04.02.2014

Pregnancy bleeding

The most common symptom of placenta previa is vaginal bleeding that is bright red and not associated with abdominal tenderness or pain, especially in the third trimester of pregnancy. Although ultrasound may show a low-lying placenta in early pregnancy, only a few women will develop true placenta previa. Placental abruption is dangerous because of the risk of uncontrolled bleeding (hemorrhage). The most common symptom of placental abruption is dark red vaginal bleeding with pain during the third trimester of pregnancy.
The diagnosis of placental abruption is usually made by the symptoms, and the amount of bleeding and pain. Grade 1 - small amount of vaginal bleeding and some uterine contractions, no signs of fetal distress or low blood pressure in the mother.
Grade 2 - mild to moderate amount of bleeding, uterine contractions, the fetal heart rate may shows signs of distress. Grade 3 - moderate to severe bleeding or concealed (hidden) bleeding, uterine contractions that do not relax (called tetany), abdominal pain, low blood pressure, fetal death.
Many women experience vaginal bleeding at some point in their pregnancy, especially in the first trimester when the pregnancy is just beginning. Also keep track of other characteristics of the bleeding, such as whether it is painful or painless, and intermittent or constant bleeding. If the bleeding does not stop or diminish with rest, it is important to see your doctor for a more detailed assessment. You should limit your physical activities and avoid heavy work for at least two weeks after the bleeding stops. If you experience bleeding during pregnancy, you should avoid intercourse until your doctor tells you it's safe.
Bleeding is actually quite common in the first trimester (in the first 12 weeks of pregnancy) and occurs for about 20-30% of women.
In 50% of cases of vaginal bleeding within the first 20 weeks of pregnancy, it indicates that a miscarriage is occurring. Bleeding later in pregnancy (in the second or third trimester) is more likely to be worrisome. Calculate your due date and consider whether or not your bleeding could mean that your labor has started. Regardless of how light the bleeding is, you should avoid heavy work for a few days and meticulously monitor the amount of bleeding. Bleeding often occurs as the lower part of the uterus thins during the third trimester of pregnancy in preparation for labor.
Once placental abruption is diagnosed, a woman's care depends on the amount of bleeding, the gestational age, and condition of the fetus. In many cases (especially early on, and if the bleeding is minimal) this can be completely normal.
It is very important to have an idea about the amount of blood loss during an episode of bleeding.


Bleeding correlates to fluid loss so you will need to drink more than your normal to stay hydrated. These include the possibility of "ectopic pregnancy" (the baby has implanted in the fallopian tubes rather than the uterus), "molar pregnancy" (a rare condition in which abnormal tissue grows inside your uterus rather than a fetus), or a miscarriage. If you are bleeding very little (only a few drops), the blood is brown in color, it lasts less than one or two days, and is not associated with pain or cramps, then you can usually ignore it. Bleeding accompanied by fever usually indicates an infection, such as infection in your uterus following natural miscarriage or abortion.
Regardless of what caused vaginal bleeding (whether it was a miscarriage, an ectopic pregnancy outside the uterus, an infection, or the onset of labor), it will have caused significant stress to your body. The time of bleeding in the pregnancy, the amount, and whether or not there is pain may vary depending on the cause. It may be necessary to deliver the baby, depending on the amount of bleeding, the gestational age, and condition of the fetus.
However, continued bleeding can be worrisome and warrants being evaluated by a physician, particularly if the bleeding is accompanied by pain, cramps, fever, dizziness or fainting. Physicians usually advocate complete bed rest for the first few days following the episode of bleeding. Absolutely avoid using tampons or douching, as these may injure the cervix or vaginal wall causing further bleeding.
In early pregnancy, pain and cramping may be a sign of miscarriage and in third trimester it may indicate that you are going into labor.
If this happens, you should contact your doctor immediately so they can evacuate the uterus and thus control the bleeding. It is important to know strategies to handle and control bleeding if it occurs, and also to know when to see your doctor for additional help and treatment. Avoidance of these kind of activities is absolutely necessary, even if you only notice a tiny amount of bleeding. Well, before you get startled, know that vaginal bleeding during early pregnancy is not something that should worry you.
It is in fact a good sign to show that you are a pregnant.The bleeding may range from light bleeding or spotting to massive bleeding.
Light spotting during pregnancy is not a matter of concern, but heavy bleeding can be an indication of a serious disorder.
Implantation Bleeding:In the early pregnancy phase, about 20 to 30 % women may experience spotting because of implantation of the embryo into the uterine wall.
It can be confusing if you mistake it for a normal period before you realize you are a pregnant. Subchorionic hemorrhage is a condition wherein bleeding happens within the folds of the chorion and the placenta. Passing your mucus plug will not be a concern if you are already into 37 weeks of pregnancy.
It is rarely a sign of a serious condition, since it can accompany many pregnancy complications.


Ectopic Pregnancy:In an ectopic pregnancy, the fertilized egg implants outside the uterus, that is usually in the fallopian tube. Molar Pregnancy:Molar pregnancy is a rare condition that results when the placenta becomes a cystic mass from a malformed embryo. This is a type of tumor that occurs because of pregnancy hormones and is not life threatening at all.
You can observe vaginal bleeding within few weeks of conception if you happen to suffer from molar pregnancy.3.
If bleeding accompanies symptoms like cramping, lower abdominal pain and passage of tissue through the vagina, then there is a higher chance of miscarrying the baby. Placenta Abruption:This condition occurs in the second half of pregnancy or the third trimester. The risk factors for this cause of vaginal bleeding include trauma, hypertension, usage of tobacco, cocaine and prior placenta abruption.6. A few days before your body prepares for labor, you will pass your mucus plug where bleeding starts. The universal advice is you should not hesitate to consult your doctor.Use a pad as it helps you keep a track on how much you are spotting or bleeding.
Bring all your issues to the doctor and do not indulge in sex or use a tampon when you are bleeding during pregnancy.Your doctor will check the vagina and may suggest you to go for an ultrasound scan.
Laparoscopic surgery makes tiny incisions in the abdominal region through the fallopian tube and removes the ectopic pregnancy. If your pregnancy is more than 36 weeks, you will receive IV medication for contractions to have a safe vaginal delivery. Note that this is important when you have had already experienced complications in your prior pregnancies.The second way to assure a safe pregnancy is to control the risk factors. You should be prepared to give out the answers in detail about the amount, color and period of bleeding to help your health care provider determine the cause.If you had a miscarriage due to any of the above reasons, it does not mean that you are infertile. A counseling session with the obstetrician or gynecologist is the best way to deal with pregnancy.
If you experience any irregular bleeding or period during pregnancy, contact your doctor immediately.Hope we cleared your doubts regarding vaginal spotting and bleeding during pregnancy. It would be great if you can also include possible treatments and preventive measures to resolve vaginal bleeding during pregnancy. Thus, as long as you have periods every 3 weeks on a regular basis, bleeding continues for no longer than 7 days, it is of moderate intensity and does not lead to anemia, then having two periods in a month can be considered as normal.




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