What are the reasons for bleeding at 9 weeks pregnant. Discover the 9 potential causes, from implantation bleeding to ectopic pregnancy.

Uncovering the 9 Reasons Behind Bleeding at 9 Weeks Pregnant

Bleeding during pregnancy can be a concerning experience for expectant mothers. If you are 9 weeks pregnant and experiencing vaginal bleeding, it is important to understand the potential causes. In this comprehensive article, we will explore the 9 most common reasons why you may be experiencing bleeding at 9 weeks pregnant.

Is Bleeding During Early Pregnancy Normal?

Light bleeding or spotting, with no pain, is relatively common before 12 weeks of pregnancy (or during the first trimester). While this type of spotting is usually not a cause for concern, it is still advisable to contact your early pregnancy unit to ensure there are no underlying issues. However, if you experience heavy bleeding or abnormal bleeding during early pregnancy, you should contact your doctor immediately, especially if it is accompanied by severe pain.

9 Reasons for Bleeding at 9 Weeks Pregnant

Vaginal bleeding or spotting at 9 weeks pregnant can occur for a number of reasons. Let’s explore the 9 most common causes:

1. Implantation Bleeding

Implantation bleeding is a result of the implantation process, where the fertilized egg attaches to the uterine lining. During this process, tiny blood vessels in the lining of the uterus can break, causing light, pinkish-brown spotting. Implantation bleeding typically occurs between 10 and 14 days after ovulation, but there have been cases where pregnant women have experienced it after 8 weeks of pregnancy.

2. Early Miscarriage

An early miscarriage, or early pregnancy loss, is when pregnancy loss occurs within the first 3 months of pregnancy. Symptoms of an early miscarriage include red bleeding that requires a pad, as well as back or stomach pain or cramping. Some pregnant women experience threatened miscarriages, where there is ongoing bleeding, with or without pain, but the pregnancy continues.

3. Threatened Miscarriage

A threatened miscarriage is when abnormal bleeding and pain are experienced during pregnancy, but the pregnancy continues with no complications. The cause of a threatened miscarriage is not always known, but factors such as smoking, alcohol, drug use, excessive caffeine, age, obesity, certain medications, trauma, or chromosomal problems with the fetus can increase the risk.

4. Ectopic Pregnancy

An ectopic pregnancy is a pregnancy that occurs outside of the womb, typically within a fallopian tube. Symptoms of an ectopic pregnancy include bleeding, tummy pain on one side, discomfort when urinating or defecating, and pain in the tip of the shoulder. Ectopic pregnancies can be life-threatening and require immediate medical attention.

5. Molar Pregnancy

A molar pregnancy is a condition where the fetus does not form correctly, and the baby does not develop properly within the womb. Symptoms of a molar pregnancy can include bleeding, particularly strong morning sickness, and an abnormally swollen tummy.

6. Placental Abruption

Placental abruption is a serious complication of pregnancy where the placenta partly or entirely separates from the uterine wall. If left untreated, it can block the baby’s oxygen supply and cause heavy bleeding for the mother. Symptoms of placental abruption include vaginal bleeding and abdominal pain.

7. Cervical Changes

Cervical changes during pregnancy, such as increased blood flow and sensitivity, can sometimes lead to light bleeding or spotting, especially during intercourse or after a pelvic exam.

8. Infection

Infections in the reproductive system, such as a urinary tract infection (UTI) or a sexually transmitted infection (STI), can also cause bleeding during early pregnancy.

9. Subchorionic Hematoma

A subchorionic hematoma is a collection of blood between the placenta and the uterine wall. This can lead to bleeding during pregnancy, particularly in the first trimester.

When Should You Contact Your Doctor?

If you are experiencing any bleeding or spotting during your pregnancy, it is important to contact your doctor or early pregnancy unit, even if the bleeding is light. While many cases of bleeding during early pregnancy are not a cause for concern, it is crucial to rule out any serious underlying conditions. If the bleeding is heavy, accompanied by severe pain, or occurs after 12 weeks of pregnancy, you should seek immediate medical attention.

