If you bleed in early pregnancy it does not always mean that you are having a miscarriage; in fact it is quite common. Show
One in four women will bleed in early pregnancy, many of whom go on to have a healthy baby. However, if you have any bleeding at any time during your pregnancy, contact a health professional, so that appropriate investigation and treatment can be started. Miscarriage and ectopic pregnancy (where the fetus is growing inside the fallopian tube) can both cause bleeding. It is also possible that you will have tests and investigations but the reason for your bleeding will not be found. Investigating early bleedingYour doctor is likely to begin with an internal examination to feel the size of your uterus and to look for any obvious visible sign of bleeding. UltrasoundAfter about six weeks of pregnancy the baby’s heart beat can usually be seen on ultrasound. If you have been bleeding, you will likely be offered a vaginal ultrasound because it offers the best possible view of your pregnancy. A vaginal ultrasound is a narrow probe, which is put inside the vagina; it feels much like an internal examination and is quite safe. Before six weeks, the embryo is so small that it can be very difficult to see its heartbeat. An ultrasound this early is not likely to give any definite answers about the future of the pregnancy. The benefit of an early ultrasound is that it may locate a pregnancy that is growing in the fallopian tubes (an ectopic pregnancy). An ectopic pregnancy is very serious and if found you will be treated immediately. If a heartbeat is found during an ultrasound it is likely that your pregnancy will continue with no further problems. Your chances of having a miscarriage in this scenario are less than one in twenty. The ultrasound can also show if a pregnancy has stopped growing. Sometimes it is also possible to see that a miscarriage has begun and that some of the pregnancy tissue has been passed out of the uterus. Blood testsA blood test can measure the level of the pregnancy hormone hCG (human Chorionic Gonadotrophin), which changes depending on how pregnant you are.
DisclaimerThe Women’s does not accept any liability to any person for the information or advice (or use of such information or advice) which is provided on the Website or incorporated into it by reference. The Women’s provide this information on the understanding that all persons accessing it take responsibility for assessing its relevance and accuracy. Women are encouraged to discuss their health needs with a health practitioner. If you have concerns about your health, you should seek advice from your health care provider or if you require urgent care you should go to the nearest Emergency Dept. Spotting is when you see a light or trace amount of pink, red or dark brown blood. It will be lighter than your menstrual period and there won’t be enough blood to cover a panty line. Spotting during pregnancy isn’t always a sign that something is wrong. It’s actually a common concern that many pregnant women experience during their first 12 weeks of pregnancy. The majority of women who experiencing spotting during pregnancy go on to have a healthy pregnancy and baby. Spotting During Pregnancy Versus BleedingVaginal bleeding during pregnancy is any discharge of blood from the vagina. It can happen anytime from conception (when the egg is fertilized) to the end of pregnancy. Light bleeding, or spotting, during pregnancy is common, especially during the first trimester. It is considered spotting when you notice a few drops of blood occasionally in your underwear, or if you wipe yourself with tissue and see a little blood on the paper. There should not be enough blood to fill a panty liner. Bleeding is a heavier flow of blood. With bleeding, you will need a liner or pad to keep the blood from soaking your clothes. Whether you are bleeding or spotting, it is best to contact your healthcare provider and describe what you are experiencing. What Causes Spotting During Pregnancy?Implantation bleeding is a common cause of spotting early on in pregnancy. Implantation bleeding happens when the fertilized egg attaches to the uterine lining. This can trigger a few days of light bleeding or spotting. This spotting occurs before a woman even knows she is pregnant and is often mistaken as a pending period. Bleeding that occurs after the day a woman expects her period is typically too late to be considered implantation bleeding, and is more likely related to early pregnancy in general. Another common cause of spotting is a cervical polyp (a harmless growth on the cervix), which is more likely to bleed during pregnancy due to higher estrogen levels. This may occur because there is an increased number of blood vessels in the tissue around the cervix during pregnancy. As a result, contact with this area (through sexual intercourse or a gynecological exam, for example) can cause bleeding. Even without the presence of a cervical polyp, there are a few things that may cause some spotting in the couple days after:
When to Worry About Spotting During Pregnancy?Spotting or bleeding during pregnancy is not expected and may be abnormal, but it is not always a cause for concern. However, it is important to contact your healthcare provider to discuss the symptoms you are experiencing. The good news is that 50% of women with bleeding during pregnancy go on to have a healthy pregnancy and a healthy baby. Any spotting or bleeding in the second or third trimesters should be reported to your healthcare provider immediately. In the first trimester, spotting is somewhat more common, but should also be reported to your doctor or midwife. Call your obstetrician especially if you notice heavy bleeding similar to a menstrual period to make sure the bleeding is not a result of pregnancy complications, such as an ectopic pregnancy. Abnormal bleeding in late pregnancy may be more serious because it can signal a complication with you or your baby. Call your doctor as soon as possible if you experience any bleeding in your second or third trimester. Your healthcare provider will most likely check for cervical polyps, and make sure your cervix is closed. To help manage your spotting during pregnancy and to increase the probability of continuing with a healthy pregnancy, your healthcare provider may encourage you to do the following:
Remember, the good news is the majority of women who experience spotting during pregnancy go on to have a healthy pregnancy. However, do not let this fact keep you from contacting your healthcare provider. It is important to discuss spotting and bleeding with your doctor. Want to Know More?
Compiled using information from the following sources: 1. Mayo Clinic Guide to a Healthy Pregnancy, New York, NY: HarperCollins Publishers Inc. 2. Obstetrics and Gynecology: The Essentials of Clinical Care. New York, NY: Thieme New York 3. Danforth’s Obstetrics and Gynecology, Ninth Ed. Scott, James et al., Ch. 17 4. Williams Obstetrics, Twenty-Second Ed. Cunningham, F. Gary et al., Ch. 51
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During the first trimester (weeks one through 12): Tell your health care provider at your next prenatal visit if you have spotting or light vaginal bleeding that goes away within a day. Contact your health care provider within 24 hours if you have any amount of vaginal bleeding that lasts longer than a ...
Does bleeding at 8 weeks mean miscarriage?If you bleed in early pregnancy it does not always mean that you are having a miscarriage; in fact it is quite common. One in four women will bleed in early pregnancy, many of whom go on to have a healthy baby.
How much spotting is too much spotting in first trimester?If you experience anything more than light bleeding (spotting) or your bleeding lasts longer than 24 hours, you should contact your healthcare provider right away. Bleeding is not always a sign that something is wrong, but heavy bleeding or bleeding that's accompanied by pain might indicate a complication.
When should spotting be a concern in pregnancy?2nd trimester
Contact your health care provider immediately if you have any amount of vaginal bleeding that lasts longer than a few hours or is accompanied by abdominal pain, cramping, fever, chills or contractions.
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How much spotting is normal at 8 weeks
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