Bleeding in Pregnancy

    vaginal-bleeding-pregnancy.jpgVaginal bleeding in pregnancy is far more common during the first trimester of pregnancy than many women believe. Bleeding in the second and third trimesters of pregnancy however are of far greater concern.

    Dealing With Vaginal Bleeding In Pregnancy
    No matter the trimester of the pregnancy, if bleeding occurs there are a few rules that should be followed immediately after recognizing the bleeding.

    • Immediately begin using a pad or pantiliner in order 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 the vaginal bleeding.

    First Trimester Bleeding In Pregnancy
    Bleeding during the first trimester is a fairly common occurrence. First trimester bleeding can be associated with sexual intercourse, infection of the urinary tract or pelvic cavity or implantation.

    Bleeding after sexual intercourse during pregnancy is often associated with the tenderness of the cervix. After conception occurs, the cervix softens for the duration of the pregnancy. Sexual intercourse can cause mild damage to the cervix resulting in spotting or light bleeding.

    Pregnant women most often notice bleeding when they are using the bathroom. It is hard to tell if the blood is coming from the vagina or the urinal tract. A urinary tract infection may be the cause of the bleeding and will need to be treated in order to prevent a worsening infection.

    Implantation bleeding normally occurs within the first 5 to 9 days after the fertilized egg has implanted onto the walls of the uterus. While some women may only bleed or spot for a few hours, others may bleed or spot for a few days.

    Possible First Trimester Complications Associated With Bleeding In Pregnancy
    Not all first trimester bleeding is associated with a normal condition. Bleeding can be associated with miscarriage, ectopic pregnancy, or molar pregnancy.

    Second and Third Trimester Bleeding In Pregnancy
    Bleeding in the second or third trimesters of the pregnancy is of more concern to the obstetrician and the mother-to-be. Second and third trimester bleeding can be associated with placental abruption, placenta previa, or preterm labor.

    Placental abruption, placenta previa and preterm labor all carry similar symptoms. These conditions are most often characterized by vaginal bleeding of varying amounts and abruption and labor also are associated with stomach pains. If bleeding occurs in any form after the first trimester, it is important to immediately contact the  physician on call or your obstetrician for further instruction on how to deal with the bleeding.

    Dealing with bleeding in pregnancy is certainly a concern of both the mother-to-be and the obstetrician. While some form of bleeding is expected during the first trimester of the pregnancy, once the initial 3 months of growth are over, bleeding occurring in the second and third trimesters may be a reason for further health care. At any time during the pregnancy if bleeding occurs, the doctor caring for the  mother and baby should be contacted immediately.