Remember, many pregnant women who experience bleeding during early pregnancy go on to have a healthy pregnancy and a healthy baby. However, it is always better to err on the side of caution and consult a healthcare professional if you have any concerns.

Key Takeaways

• Bleeding at 9 weeks pregnant can have several causes, including implantation bleeding, early miscarriage, threatened miscarriage, ectopic pregnancy, molar pregnancy, placental abruption, cervical changes, infections, and subchorionic hematoma.
• Light bleeding or spotting is relatively common during the first trimester of pregnancy and is usually not a cause for concern, but you should still contact your healthcare provider.
• Heavy bleeding, abnormal bleeding, or bleeding accompanied by severe pain requires immediate medical attention, as it could be a sign of a more serious condition.
• Many pregnant women who experience bleeding during early pregnancy go on to have a healthy pregnancy and baby, but it’s important to seek medical advice to rule out any underlying issues.

Bleeding At 9 Weeks Pregnant – 9 Reasons Why

Bleeding at any point during pregnancy can be scary. If you are here, you are most likely experiencing some bleeding at 9 weeks pregnant.

In this article, we discuss the 9 reasons why you may be experiencing vaginal bleeding at 9 weeks pregnant.

In this article:

• Is Bleeding During Early Pregnancy Normal?
• What Can Cause Bleeding at 9 Weeks Pregnant? – 7 Reasons Why You Are Bleeding in Early Pregnancy
• When Should You Contact Your Doctor?

If you are 8 weeks pregnant and bleeding, you can read our article 8 weeks pregnant bleeding. We also have an article on 5/6 weeks pregnant bleeding.

Is Bleeding During Early Pregnancy Normal?

Light bleeding or spotting, with no pain, is common before 12 weeks of pregnancy (or during the first trimester).

Whilst spotting or light bleeding in early pregnancy usually is no cause for concern, it is advised to contact your early pregnancy unit to ensure there are no issues. If you experience heavy bleeding or abnormal bleeding during early pregnancy, you should contact your doctor immediately- especially if it is accompanied by severe pain.

If you are experiencing bleeding after 12 weeks of pregnancy, or during late pregnancy, you should contact your local maternity unit or go to A&E as this is not normal.

It is important to note that many pregnant women who experience bleeding go on to have a healthy pregnancy and a healthy baby.

What Can Cause Bleeding at 9 Weeks Pregnant? – 9 Reasons Why You Are Bleeding in Early Pregnancy

Vaginal bleeding or spotting at 9 weeks pregnant- or early pregnancy- can occur for a number of reasons.

Below are 9 causes of bleeding at 9 weeks pregnant.

1) Implantation Bleeding

Implantation bleeding is a product of the implantation process- where a fertilized egg attaches onto the uterine lining.

During the implantation process, the motion of the fertilised egg attaching to the uterine lining causes tiny blood vessels in the lining of the uterus to break- causing bleeding.

Implantation bleeding is very light (much lighter than that of a menstrual period) and pink or pinkish-brown in colour.

Implantation bleeding- which occurs when typically occurs during 10 – 14 DPO or days past ovulation, but there have been cases where pregnant women have experienced implantation bleeding after 8 weeks of pregnancy.

You can calculate when you might expect implantation to happen with our implantation calculator.

2) Early Miscarriage

An early miscarriage, or early pregnancy loss, is when pregnancy loss occurs within the first 3 months of pregnancy.

Symptoms of early miscarriage include:

• Red bleeding that requires a pad
• Back or stomach pain or cramping

Some pregnant women experience threatened miscarriages- which is where there is ongoing bleeding- either with or without pain- but the woman remains pregnant.

If you suspect that you are having a miscarriage, you should consult your nearest health care provider or early pregnancy unit as soon as possible.

Upon arrival, they will give you an ultrasound scan to access the situation. For more information about a miscarriage in early pregnancy, you can read our article 5 weeks pregnant miscarriage.

Why not check out our article Can cinnamon cause a miscarriage?

3) Threatened Miscarriage

A threatened miscarriage is where abnormal bleeding and pain is experienced during pregnancy, with the pregnancy still continuing with no complications.

