Vaginal Bleeding and Spotting in Pregnancy Guide

Vaginal Bleeding and Spotting in Pregnancy Guide

Vaginal bleeding during pregnancy is very common during the first trimester. It is probably the most talked-about concern women face in the first trimester and up to 12-14 weeks of pregnancy. Bleeding in the second and third trimester of pregnancy is a greater concern.

Implantation Bleeding

Implantation bleeding occurs shortly before the next period and about 6-12 days after fertilization/ovulation. This resembles a menstrual period. However, it is much shorter and less heavy than a normal period. It occurs after the fertilized egg has implanted into the walls of the uterus. Some women bleed only for a few hours while others may bleed for a few days.

Dealing With Vaginal Bleeding In Pregnancy

If you are pregnant and are going through vaginal bleeding, there are a few rules that you need to follow immediately:

?       Immediately begin using a pad or pantiliner to keep track of how much blood is being lost.

?       Sexual intercourse should be avoided while bleeding is occurring.

?       Never place a tampon in the vagina while pregnant or bleeding.

?       Avoid douche usage while bleeding.

?   Keep track of any other possible symptoms that may be associated with vaginal bleeding.

First Trimester Bleeding In Pregnancy

Bleeding in the first trimester and up to 12 to 14 weeks of pregnancy is pretty common and occurs in up to 1 in 2 pregnant women. It can be associated with implantation, sexual intercourse, and infection of the pelvic cavity or urinary tract. It can also be the first sign of pregnancy loss.

After sexual intercourse can lead to bleeding due to the tenderness of the cervix. After the conception, the cervix gets softened for the pregnancy. Intercourse can cause mild damage to the cervix leading to light bleeding. Often it is hard for pregnant women to determine if the blood is coming from the urinal tract of the vagina.

Possible First Trimester Complications Associated With Bleeding In Pregnancy

If bleeding in the first trimester is heavy and is accompanied by cramps and pain, it might be associated with a molar pregnancy, ectopic pregnancy, or miscarriage. You should consult your doctor immediately regarding the bleeding.

Work-Up For First Trimester Vaginal Bleeding

  1. History and Physical
  2. Vaginal speculum examination
  3. Sonogram

Second and Third Trimester Bleeding In Pregnancy

If you are bleeding in the second or third trimester of pregnancy, it is a concern for the pregnant woman. It can be because of preterm labor, placenta previa or placental abruption. All three of these conditions have similar symptoms. They can be characterized by vaginal bleeding and stomach pain. You need to contact your obstetrician for getting instructions on dealing with this bleeding.

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