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Bleeding during second half of pregnancy may pose a threat to the health of the woman or the fetus. Cervical ectropion – slight changes to the cervix can cause harmless bleeding and spotting in the second trimesters. In most cases miscarriages occur in the first trimester but some do happen in the later stages of pregnancy (though it’s very uncommon for it to happen after 30 weeks). Placenta previa occurs when the placenta lies low in the uterus partly or completely covering the cervix and blocks the entrance to the cervix. Placenta previa occurs quite rarely (1 in 200 pregnancies), it is an emergency situation that requires instant medical attention. Vaginal bleeding may be caused by the placenta detaching from the uterine wall before or during labor. Vaginal bleeding in the later months of gestation might simply be an indication that one’s system is readying itself for delivery.
In atypical situations, scar from an earlier Cesarean section could rip apart during gestational period, having life-menacing outcomes and necessitate an emergency Cesarean section. This is a rather uncommon condition wherein blood vessels of the growing fetus in the placenta or umbilical cord appear to have crossed the parturient canal aperture. Other reasons that could be causing bleeding during late pregnancy are vaginal or cervical injury, polyp formations or cancer.

Aspirin and ibuprofen such as Motrin and Advil usually aren’t recommended during pregnancy. However sometimes low doses of aspirin is prescribed during pregnancy to treat certain medical conditions. Unusual bleeding in the second or third trimester of pregnancy might be graver since it could be an indication of maternal-fetal related problems for which prompt medical assistance could be needed.
It can be pain free but the pain from an abruption can be difficult to endure, especially if the blood is being forced back into the muscles of the uterus. A plug that covers the opening of the uterus during pregnancy is passed just before or at the start of labor. Although it can be quite alarming when it happens, it’s also cause for celebration – your baby is finally on its way! A couple of days or weeks prior to the onset of labor, the mucus plug covering the uterine opening would be passed out from the vagina and it would generally have miniscule levels of blood present in it, also called as the blood-gore show. Vasa previa could be risky for the fetal health since the blood vessels could rip apart thus eliciting severe bleeding in the fetus and oxygen loss. The instances of bleeding in the second half of pregnancy significantly differ from the ones in early pregnancy. Placenta abruption is bleeding diagnosed normally after 22 weeks gestation and involves the placenta detaching itself from the inside of the uterus.

In most cases the placenta moves up in pregnancy but if it remains low, you may be advised to have a Cesarean section. In case bleeding and signs of labor commence prior to thirty-seven week of gestation, it could means a woman may be in preterm labor.
Therefore  taking aspirin at 32 weeks of pregnancy and after can contribute to maternal and fetal bleeding.
Taking low doses of this medication  during mid and late pregnancy can also reduce the risk of premature birth and low birth weight which may result from preeclampsia. It can happen suddenly after a trauma or if the size of the uterus is reduced (for example when your waters break).
This can lead to high blood pressure in the baby’s lungs ( pulmonary hypertension ) and prolonged labor. Only 1% of pregnant women have this problem, and it usually occurs during the last 12 weeks of pregnancy.

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