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Bleeding During Early Pregnancy


Bleeding during early pregnancy often can occur in the first trimester. However, this does not always mean that there is a problem. Many women experience light spotting during early pregnancy in the first 3 months. It can vary from light spotting to severe bleeding with clots. 20-30% of all pregnancies experience bleeding in early pregnancy.



Implantation Bleeding:

Implantation bleeding is one possible reason for spotting in early pregnancy. Usually, implantation bleeding flows lighter than menstrual bleeding. It is recognized as a brown or pink color. When the tissue (trophoblast) that surrounds the egg attaches to the endometrium, it buries its way into the lining. Traveling through blood vessels, it lakes of blood. As they come close to the surface of the trophoblast, it may cause implantation bleeding. Implantation bleeding usually happens between 5 and 12 days after ovulation. Usually close to when your period would normally arrive.

Miscarriage:

Bleeding in early pregnancy can also be a sign of Miscarriage, but it is not always the case. Approximately half of women who bleed do not end up having a miscarriage. Approximately 15-20% of all pregnancies result in miscarriage. Most occur during the first 12 weeks of pregnancy.

What are the signs of Miscarriage?
- Vaginal Bleeding
- Pain/ cramps felt in abdominal area. These are usually stronger than menstrual cramps.
- Passing of tissue throuh the vagina

Miscarriages are often the body's way of dealing with an unhealthy pregnancy. Most cannot be prevented.

Ectopic Pregnancy:

Pregnancies that implant outside the uterus are called ectopic pregnancies. These are less common than miscarriages. Ectopic pregnancies occur in 1 of 60 pregnancies. The fallopian tube accounts for most ectopic pregnancies.

What are the signs of Ectopic Pregnancy?
- Pain/ Cramping in low stomach area. Typically, these are stronger than menstrual cramps.
- Sharp pain in abdominal area.
- Low hCG levels
- Vaginal bleeding

Who is at risk for ectopic pregnancy?
- Women who have had a tubal infection
- Women who have previously had an ectopic pregnancy
- Women who have had previous pelvic surgery

Molar Pregnancies:

Molar pregnancies are a rare cause of bleeding during early pregnancy. Molar pregnancies are the growth of abnormal tissue rather than an embryo. It is often referred to as a "mole".Another name for it is GTD, or gestational trophoblastic disease.

What are the signs of Molar Pregnancy?
- Vaginal bleeding
- Absent fetal heart tones
- Clusters visible in the uterus seen by ultrasound. (Grape-like clusters)
- Blood tests revealing unusually high levels of hCG

Bleeding in the First and Second Half of Pregnancy

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