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Pregnancy BleedingIf you have bleeding in the early stages of pregnancy, it should be bought under the notice of your doctor even if you feel it’s not anything serious. Be specific when you explain the bleeding to your doctor. Tell whether it was discontinuous or continuous and since when you had bleeding. Also, tell if it was heavy enough to wet a pad within an hour of wearing it or was just an irregular spotting or was something in between these two. Other details like the color of the bleeding also should be reported. Tell him whether it was bright red, dark red, pink, or brownish in color. Also report if the bleeding had any unusual odor and does any tissue fragments seemed to have expelled with the blood. It would be better if you could save these tissues in a plastic bag so that your doctor can take a look at it. Any associated symptoms with the bleeding such as extreme vomiting and nausea, pains or cramps of any kind, weakness and fever should also be reported. If the spotting happens without these symptoms it’s not considered as an emergency and you could wait until the next morning to seek the help of a doctor, if it happens in the middle of the night. On the other hand, if the bleeding is followed by these symptoms it should be taken as an emergency situation and the doctor should be notified immediately. In case he is not available, the patient should be taken to the emergency room immediately for proper care. There are generally two usual reasons for the bleeding that occurs during the first three months of pregnancy. Neither of these should cause a serious problem to the expectant mother. One among these causes is when implantation of the pregnancy happens in the uterine wall. This type of bleeding occurs when the fertilized egg attaches itself to the wall of the uterus, and is usually light and brief. At this time hormonal changes which happen ordinarily at your monthly cycle must have also taken place. In very rare cases, this might feel like a regular period. But in most of the cases, bleeding is usually light. A second reason which happens less often, but is more critical is because of the miscarriage. In this case, severe abdominal pain will be there together with bleeding and possibly the expelling of embryonic material. If you have a brownish discharge a miscarriage is to be suspected. Also note that if the ovum is not fully developed and the amniotic sac is empty, no embryonic material will be passed. Ectopic pregnancy: This condition is identified by light pregnancy bleeding which is usually brown in color and which may be continuous or discontinuous. It is also followed by severe shoulder and/or abdominal pain. Trophoblastic disease: The main symptom of this condition is a continuous or discontinuous brownish discharge. Most of the times we may not be able to find the actual reason behind the bleeding that occurs during the first three months of pregnancy. But it’s usually observed that in spite of this, the pregnancy usually progresses without any problem. Pregnancy bleeding in the first few months of pregnancy is generally not a reason to worry. The actual reason of this bleeding is not known for sure even now. It may be due to the pressure felt at the increasingly sensitive cervix during sexual intercourse or an internal exam. Please note that at times these bleeding can be fatal and it is highly recommended to notify your doctor in case it occurs in heavy amounts as only he can make sure that everything is fine. Some of the main causes of pregnancy bleeding are explained below: One of the main reasons can be placenta previa, in which the placenta is positioned in the lower abdomen of the mother. In this case, the bleeding will be painless and bright red in color. This bleeding is often found to happen all of a sudden even though straining, coughing, or having sex can also trigger it. The bleeding can be light or heavy in this case and once stopped these bleeding are found to reoccur at a later stage of pregnancy. Late miscarriage: When you doubt a miscarriage, the discharge associated will be brown or pink. When this bleeding is heavy and accompanied by pain, a miscarriage may be suspected. Another reason for bleeding can be premature separation of the placenta or abruptio placenta. Depending on the degree of separation happened; the bleeding can be light, heavy or heavier. The blood expelled due to this bleeding may or may not have clots. If the separation happened is a big one the accompanying pain, cramping and abdominal tenderness will also be severe. If this is the case, signs of shock from blood loss may be evident. Premature labor: A labor is between the 20th week and the 37th week of pregnancy is generally considered to be premature. A preterm labor is often characterized by a blood discharge which is mucousy accompanied by contractions. Pregnancy Week To Week 1- 40
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