The cause of a threatened miscarriage is not always known.

There are some factors which may increase your chances of a threatened miscarriage:

• Smoking
• Alcohol
• Drug Use
• Too much caffeine
• Age (women above the age of 40 are more likely to have a threatened miscarriage).
• Obesity
• Certain medications
• Trauma or injury to the abdomen
• Chromosomal problems with the fetus
• Problems with the placenta

4) Ectopic Pregnancy

Ectopic pregnancies are pregnancies that occur outside of the womb- typically within a fallopian tube.

Symptoms of ectopic pregnancy include:

• Bleeding
• Tummy pain on just one side
• Discomfort when peeing or pooping
• Pain in the tip of your shoulder

Ectopic pregnancies can be life-threatening and are medical emergencies, and if you suspect that you may have an ectopic pregnancy, you should consult your doctor immediately.

5) Molar Pregnancy

A molar pregnancy is when the foetus does not form correctly, and the baby does not develop properly, within the womb.

Symptoms of a molar pregnancy can include:

• Bleeding
• Particularly strong morning sickness
• Abnormally swollen tummy

6) Placental Abruption

Placental abruption is an uncommon and serious complication of pregnancy- where the placenta partly or entirely separates from the uterine wall.

If left untreated, the placental abruption can block the baby’s supply of oxygen and cause heavy bleeding for the mother.

Symptoms of placental abruption include:

• Vaginal bleeding
• Abdominal pain
• Uterine contractions
• Back pain

7) Your Cervix is Softer During Pregnancy

During pregnancy, your cervix changes and becomes softer due to pregnancy hormones and increased blood supply.

Since your cervix is softer, it can be much more susceptible to irritation or damage.

This can cause bleeding to occur after sexual intercourse- also known as post-coital bleeding- or after a pelvic exam.

If you are experiencing bleeding and pain following sexual intercourse, you should consult your doctor, as it may be a sign of an underlying issue, and they may want to perform a pelvic exam.

8) Infection

If you are experiencing light bleeding at 9 weeks pregnant, it may be due to a vaginal infection. Signs of vaginal infection include:

• Itching
• Vaginal bleeding
• Discharge that is yellow, green or grey in colour
• Discharge with a vile odour
• Discharge that is clumpy
• Redness or swelling of the vulva

If you believe you may have a vaginal infection, you should consult your health care provider, who will be able to prescribe the appropriate treatment for you.

9) Subchorionic Hemorrhage

A subchorionic hemorrhage may be the cause of spotting at 9 weeks pregnant.

A subchorionic hemorrhage is where the placenta detaches from its original site of implantation, causing bleeding.

Most women who experience this kind of bleeding go on to have a healthy pregnancy.

When Should You Contact Your Doctor?

You should contact your doctor if you are concerned at all about your vaginal discharge, especially during pregnancy.

You should contact your doctor straight away if:

• You are experiencing vaginal bleeding that lasts longer than a day
• You have moderate to heavy vaginal bleeding
• You pass tissue from your vagina
• The vaginal bleeding is accompanied by fever, chills or abdominal pain

Now that you have finished this article, why not read our next article 5 weeks ultrasound scan

Louise McCamily

Hi, I’m Louise- mum of one to a little boy called Mason.

I am the Digital Marketing and Admin Assistant for MyBump2Baby.

I enjoy working to provide excellent service to MyBump2Baby’s growing families.

Nice to meet you!

You can email me at [email protected]

Bleeding during pregnancy: When to worry about spotting in pregnancy

A little light bleeding or spotting during pregnancy is common, especially during the first trimester. Heavier or more consistent bleeding could signal a problem with the pregnancy. Early pregnancy bleeding can happen when the fertilized egg implants, or it could be from something more serious like a miscarriage or ectopic pregnancy. Common causes of bleeding later in pregnancy include placental problems or preterm labor. Any bleeding is worth letting your doctor know about as soon as possible, especially if it’s heavy or it doesn’t stop.

Is it normal to have spotting during pregnancy?

A little light bleeding or spotting during pregnancy is common, especially in early pregnancy. Up to one in four pregnant women have some light bleeding in their first trimester. But even if the bleeding seems to have stopped, call your doctor, just to make sure everything is okay.

