Why Am I Bleeding During Pregnancy?

What causes bleeding during pregnancy? Learn about what is normal and when to worry about spotting in pregnancy.

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“Hi, I’m bleeding fresh blood and I’m 15 weeks pregnant. What does this mean?”

Bleeding during pregnancy is a common concern for expectant mothers. It can be scary, but it’s not a cause for alarm most of the time.

Bleeding is one of the first signs of labour and can happen between 20 and 40 weeks. It can also be caused by other factors such as an irregular heartbeat, a tear in your cervix, or an infection.

The good news is that bleeding during pregnancy doesn’t always mean you’re having contractions—it could be normal vaginal discharge or menstruation-like bleeding.

Types of Pregnancy Bleeding

Vaginal bleeding during pregnancy can be a cause for concern, but it’s essential to understand that not all bleeding indicates a serious issue. Learning about the different types of vaginal bleeding can help expectant mothers better comprehend their situation and make informed decisions. Here are four types of vaginal bleeding that can occur during pregnancy:

  1. Implantation Bleeding

During early pregnancy, some women experience light spotting or bleeding known as implantation bleeding. This occurs when the fertilised egg attaches itself to the uterus lining. Implantation bleeding is usually light in flow and may appear as light pink or brown discharge.

  1. Vaginal Bleeding

Vaginal bleeding during pregnancy refers to any bleeding from the vagina that occurs after implantation. It can vary in severity, ranging from light spotting to heavy bleeding. Vaginal bleeding might be a sign of various causes, including hormonal changes, infections, or complications like miscarriage or placental problems.

  1. Bleeding After Intercourse

Some women may experience vaginal bleeding after sexual intercourse during pregnancy. This type of bleeding is typically harmless and occurs due to increased blood flow to the cervix. However, it is crucial to consult with a healthcare provider to rule out any underlying concerns.

  1. Heavy Bleeding or Hemorrhage

Although uncommon, heavy bleeding or haemorrhage during pregnancy requires immediate medical attention. It may indicate a more severe condition, such as placental abruption, placenta previa, or uterine rupture. Heavy bleeding is typically accompanied by severe pain and should not be ignored.

Remember, each pregnancy is unique, and it is crucial to consult with a healthcare provider if you experience any type of vaginal bleeding during pregnancy.

Is Bleeding During Pregnancy Common 

Bleeding during pregnancy is common, but it can be scary! It’s important to know that vaginal bleeding during pregnancy is often unrelated to serious complications or problems.

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About half of all pregnant women will experience some type of bleeding during their pregnancies, such as vaginal spotting, brown discharge from the vagina, or red blood. While these types of bleeding are typically harmless, it’s always important to consult your doctor if you notice changes in your normal menstrual cycle.

When Is It Normal To Bleed During Pregnancy?

Bleeding during pregnancy is typically no cause for alarm. If you experience bleeding, it’s important to know that it’s not always a sign of something serious—it could be an early sign of miscarriage or an indication that your placenta has detached from the uterine wall.

While this type of bleeding can be scary, it’s usually nothing to worry about and, in most cases, will resolve itself within a week or two.

How Much Bleeding Is Normal in Early Pregnancy

Bleeding in early pregnancy is normal. It may be spotting, heavy bleeding, or brownish discharge.

Suppose you have bleeding in the first trimester. In that case, it’s important to see your doctor immediately so your healthcare provider can check for an ectopic pregnancy (a pregnancy outside the uterus) and other complications.

The amount of bleeding at 8 weeks pregnant will affect how your doctor interprets the cause of the bleeding.

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Light spotting or brownish discharge may signify implantation bleeding and is not uncommon in early pregnancy. Implantation bleeding happens when the fertilised egg attaches itself to the wall of your uterus and bleeds slightly. The amount of blood loss varies from woman to woman, but some women report spotting while others experience heavier bleeding similar to their period.

What Causes Bleeding During Pregnancy

It’s normal to spot some in the early weeks of pregnancy, but if you’re spotting more than one or two days in a row, it could be a sign that something is wrong. There are a few reasons why you might be bleeding during this time:

  • Implantation bleeding

Implantation bleeding, which usually causes excitement and relief, can be tricky to interpret. It’s not uncommon to appear similar to a period, especially at the beginning of a pregnancy or when it’s light. Ultimately, it’s highly unlikely you are pregnant three weeks after conception. Extra evaluation is recommended if you have been trying for an extended period with no results.

  • Hormonal Changes

Hormonal fluctuations during pregnancy can occasionally lead to vaginal bleeding. Changes in hormone levels can affect the blood vessels in the cervix, resulting in light bleeding. Hormonal bleeding is often minimal and not accompanied by severe pain or cramping.

  • Miscarriage

If your bleeding is heavy and lasts longer than two weeks, it could mean you’re having a miscarriage. This is a common occurrence in early pregnancy, but if this is happening to you, see your doctor as soon as possible so they can help you decide what steps to take next.

