Should I See my OB-GYN about Vaginal Bleeding during my Pregnancy?
If you’re concerned about vaginal bleeding during your pregnancy, even if it is during the first trimester, please do not hesitate to make an appointment with us. We can perform a pelvic exam and ultrasound, and we may need to order other diagnostic tests. Be prepared for your doctor to ask how much bleeding you’ve had and if you’ve experienced any pain. A complete history will be taken.
Miscarriage and Vaginal Bleeding
Miscarriages occur most often in the first 13 weeks of pregnancy. An estimated 1 out of 5 pregnancies will end in miscarriage.
Many miscarriages present with severe cramping, vaginal bleeding, and/or vaginal bleeding with clots. However, some miscarriages don’t involve any cramping, and sometimes, vaginal bleeding occurs on its own without signaling a miscarriage.
The bottom line is, if you’re experiencing any bleeding, try not to panic. There are many reasons why you may have vaginal bleeding – some are serious, and some are no cause for concern. Call us as soon as you can so we can talk about your symptoms.
Other Causes for Vaginal Bleeding During Pregnancy
If the cervix is inflamed or has developed cervical growths, you may experience some light vaginal bleeding. Prescription medication and certain procedures can treat both of these conditions.
When the placenta develops and covers the cervical opening, you might experience some bleeding. The problem can resolve itself, or the doctor may recommend a Cesarean delivery.
If the placenta separates from the uterine wall before labor, you may experience pain and heavy vaginal bleeding. This condition requires immediate medical help, as problems with the placenta could prevent the flow of oxygen to your baby.
When a fertilized egg implants in the fallopian tubes instead of in the uterus, what results is a dangerous and painful condition called ectopic pregnancy. The fallopian tube could rupture as a result of the implanted egg, causing massive internal bleeding, weakness, fainting, shock, pain, or even death. An ectopic pregnancy requires immediate professional treatment.
Vaginal Bleeding and Labor
Towards the end of your pregnancy, vaginal bleeding might signal labor. The bloody mucus expelled just before beginning labor is called “bloody show” and is fairly normal within three weeks of your due date.
Pre-term labor. If you have “bloody show” earlier than three weeks before your due date, you may be going into pre-term labor, especially if you’re also experiencing:
- Increase or new type of vaginal discharge (mucus, bloody, or watery)
- Pressure in the lower abdomen
- Lower back aches
Please call your doctor right away if you think you are going into pre-term labor.