Spotting or light bleeding in pregnancy is probably from something minor. But it could also be a sign of a serious problem, such as an ectopic pregnancy, a miscarriage, or an infection.

Your doctor may want to do some tests, which can include a physical exam, an ultrasound, and blood tests, to check how well you and your baby are doing and to rule out any complications.

If you’re actively bleeding or you have severe pain and can’t reach your doctor, head to the emergency room right away.

What’s the difference between spotting and bleeding during pregnancy?

Spotting is very light bleeding, similar to what you may have at the very beginning or end of your period. It will look like small drops of blood on your underwear, varying in color from pink to red to brown (the color of dried blood). Pregnancy spotting is common, especially during the first three months.

Bleeding means that you need to wear a panty liner or pad to avoid soaking your underwear. And heavy bleeding will soak through one or more pads. Continued or heavy bleeding could signal a problem with your pregnancy, which is why it’s important to share with your doctor right away.

Early pregnancy bleeding: What causes it?

The most common causes of light spotting or bleeding during early pregnancy include:

Implantation. Some women have spotting even before they know they’re pregnant, about a week or so after they ovulate. It’s called “implantation bleeding” because it happens when the fertilized egg burrows (or implants) into the blood-rich lining of the uterus, a process that starts just six days after fertilization.

If you have a day or two of spotting in the week before your period is due, take a home pregnancy test. If the result is negative, wait a few days or a week. If your period doesn’t start when you expect it, try testing again.

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Subchorionic hematoma. Also called a subchorionic hemorrhage, this kind of bleeding can happen when the outer layer of the amniotic sac (chorion) separates from the wall of the uterus. It’s usually harmless and stops on its own. Small collections of blood like this early on are typically harmless. But if the collection of blood is larger, it will take longer to reabsorb, or go away. This can raise the risk of miscarriage or preterm labor, so your doctor may want to check on it regularly with ultrasound.

Miscarriage. Spotting or bleeding in the first trimester, especially if you also have abdominal pain or cramping, can be an early sign of miscarriage. But it isn’t necessarily a sign, and actually, about half of women who miscarry don’t have any bleeding prior to diagnosis. Other signs of a possible miscarriage are discharge of liquid or tissue from your vagina, and no longer feeling any pregnancy symptoms (like morning sickness). If feeling better is your only symptom, however, try not to worry! Many pregnant women don’t experience nausea in the first trimester and have very healthy pregnancies.

Ectopic pregnancy. Early pregnancy bleeding also can warn of an ectopic pregnancy – when the embryo implants outside the uterus, usually in one of the fallopian tubes. Sometimes bleeding is the only sign, but other common symptoms include pain in the belly, pelvis, or shoulder. An ectopic pregnancy can be life-threatening, so let your doctor know right away if you have bleeding or moderate to severe pain in your first trimester.

Molar pregnancy. This rare complication happens when the placenta doesn’t develop properly, and it can’t sustain the embryo. A molar pregnancy can be serious, and it needs prompt treatment.

Infection. An infection can irritate or inflame your cervix and make it more likely to bleed, especially after you have sex. These are some of the infections that can cause bleeding:

• Chlamydia
• Gonorrhea
• Herpes
• Yeast infection
• Trichomoniasis

Because certain infections can cause pregnancy complications, your doctor might prescribe antibiotics or another treatment.

You might also notice some spotting or light bleeding after sexual intercourse or a pelvic exam. More blood flows to your cervix during pregnancy, so it’s not unusual. A cervical polyp (a noncancerous growth on the cervix) can also cause spotting or bleeding after sex or an exam.

What causes second or third trimester bleeding?

Bleeding later in pregnancy might also be nothing to worry about. Light bleeding could be a sign of harmless inflammation, a cervical polyp, or other changes in your cervix. And a few days before your delivery date, bloody discharge called “show” is a sign that your cervix is getting ready for labor.

Heavy bleeding late in your pregnancy is a more worrisome sign. It’s worth making a call to your doctor right away.

