{"id":25090,"date":"2021-11-05T20:56:15","date_gmt":"2021-11-06T00:56:15","guid":{"rendered":"https:\/\/www.ucbaby.ca\/?p=25090"},"modified":"2023-11-11T00:52:56","modified_gmt":"2023-11-11T05:52:56","slug":"pregnancy-complications-bleeding","status":"publish","type":"post","link":"https:\/\/www.ucbaby.ca\/fr\/pregnancy-complications-bleeding","title":{"rendered":"Pregnancy Complications &#8211; Bleeding"},"content":{"rendered":"<p>Vaginal bleeding in pregnancy would be a cause of concern for many expecting women. This is especially most important if you were trying so hard to become pregnant and end up seeing red spots during the first weeks.<\/p>\n<p>Pregnancy bleeding, should it really be a cause for concern?<\/p>\n<p><!--more--><\/p>\n<p><a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/bleeding-during-pregnancy\" target=\"_blank\" rel=\"noopener\"><strong>Pregnancy Bleeding<\/strong><\/a> in the first trimester is very common. Most of the time, it is really not very serious and does not signal a major problem. However, bleeding during the last trimester of pregnancy is something you need to worry about. It is advisable to let your physician know whenever you experience any bleeding.<\/p>\n<p>&nbsp;<\/p>\n<h2>First Trimester Pregnancy Bleeding<\/h2>\n<p>During the early weeks of pregnancy, the most common cause of light bleeding or spotting is due to <strong><em>implantation <\/em><\/strong>of the baby into your uterus. Secondly, since your cervix has lots of tiny blood vessels that develop during pregnancy, it\u2019s not unusual to have slight bleeding after sexual intercourse or a pelvic exam during this time.<\/p>\n<p>Other serious causes of early pregnancy bleeding are usually heavy and accompanied by severe abdominal cramps and\/or lower back pain. These include <strong><em>ectopic pregnancy<\/em><\/strong>, early <strong><em>pregnancy loss, and rarely, infection. <\/em><\/strong><\/p>\n<h3>Ectopic Pregnancy<\/h3>\n<p>Ectopic pregnancy is when your egg chooses to implant elsewhere other than within the uterus, for example, in your Fallopian tube, ovary, cervix or abdomen. This is often life-threatening, especially if the tube ruptures, causing massive bleeding.<\/p>\n<p>In such a case, you will experience severe abdominal pain, back pain and\/ or shoulder pain. However, at times, bleeding may be the only sign. So, it\u2019s important to let your gynaecologist know right away.<\/p>\n<h3>Early Pregnancy Loss<\/h3>\n<p>Early pregnancy loss is when you are at risk for a miscarriage. This is accompanied by heavy bleeding and menstruation-like cramps. Sometimes all the products of conception get aborted completely by themselves. However, at times, you may require medication or a small surgery to clean the uterus completely. After a miscarriage, it is advisable to wait for a cycle or two before getting pregnant again.<\/p>\n<h3>Infection<\/h3>\n<p>Infection is a treatable cause of vaginal bleeding. Depending on the severity of infection, some might end up in miscarriage, while others require treatment with pregnancy-safe medications.<\/p>\n<p>&nbsp;<\/p>\n<h2>Second and Third Trimester Pregnancy Bleeding<\/h2>\n<p><strong><em>Placental issues <\/em><\/strong>and <strong><em>preterm labour <\/em><\/strong>are important causes of bleeding during the second and third trimesters.<\/p>\n<h3>Placental Abruption<\/h3>\n<p>Placental Abruption is the early detachment of the placenta from the uterus before birth). It can result in heavy bleeding and lead to life-threatening complications if not identified early. Your doctor may plan for immediate delivery by Caesarian section.<\/p>\n<h3>Placental Previa<\/h3>\n<p>Previa happens when the placental edge lies very close to or covers your cervix completely or partially.<\/p>\n<p>Placenta previa is usually accompanied by painless vaginal bleeding and, most of the time, resolves spontaneously as the lower part of your uterus stretches out. However, in cases where it doesn\u2019t resolve on its own, you may require a Caesarian birth.<\/p>\n<h3>Placental Accreta<\/h3>\n<p>This happens when the placenta or part of it bites into your uterine wall.<\/p>\n<p>Placenta Accreta is a much severe issue, where the placenta is inseparable from your uterus. In such a situation, you are at high risk for life-threatening bleeding during delivery, which would ultimately result in your uterus being removed.<\/p>\n<p>However, Placenta Accreta is uncommon and occurs in only 0.2 percent of all pregnancies.<\/p>\n<h3>Preterm Labour<\/h3>\n<p>Lastly, bleeding towards the end of your pregnancy may signal preterm labour. It is referred to as \u201cpreterm\u201d when labour starts prior to 37 weeks. Other symptoms of preterm labour include:<\/p>\n<ul>\n<li>Low backache<\/li>\n<li>Watery or bloody vaginal discharge<\/li>\n<li>Mild abdominal cramps<\/li>\n<li>Frequent contractions\/tightening of the uterus may be painless or painful.<\/li>\n<\/ul>\n<p>If preterm labour occurs too early for the baby to be delivered, medication may be given to prevent delivery. Bed rest and sufficient fluid intake are advised. In some cases, delivery is unavoidable, and the baby would require additional intensive care in the hospital.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>REFERENCES:<\/strong><\/p>\n<div>\n<p><i>Eyal K. Sheiner; Bleeding during Pregnancy: A Comprehensive Guide. <\/i><\/p>\n<\/div>\n<div>\n<p><i>American College of Obstetricians and Gynecologists: \u00ab\u00a0Early Pregnancy Loss,\u00a0\u00bb \u00ab\u00a0Bleeding During Pregnancy.\u00a0\u00bb Sakornbut, E. American Family Physician, 2007; vol 75: pp 1199-1206. <\/i><\/p>\n<\/div>\n<div>\n<p><i>Zeltzer J.S. \u00ab\u00a0Vaginal bleeding in late pregnancy,\u00a0\u00bb in Rakel R.E., Bope E.T. Conn&rsquo;s Current Therapy, 2008, 60th ed., Saunders Elsevier, Philadelphia. <\/i><\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>Written by: <strong>Sherina Paul Raj. MD, CRGS, RDMS (ObGyn)<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Read our blog on \u2013 <strong><a href=\"https:\/\/www.ucbaby.ca\/pregnancy-complications-hyperemesis-gravidarum-severe-nausea-vomiting\">Pregnancy Complications \u2013 Hyperemesis Gravidarum \u2013 Severe Nausea &amp; Vomiting<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vaginal bleeding in pregnancy would be a cause of concern for many expecting women. This is especially most important if you were trying so hard to become pregnant and end up seeing red spots during the first weeks. Pregnancy bleeding, should it really be a cause for concern?<\/p>\n","protected":false},"author":7,"featured_media":25091,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,437],"tags":[14,558,530,560,559],"class_list":["post-25090","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-latest-news","category-pregnancy","tag-pregnancy","tag-pregnancy-bleeding","tag-pregnancy-complications","tag-preterm-labor","tag-preterm-labour"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pregnancy Bleeding - Complications | UC Baby<\/title>\n<meta name=\"description\" content=\"Discover the causes and management of pregnancy bleeding in the first trimester. 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