Bleeding During Pregnancy
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Bleeding is common throughout pregnancy, particularly during first trimester, and it is typically nothing to be concerned about. However, since bleeding might be an indication of anything more severe, it is crucial to understand the reasons and get medical attention to ensure that you and your fetus are both healthy.
Pregnancy Bleeding During the First Trimester
Within the first 12 weeks, of pregnancy around 20% of women experience some bleeding. Bleeding in the first trimester may be caused by a variety of factors, including:
Bleeding during the implant procedure
During the first 6 to 12 days following conception, you may see some typical spotting while the fertilized egg floats itself in the uterine lining. Because some women confuse this bleeding for mild menstruation, they are unaware that they are pregnant. Bleeding is usually fairly mild and lasts anywhere from very few hours to days.
Miscarriage is a term used to describe the loss of pregnancy because miscarriage occurs most often within the first 12 weeks of gestation; it is one of the most prevalent causes of first trimester bleeding. However, bleeding in the first trimester does not always signal you have lost the fetus or are about to miscarry. In fact, if a pulse can be found on ultrasound, almost 90% of women who have vaginal bleeding in the first trimester will not miscarry.
Strong cramping inside the lower abdomen & tissue flowing into the vaginal canal is further signs of miscarriage.
Ectopic pregnancy is a term used to describe a pregnancy that occurs outside the fertilized embryo implants outside the uterus, generally in the fallopian tube, in an ectopic pregnancy. If the embryo continues to develop, the fallopian tube may rupture, putting the mother’s life in jeopardy. Ectopic pregnancy is a potentially deadly condition that occurs in roughly 2% of pregnancies.
Strong cramping, discomfort inside the lower abdomen, or lightheadedness are further signs of an ectopic pregnancy.
Pregnancy in the uterus (also known as gestational trophoblastic)
This is an extremely unusual disorder in which aberrant tissue rather than a baby forms within the uterus. The tissue may be malignant and spread to other regions of the body in rare situations.
Severe vomiting and nausea, as well as fast uterine growth, are further signs of molar pregnancy.
Other reasons of early pregnancy bleeding include:
- Changes in the cervical region: Extra blood rushes to the cervix during pregnancy. Bleeding may be triggered by intercourse or Pap test, both of which create contact with the cervix. This sort of bleeding is not anything to be concerned about.
- If there is an infection. In the first trimester, any infection of cervix, vagina, or sexually transmitted illness (such as chlamydia, gonorrhoea, or herpes) may cause bleeding.
During the second and, third trimesters:
Excessive bleeding in the late pregnancy is potentially more dangerous since it might indicate a problem with the mother or the foetus. If you feel bleeding in second or third trimester, call the doctor as soon as possible.
Bleeding in the late pregnancy may be caused by a variety of factors, including:
When the placenta rests low within the uterus and partly or fully blocks the entrance of the birth canal, this syndrome develops. In late third trimester, placenta previa is extremely uncommon, occurring in just one out of every 200 pregnancies. Bleeding placenta previa, that might be painless, is a medical emergency that has to be treated right away.
Abruption of the placenta
The placenta separates from the uterine wall before or during childbirth in roughly 1% of pregnancies, and blood collects between placenta and the uterus. Both, the mother and the infant are at risk when the placenta abrupts.
Abdominal discomfort, vaginal clots, a painful uterus, and back discomfort are all indications and indications of placental abruption.
Uterine rupture occurs when the uterus ruptures. A scar from a prior C-section might rip open during pregnancy in rare situations. A life-threatening uterine rupture necessitates an emergency C-section.
Pain and discomfort in the abdomen are other signs of uterine rupture.
The growing baby’s blood arteries in umbilical cord or placenta bridge the entrance of the birth canal in this very unusual disorder. Vasa previa is very harmful for the newborn because the blood arteries might rupture apart, causing serious bleeding and oxygen deprivation.
Abnormal foetal heart rate and heavy bleeding are other symptoms of vasa previa.
Late-pregnancy vaginal bleeding might be a sign that a body of person is preparing to give birth. The mucus plug which covers the entrance of uterus will pass out of vagina a few days or the weeks before labour starts, and it will normally include tiny quantities of blood (“bloody show”). If you start bleeding and experiencing labour symptoms before 37 completed weeks of gestation, you could be in premature labour.
Contractions, vaginal discharge, stomach pressure, and a lower back soreness are all signs of premature labour.
Other reasons of late-pregnancy bleeding include:
- Cervical or vaginal injury
- Polyps are a kind of growth.
What to do if someone have Abnormal Pregnancy Bleeding
Call your doctor if you have vaginal bleeding in either trimester since this might indicate a problem. Wear a pad to keep note of how much blood you are losing and the sort of blood you are losing. Any tissue that goes through the vaginal canal should be examined by a doctor. While you are bleeding, do not use tampons or even have intercourse. Your doctor may advise you to take a rest as much as possible and avoid strenuous activity and travel.
You can expect to have an ultrasound performed to determine the reason for your bleeding. Ultrasounds of the vaginal and abdominal regions are often combined as part of a comprehensive examination.
If you experience the following indications, which might indicate a miscarriage or any other major condition, take quick action:
- Severe discomfort or cramping in the lower abdomen
- Severe bleeding (painful or not)
- Tissue-laden discharge from the vaginal canal
- Feeling dizzy or faint
A fever of 100.4 degrees Fahrenheit or higher, as well as chills
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