Here are some common causes of bleeding in your second and third trimesters:

Placental problems. Bleeding or spotting after the first trimester can be a sign of a problem with the placenta, such as:

• Placenta previa, when the placenta partially or fully covers the cervix; usually this is diagnosed at your mid-pregnancy ultrasound or anatomy scan. Your placental location will continue to be monitored as pregnancy progresses, and your obstetrician will recommend that you abstain from intercourse as long as the placenta is over or near the cervix.
• Placenta accreta, when the placenta becomes abnormally embedded in the uterine wall. Although this is a rare complication, the risk slowly increases with each cesarean delivery.
• Placental abruption, when the placenta entirely or partially separates from the wall of the uterus. This is more likely to occur as a result of trauma (car accident, domestic violence), uncontrolled hypertension, or labor.

Late miscarriage. Most miscarriages happen in the first trimester, but bleeding between 13 weeks and the middle of your pregnancy can be a sign of late miscarriage.

Preterm labor. Bleeding is one sign of preterm labor (labor that starts before 37 weeks). Other symptoms are:

• Abdominal pain, cramps, or contractions
• Low backache
• Changes in vaginal discharge
• Pressure in your pelvis or lower abdomen

How much bleeding during pregnancy is normal?

Some light bleeding is normal, especially early in your pregnancy when the fertilized egg implants. But really, bleeding can happen at any point in your pregnancy, and for many different reasons. And because some causes are more serious than others, it’s always a good idea to let your doctor know about it.

Heavier bleeding that soaks through a pad, or bleeding that doesn’t go away is more concerning. It could signal a serious problem with your pregnancy that needs immediate medical attention. Calling your doctor right away or going to an emergency room could help you head off a problem and protect both your health and your baby’s.

When should I call my doctor about spotting or bleeding during pregnancy?

Any type or amount of bleeding in pregnancy is worth calling your doctor about, to make sure that nothing is wrong. This is important, even if your last ultrasound showed that your baby is healthy and growing according to schedule.

Heavy or consistent bleeding is a reason to call immediately. Your doctor can check for any problems, and either reassure you that you’re ok, or treat the problem.

When you call your doctor, let them know how long you’ve been bleeding and how much you’ve bled. Also tell them about other symptoms, like cramps, that you’ve had along with the bleeding. Also, be sure to be honest with them about recent sexual activity and medical history when you call.

Lastly, whenever the bleeding occurs, if your blood type is RH-negative, your doctor will want to make sure you get a Rhogam shot to protect future pregnancies. Call your doctor if you are RH-negative and have bleeding anytime in pregnancy. If you are RH-positive, this isn’t something you have to worry about.

Learn more:

• Pregnancy symptoms you should never ignore
• Vaginal discharge during pregnancy
• Rectal bleeding during pregnancy

Bleeding during pregnancy. What is Bleeding During Pregnancy?

IMPORTANT
The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.

Bleeding during pregnancy is a sign that can occur regardless of the period of embryogenesis and indicates ongoing changes in the woman’s body. It can be observed with spontaneous miscarriage, ectopic pregnancy, Rh conflict, placenta previa and other conditions. This manifestation can develop against the background of general well-being or be accompanied by painful sensations in the lower abdomen, lower back, and sacrum. Diagnosis of bleeding during pregnancy is carried out on the basis of data from a gynecological examination, an ultrasound assessment of the condition of the patient and the fetus. The treatment of this pathological symptom is determined by its cause and is prescribed exclusively by a specialist.

• Causes of bleeding during pregnancy
• Classification and symptoms of bleeding during pregnancy
• Diagnosis and treatment of bleeding during pregnancy
  • Prognosis and prevention of bleeding during pregnancy
• Prices for treatment

General

Bleeding during pregnancy is an obstetric symptom, indicating the possible development of a number of disorders, the cause of which can be both physiological changes in the body of a woman after conception, and pathological conditions. Only an obstetrician-gynecologist can finally find out the etiology of such a manifestation after a complete examination. Bleeding during pregnancy occurs in about one in five patients. In 50%, they indicate pathological changes and end in spontaneous miscarriage. In half of the patients, the symptom is physiological in nature. Bleeding occurs more often in the first and third trimester of embryogenesis.

