ng/ml), it indicates a stillbirth. During threatened miscarriage, if the progesterone level shows a downward trend, miscarriage may occur. The individual differences in urinary pregnanediol excretion during pregnancy are large, making it difficult to estimate placental function. Therefore, patients should take measures to preserve the fetus.

Pregnancy preservation can only be performed if the embryo is alive. Indications for embryo survival are the presence of early pregnancy reactions, positive urine pregnancy test, positive blood chorionic gonadotropin, improvement or disappearance of the patient's symptoms, such as reduced abdominal pain, reduced or stopped vaginal bleeding, early B-ultrasound examination showing fetal bud development and fetal heart reflexes, the uterus enlarging with the months of pregnancy, fetal movements observed after 12 weeks of pregnancy, and the increase in the sheep's horizontal plane with the months of pregnancy. And multiple consecutive examinations are required to confirm that the fetus is alive.

Methods to keep the fetus: miscarriage is likely to occur in the following two stages, but as long as the method is correct, the baby can be kept. Early miscarriage mainly refers to abdominal pain and vaginal bleeding that occur in expectant mothers before 12 weeks of pregnancy. The main symptoms are light vaginal bleeding and mild lower abdominal pain.

Methods of keeping the fetus:

1. Rest in bed. Rest safely in bed, even eating and defecating must be done in bed. During this period, the most important thing for expectant mothers is to relax and not be nervous.

2. Avoid sexual intercourse. Mothers must avoid sexual intercourse during the early and late stages of pregnancy.

3. Take pregnancy-preserving medicine under the guidance of a doctor. Appropriate oral sedatives, such as luminal and chlordiazepoxide. For those with abdominal pain and heaviness, give 4.8 mg of salbutamol 3 times a day. For those with luteal insufficiency, inject 20 mg of progesterone daily. Secondly, vitamin E and thyroxine powder (suitable for those with hypothyroidism) can be used as a supplement. At the same time, you can also make use of the successful experience of traditional Chinese medicine and use traditional Chinese medicine to protect the fetus.

4. During the entire pregnancy, expectant mothers should get adequate rest, avoid strenuous exercise, do not climb high, do not stand for a long time, exert force or overwork, do not squat for a long time, do not frequently do lifting or stretching movements, and do not ride a bicycle.

Progesterone at 45 days of pregnancy is caused by many reasons, such as ectopic pregnancy and other heterozygous pregnancies. When the patient has low progesterone levels and vaginal bleeding at 45 days of pregnancy, do not panic. Go to the hospital for a routine gynecological examination first to find the cause and treat it. If appropriate, you can preserve the fetus. If there is a problem with the gestational sac, the pregnancy must be terminated in advance to avoid more serious things from happening.