20.05.2014

What to do when you spot during pregnancy

Spotting and bleeding can mean any number of things, from the benign to the truly troublesome.
If what you see is brown or pink, similar to what you see at the end of your period, that’s spotting. Vaginal bleeding at almost any time in your pregnancy, on the other hand, is rarely an entirely benign sign. Ectopic pregnancy, where a fertilized egg implants outside of the uterus, requires immediate medical attention.
Molar pregnancy is a rare condition discovered within weeks of conception where a placenta becomes a mass of cysts accompanied by a malformed or nonexistent embryo. Placenta previa, considered the most common cause of bleeding in the latter part of pregnancy, occurs when the placenta covers part of the cervix (your doctor should able to spot it on an ultrasound). Placental abruption, which almost always occurs in the second half of pregnancy and usually in the third trimester, is the early separation of the placenta from the uterine wall. Preterm labor, or labor that starts anytime after week 20 and before week 37 of pregnancy, is accompanied by other signs of labor including regular contractions, period-like cramps, back pain and increased pelvic pressure. It’s impossible to give blanket recommendations regarding spotting or bleeding because so many different factors can lead to it. If you are having a miscarriage, rest assured that there's nothing wrong with you (it in no way predicts that you won't be able to have a baby — in fact, now you know you're fertile), and know that you're not alone. Since implantation bleeding may be confused with the normal menstrual cycle, some women are surprised to discover their pregnancy is a month further along than they originally estimated.
Once the pregnancy is confirmed at a doctor's office, the physician can use other testing to determine the correct gestational age of the fetus, particularly if implantation bleeding has left some question about when the last real menstrual cycle occurred.
If the abdominal cramping continues to increase, it could indicate a regular period or problem with the pregnancy, such as an ectopic pregnancy. Any pain that does not appear to be from your normal period and does not subside on its own within a couple days should be checked by a doctor.
You can also start by taking a home pregnancy test, but you have a better chance of getting accurate results if you go to a doctor or a clinic.
Some home pregnancy tests are not an accurate predictor of pregnancy until the day after a missed period, so read the packages carefully. During pregnancy, your cervix becomes tender and engorged with blood vessels, and any kind of minor bumping (like intercourse or an internal exam) can sometimes irritate the cervix, causing some bleeding.
Because it can accompany any number of pregnancy complications, pinpointing the cause is best left to your practitioner.
You'll notice sharp, crampy pain in your lower abdomen, often accompanied by nausea, vomiting, dizziness or weakness.
In most women, the placenta moves away before birth, but placenta previa can lead to more serious conditions (like vasa pravia, which occurs when the umbilical cord blocks the cervix), so be sure to consult your doctor right away. You'll usually also notice abdominal aching or crampiness, uterine tenderness and pain in the back or abdomen. Heavy bleeding that soaks through a pad, however, always warrants a call to your practitioner.
Most women will experience a miscarriage at least once in their reproductive life, many having one before they even knew they were pregnant.
This type of bleeding during pregnancy usually occurs 6 to 12 days after conception--close to the time when the next menstrual cycle is expected. This will help to distinguish between pregnancy implantation and the start of a regular menstrual cycle. Pregnancy bleeding from implantation may include some mild cramping as the egg implants and the uterus is changing to accommodate the embryo.


If you're urinating a lot more frequently without any reason you can think of, or if you're suddenly constipated while previously not having any trouble with your bowels, then you may be pregnant.
Pregnancy comes with some serious hormonal changes that can have a major impact on your mood. If you're suddenly getting dizzy when you stand up quickly, walk up stairs, or just for no reason at all, then you may be pregnant. If the implantation bleeding occurs prior to this time, you may have to wait a few days to find out if the bleeding really was due to pregnancy implantation or another cause.
In fact, one in five pregnant women will experience some spotting during her first trimester. If you are bleeding heavily (or even experiencing bleeding that looks like a period) your practitioner will likely perform an exam to see if your cervix has opened. When it does, the tissue that forms around the egg, known as the trophoblast, may damage some of the mother's blood vessels in the uterus, resulting in a small amount of blood leaking from the cervix and down the vagina. However, cramping with implantation bleeding is usually much lighter than what women might experience with a regular period. Many expectant mothers feel morning sickness during the early part of the day; it's a feeling of nausea and an aversion to smells that previously had no effect on you, such as the smell of strong coffee. Throughout your pregnancy, your breasts will get larger and your nipples may darken and grow. You could be crying one minute and then feeling ridiculously happy the next minute for next to no reason.
The best way to know if you're pregnant and if what you see on your underwear is really implantation bleeding is to leave it to the health care professional. But if it's more severe, the risk to your baby is reasonably higher — which is why it's so important to see your doctor. Learning how to recognize implantation bleeding may be an early clue for some women that pregnancy has begun.
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Well, before you get startled, know that vaginal bleeding during early pregnancy is not something that should worry you.
But if your practitioner performs an ultrasound and your baby's heartbeat is still detected, your chances of continuing the pregnancy are greater. 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.
If you think you can leave an article better than the way you found it, I'd encourage you to do just that. It can happen at the same time your menstrual period would have been due and lasts for one to two days.
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. Sometimes, benign growths will occur on the cervix, known to be cervical polyps, which can also cause spotting after having intercourse.3. The cervical region will become tender because of the increased blood flow and any bump to the region could cause spotting.4.


Nearing Labor:As your body prepares for labor, you will pass your mucus plug, a state where your cervix begins to dilate.
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. You will usually notice cramping and a sharp pain in the lower abdominal region accompanied by dizziness, weakness and nausea. 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.
Placenta Abruption:This condition occurs in the second half of pregnancy or the third trimester. 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. In rare cases, when the placenta is not covering the cervical region, then you can go for a normal delivery. 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.
However if you feel weak or changes in general state of health, such as acute abdominal pain, dizziness, fainting etc…then please do visit your gynecologist. You must be alarmed if your discharge is accompanied by strong lower abdominal pain, severe nausea, sudden vomiting and dizziness.



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