The danger of bleeding during pregnancy lies in the fact that a variety of factors can provoke them, including those that pose a threat to the mother and fetus. In some situations, there are no other pathological signs. Any bleeding during pregnancy should be a reason for immediate medical attention. Only a specialist is able to assess the danger to the health of a woman and the fetus, as well as decide on further tactics. Timely assistance, even with an abnormal course of pregnancy, allows you to continue its management and save the life of the child.

Bleeding during pregnancy

Causes of bleeding during pregnancy

Bleeding during pregnancy can occur at any time of embryogenesis, develops both against the background of physiological changes in the woman’s body, and as a result of the formation of a certain obstetric pathology. In the early stages, half of the women have a slight separation of blood due to the implantation of the fetal egg in the uterine cavity. Such bleeding during pregnancy is often regarded by the patient as menstrual, so she does not seek medical help, which in the future may make it difficult to determine the timing of embryogenesis. A similar symptom is possible with insufficient production of progesterone in the early stages of gestation.

The most common cause of abnormal bleeding during pregnancy in the first trimester is spontaneous miscarriage. This symptom appears both with a just-started and with a complete abortion. Approximately 6 weeks after conception, the symptom occurs with an ectopic attachment of the fetal egg. Also, bleeding during pregnancy at this time may indicate an Rhesus conflict, fetal fading. Similar manifestations are characteristic of women suffering from varicose veins that feed the uterus. In this case, bleeding during pregnancy is due to increased blood supply to the tissues.

Bleeding during pregnancy in the second trimester is diagnosed much less frequently, in about 5-10% of all cases of gestation. As a rule, the symptom is caused by pathological changes and in most cases indicates spontaneous late abortion or isthmic-cervical insufficiency. Sometimes the separation of blood from the genital tract is observed during intrauterine death of the fetus. Bleeding during pregnancy in the third trimester also always speaks of the development of gestation pathology. The most common cause is placenta previa. In this case, the embryonic organ completely or partially covers the uterine os, while due to the high load on the lower segment, placental micro-ruptures occur, which causes a similar sign.

Less commonly, bleeding during pregnancy in the third trimester is due to premature detachment of a normally located placenta. In this situation, there is a high threat to the life of the fetus. The danger also lies in the fact that initially internal bleeding develops during pregnancy or the formation of a hematoma, and only then the blood flows out. The rarest, but most dangerous for the life of the mother and child, the cause of the development of this symptom is uterine rupture. Such a complication is diagnosed in the presence of a scar on the myometrium and tissue overstretching, provoked by polyhydramnios, large fetuses or multiple pregnancies. It is extremely rare that bleeding during pregnancy occurs due to a violation of the integrity of the membranes or umbilical cord vessels.

Also, bleeding during pregnancy can be triggered by causes that appear at any stage of embryogenesis. Such reasons include benign neoplasms – fibroids, polyposis growths in the cervical canal and uterine cavity. Often bleeding during pregnancy occurs in women with cervical erosion. Sometimes a sign occurs due to increased blood circulation in the pelvic organs. The risk of developing a symptom is also present with violent sexual intercourse, significant physical exertion, concomitant cardiovascular diseases associated with a weakening of the endothelium.

Classification and symptoms of bleeding during pregnancy

Depending on the origin of bleeding, two groups can be distinguished:

• Physiological bleeding during pregnancy – occurs due to the restructuring of the body, does not pose a threat to the health and life of the fetus or mother.
• Pathological bleeding during pregnancy – indicate its abnormal course, may be accompanied by a risk to the life and health of the woman and baby, require immediate medical attention.

The clinic of bleeding during pregnancy directly depends on the cause of this symptom. Isolation of blood from the genital tract in the early stages of embryogenesis, provoked by physiological changes, proceeds against the background of general well-being. Bleeding during pregnancy, which has developed due to the presence of polyps, erosion, fibroids in most cases also does not cause disturbances in well-being. In this case, there is a slight release of biological fluid – just a few drops, the symptom is of a short-term nature. More abundant, similar to menstruation, will be bleeding during pregnancy associated with a deficiency of progesterone.