  • Infections

Certain infections, such as urinary tract infections or sexually transmitted infections, can cause vaginal bleeding during pregnancy. Infections can irritate the cervix or lead to inflammation, resulting in spotting or light bleeding. If you suspect an infection, it is crucial to seek medical attention promptly.

  • Ectopic pregnancy

An ectopic pregnancy occurs when an embryo implants outside the uterus (usually in one of the fallopian tubes), which can cause heavy bleeding and pain in early pregnancy. If this happens to you and isn’t treated immediately, it can lead to serious complications and even death! Make sure you get checked out by your doctor ASAP if they suspect an ectopic pregnancy.

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  • Placenta Previa

When the placenta grows low in the uterus and covers all or part of the cervix, it’s called placenta previa. This can cause light spotting or bleeding, especially when you’re more active or have an orgasm. If you’re experiencing this kind of bleeding, contact your doctor immediately.

Pregnancy bleeding

Can Stress Cause Bleeding During Pregnancy?

Yes, stress can cause bleeding during pregnancy.

Bleeding during pregnancy is not always normal, so check in with your doctor or midwife if you notice anything unusual. However, if you’re having a healthy pregnancy, most bleeding is caused by something minor—like a haemorrhoid or vaginal infection—and will go away without treatment.

In some cases, however, stress may be blamed for bleeding during pregnancy. Stress can cause your body to release adrenaline into your bloodstream, which can increase blood flow and cause excess bleeding.

If you’re experiencing any unusual bleeding during your pregnancy and need help determining whether it’s normal or not, contact your doctor or midwife immediately!

What Does Chemical Pregnancy Bleeding Look Like

Chemical pregnancy bleeding is a type of spotting that occurs during the first few weeks of pregnancy. It happens when the fertilised egg implants into the uterine wall but then dislodges before it can attach fully.

Chemical pregnancy bleeding usually looks like a pinkish or brownish discharge that’s heavier than your usual period but lighter than a period you’d have if you were pregnant.

This type of bleeding signifies that you might be pregnant, but it’s not conclusive evidence. It can also result from an early miscarriage or non-pregnancy-related conditions like an infection or trauma to your reproductive organs.

Your doctor can give you more information about what chemical pregnancy bleeding looks like and how long it lasts—but if you’re worried about anything going on with your body or health, don’t wait to see them!

The symptoms of chemical pregnancy bleeding may include:

  • Extremely light vaginal bleeding (you might not even notice it)
  • Light spotting (you might need to change your pad once or twice)
  • Pinkish or brown discharge

Spotting During Pregnancy

What Is Spotting

Spotting is a common symptom of ovulation. A small amount of blood comes from the vagina, usually pink or brownish. Spotting can last up to two days, but it will stop as soon as you ovulate.

Spotting results from the release of an egg from your ovaries, so it’s common to experience spotting right before or during ovulation. You might also notice that your breasts become sore, swollen, or tender when you’re about to ovulate.

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It can be alarming when you experience spotting during pregnancy, but it’s usually nothing to worry about.

Spotting is common for the first few months of pregnancy and is caused by normal changes in your cervix and uterus. Your cervix is dilated, which means it has opened up to allow your baby to pass through. You may also experience cramping as your body adjusts to this new position.

Spotting vs Bleeding

Spotting during pregnancy refers to light vaginal bleeding that can occur at various stages of pregnancy. It is often lighter and shorter in duration compared to heavy bleeding. Spotting may be caused by implantation bleeding, hormonal changes, cervical changes, or minor irritations of the cervix.

On the other hand, bleeding during pregnancy refers to a more significant flow of blood and can be a cause for concern. Heavy bleeding during pregnancy may indicate a miscarriage, ectopic pregnancy, molar pregnancy, or other complications. It is crucial to consult with a healthcare provider if you experience any bleeding during pregnancy for proper evaluation and guidance.

If you are experiencing spotting for more than two days in a row, if the bleeding is heavy or if you have other symptoms such as abdominal pain, fever or chills, contact your doctor immediately.

Spotting vs Period

Spotting refers to light vaginal bleeding that occurs outside of the regular menstrual cycle, while a period refers to the normal bleeding that women experience during their menstrual cycle.

Spotting is typically lighter in flow and duration compared to a regular period. It may appear as small amounts of blood or pink or brown discharge. On the other hand, a period involves a more substantial flow of blood that usually lasts for 4 to 7 days. The timing, duration, and intensity of bleeding can help distinguish between spotting and a period.

Other Symptoms to Watch Out for with Vaginal Bleeding During Pregnancy

Experiencing vaginal bleeding while pregnant can be concerning, and it is essential to pay attention to additional symptoms that may accompany it. 