In the case of bleeding during pregnancy associated with its spontaneous interruption, the patient is worried about constant or cramping pain in the lumbosacral region, abdomen. Additionally, nausea, dizziness, malaise, and a slight increase in body temperature may occur. Bleeding during pregnancy in this case can be of varying intensity, often in the discharge there are pieces of tissue. With an ectopic attachment of the fetal egg, as well as with a rupture of the uterus, a serious threat to the life of a woman arises. In such a situation, internal bleeding initially develops during pregnancy, and only then do pathological discharges from the external genital tract appear. There is acute pain in the abdomen with irradiation to the anal region, the lateral parts of the body. With significant blood loss, a state of shock occurs with a threat of death.

Bleeding during pregnancy in the later stages is also not always accompanied by a detailed clinical picture. In the case of placenta previa, this is the only symptom that should cause alertness in a woman and become a reason for contacting an obstetrician-gynecologist. As for the premature detachment of a correctly attached placenta, in this case, bleeding during pregnancy develops against the background of uterine hypertonicity, there is pain in the abdomen, deterioration in general well-being. During cardiac monitoring of the fetus, there is a violation of the heart rate, motor activity.

Diagnosis and treatment of bleeding during pregnancy

To identify the cause of bleeding during pregnancy, a gynecological examination of a woman is performed. With changes in physiological origin, no deviations from the norm can be detected. With pathological bleeding during pregnancy against the background of spontaneous abortion, an opening of the cervix is ​​observed. An increase in the tone of the myometrium may indicate the onset of placental abruption. Of the laboratory diagnostic methods, an analysis is used to determine the concentration of hCG (human chorionic gonadotropin). With ectopic pregnancy and bleeding, this figure will be reduced. Instrumental diagnosis of bleeding during pregnancy is to conduct an ultrasound scan. Using this method, it is possible to assess the state of the myometrium and the embryo, the level of blood flow in the vessels, the exact localization of the placenta and (possibly) its incipient detachment. Using CTG, the diagnostician can make a conclusion about the vital activity of the fetus.

Treatment of bleeding during pregnancy also depends on the cause of the symptom. If there are no pathological changes or the manifestation is provoked by damage to the polyp, medical care is not required. In rare cases, the doctor recommends its removal. Expectant tactics are also used in case of cervical erosion. Her cauterization is carried out after childbirth. Bleeding during pregnancy against the background of the threat of miscarriage and placenta previa requires immediate hospitalization in an obstetric hospital, followed by the appointment of drug treatment. To reduce uterine tone, sedatives, tocolytics are used. Pregnancy management in this case requires careful monitoring by a specialist.

Bleeding during pregnancy caused by ectopic attachment of the ovum, scar rupture, or completed spontaneous abortion requires hospitalization and surgical treatment. After removal of the remnants of fetal tissues or emergency delivery, antibiotic therapy is prescribed. In this case, stopping bleeding during pregnancy is carried out in different ways, depending on its intensity, often ligation of the uterine arteries is performed. With premature detachment of the placenta, an emergency caesarean section is indicated.

Prognosis and prevention of bleeding during pregnancy

Bleeding during pregnancy is usually accompanied by a favorable prognosis. Timely medical care can save the life of the fetus and the woman. Lethal outcome is extremely rare. Prevention of bleeding during pregnancy consists in the early detection of benign neoplasms and their treatment even before conception. To prevent the development of a pathological symptom, you should register as soon as possible, take all the necessary tests, and if any violations occur, immediately seek advice from an obstetrician-gynecologist. Prevention of bleeding during pregnancy also consists in avoiding stress, physical exertion, violent sexual contacts.

You can share your medical history, what helped you in the treatment of bleeding during pregnancy.

Sources

1. self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.

   Abdominal pain and early pregnancy

   Tests you have done show you are pregnant. But the exact cause of your pain is not clear.