  1. Severe Abdominal Pain: Severe abdominal pain that is persistent and worsening should not be ignored in this case. It may indicate a potential complication, such as an ectopic pregnancy, miscarriage, or placental abruption. Seek immediate medical attention if you experience intense abdominal pain alongside bleeding.

  2. Dizziness or Fainting: Feeling dizzy or lightheaded, or experiencing episodes of fainting, can be alarming when accompanied by vaginal bleeding during pregnancy. These symptoms may indicate significant blood loss or anaemia. Contact your healthcare provider promptly if you experience these signs.

  3. Backache or Pelvic Pressure: Persistent backache or intense pelvic pressure can be additional symptoms to watch out for when experiencing vaginal bleeding during pregnancy. These symptoms may suggest a possible miscarriage or preterm labour. Inform your healthcare provider promptly if you notice these discomforts.

  4. Changes in Foetal Movement: If you notice a significant decrease or absence of foetal movement along with vaginal bleeding during pregnancy, it is essential to contact your healthcare provider. Changes in foetal movement can sometimes indicate foetal distress or other complications that require medical attention.

  5. Clotting or Tissue Passage: Passing clots or tissue through the vagina during vaginal bleeding is a significant concern during pregnancy. It may suggest a miscarriage or other pregnancy-related complications. Inform your healthcare provider immediately if you notice clotting or tissue passage.

  6. Fever or Chills: The presence of fever or chills in conjunction with vaginal bleeding during pregnancy can be a sign of infection. Infections can pose risks to both the mother and the baby. Contact your healthcare provider promptly if you experience fever or chills.

Image Source: iStock

Treatment for Bleeding During Pregnancy

Experiencing bleeding during pregnancy can be a cause for concern, but it’s important to remember that not all instances of bleeding indicate a serious problem. However, it’s essential to seek medical advice and get a proper evaluation to ensure the well-being of both the mother and the baby.

Here are some key points to know about the treatment options for bleeding during pregnancy.

  • Consult your healthcare provider

If you experience any bleeding during pregnancy, it’s crucial to reach out to your healthcare provider promptly. They will assess your symptoms, perform a physical examination, and may recommend additional tests or procedures to determine the cause of the bleeding.

  • Rest and limited activity

In many cases, the initial treatment for bleeding during pregnancy is rest. Your healthcare provider may advise you to take time off work, stay off your feet, and avoid engaging in activities that could exert undue pressure on your body.

  • Avoid sexual intercourse and douching

During pregnancy, it’s important to avoid sexual intercourse and douching if you experience bleeding. These activities can potentially worsen the bleeding or introduce infections, which may pose risks to the pregnancy.

  • Treatment for Rh-negative blood type

If you have Rh-negative blood type, your healthcare provider may recommend treatment with a medicine called Rho(D) immune globulin to prevent complications with future pregnancies.

  • Hospital stay or surgical procedure

In cases of heavy bleeding, a hospital stay or a surgical procedure may be necessary. Your healthcare provider will determine the appropriate course of action based on the severity and underlying cause of the bleeding.

How to Prevent Bleeding During Pregnancy

Bleeding during pregnancy can be a cause for concern, but there are steps you can take to minimize the risk. It’s important to remember that each pregnancy is unique, so always consult with your healthcare provider for personalized advice and guidance. Here are some general tips to help prevent bleeding during pregnancy.

  1. Take precautions during intercourse: Be gentle during sexual activity to reduce the risk of irritation or injury that may lead to bleeding.

  2. Practice good hygiene: Maintain proper hygiene to prevent infections, as some infections can cause vaginal bleeding during pregnancy.

  3. Avoid activities that may strain your body: Engaging in heavy lifting or rigorous physical activities can increase the risk of bleeding. Be mindful of your body’s limits and avoid excessive strain.

  4. Manage stress: Stress can have physical effects on the body, so try to find healthy ways to manage stress levels during pregnancy. Engaging in relaxation techniques or seeking support can help reduce the likelihood of bleeding caused by stress.

  5. Follow your healthcare provider’s advice: Attend all prenatal appointments and follow the guidance provided by your healthcare provider. They will monitor your pregnancy and provide specific recommendations based on your unique circumstances.

Remember, it’s important to consult with your healthcare provider if you experience any bleeding during pregnancy. They will assess your situation and provide appropriate medical care to ensure the well-being of both you and your baby.

If you noticed bleeding while pregnant, your first thought might have been that you’ve miscarried. But bleeding during pregnancy may not be a bad thing. Whether or not you’re concerned about bleeding during pregnancy, it’s always a good idea to investigate whether it could be something more serious. Do not hesitate to contact your doctor in any case. 

Image Source: iStock

 
Here at theAsianparent Singapore, it’s important for us to give information that is correct, significant, and timely. But this doesn’t serve as an alternative for medical advice or medical treatment. theAsianparent Singapore is not responsible for those that would choose to drink medicines based on information from our website. If you have any doubts, we recommend consulting your doctor for clearer information.

Written by

Pheona Ilagan