   Some pain and bleeding may occur in early pregnancy. Often they stop and you can get pregnant and have a normal baby. In other cases, pain or bleeding may be signs of a miscarriage or ectopic pregnancy. An ectopic pregnancy is a very serious problem. It is currently unclear whether your pregnancy will proceed normally, whether you will have a miscarriage; you may have an ectopic pregnancy. Below is some information related to early pregnancy.

   Miscarriage

   It is not currently known if you will have a miscarriage or if your symptoms will disappear and your pregnancy will continue normally. This is an emotionally difficult time. However, it is important to understand that miscarriages happen quite often.

   Approximately 1 or 2 out of every 10 pregnancies end this way. Some end before the woman knows she is pregnant. This happens for many reasons. Often the cause is never found. However, you should know that this is not your fault. It didn’t happen because you did something wrong.

   Sex or sports do not cause miscarriage. These activities are usually safe unless you have pain or bleeding. Or if your healthcare provider does not recommend postponing such classes. Even a slight fall will not lead to a miscarriage. Miscarriages happen because something doesn’t develop as expected. No medicine can prevent miscarriage.

   Ectopic pregnancy

   In a normal pregnancy, the fertilized egg attaches itself to the wall of the uterus. In an ectopic or tubal pregnancy, the fertilized egg attaches itself outside the uterus, usually in the fallopian tube. In very rare cases, the egg attaches to the ovary or somewhere else in the abdomen (belly). An ectopic pregnancy is much less common than a miscarriage. But this is a very serious problem. The child cannot survive. And as the fetus develops, the fallopian tube may burst (rupture). This can cause internal bleeding and even death. Risk factors for ectopic pregnancy:

   Additional examinations

   The cause of your symptoms is unknown. Therefore, more research is needed to find out what the problem is. You may need the following tests.

   ultrasound

   An ultrasound can often detect a normal pregnancy as early as 4 to 5 weeks. If the ultrasound does not show the baby inside the uterus, it means one of the following:

   • You have a normal pregnancy of less than 4 weeks

   • Right now or recently you had a miscarriage

   • You have an ectopic pregnancy

   Pregnancy hormone

   HCG test measures the amount of pregnancy hormone in the blood. Comparing today’s test result with a repeat test 2 days later will show if you have a normal pregnancy.

   Laparoscopy

   This is a kind of surgery. The doctor places a tube with a light inside your abdomen to directly examine your pelvic organs. This test is used when waiting 2 days for blood test results may not be safe.

   Important information

   If you have an ectopic pregnancy, there is a small chance that the growing fetus may rupture the fallopian tube. This can cause severe internal bleeding. If this happens, you may experience:

   • Sudden severe pain in the lower abdomen

   • Bleeding from the vagina

   • Weakness, dizziness, in some cases fainting

   If any of these symptoms occur:

   • Call 911 or go straight to the hospital.

   • Do not drive yourself.

   • Do not go to your doctor or clinic. Go to the hospital.

   Home care

   Follow these guidelines for home treatment:

   • Rest until your next doctor’s appointment. Do not engage in strenuous activities.

   • Eat a diet with foods that are easy to digest.

   • Do not have sex unless your doctor tells you to.

   Follow-up

   See your doctor or other specialist as recommended. If you were advised to take a second blood test after 2 days, you need to take it.

   If you have had an x-ray or ultrasound, the results will be reviewed by a radiologist. You will be informed of any new results that may affect your treatment.

   Call 911

   Call 911 if you have any of the following symptoms:

   • Severe pain and very heavy bleeding

   • Severe dizziness, loss of consciousness or fainting

   • Rapid pulse

   • Labored breathing

   • Confusion or trouble waking up

   When to Seek Medical Care

   Seek immediate medical attention in the following cases:

   • Abdominal pain increases suddenly or slowly.

   • You feel dizzy or feel weak when you stand.

   • You have severe vaginal bleeding. This means that 1 pad or tampon is soaked every hour for 3 hours.

   • You have vaginal bleeding for more than 5 days.

   • You have repeated vomiting or diarrhea.

   • Abdominal pain moves to lower right corner.

   • You have blood in your vomit or stool. They are dark red or black.

   • You have a temperature of 100.4ºF (38ºC) or higher, or as directed by your physician.

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