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Spotting During Pregnancy


Spotting during pregnancy can occur even in a normal, healthy pregnancy.  Bleeding during pregnancy at any point is enough to make a woman feel incredibly paranoid about their baby’s health.  Spotting or bleeding isn’t necessarily a sign of danger, but it is a sign that you and your midwife or doctor should pay close attention. 



Common Causes for Bleeding While Pregnant

Women can spot or have pregnancy bleeding for many reasons.  Whether or not it is a cause for concern depends upon the reason for the bleeding.  Women who experience bleeding
should consult their doctor or midwife right away.

Common causes for spotting during pregnancy include:

  • Implantation Bleeding:  Bleeding at the very beginning of a pregnancy, even before you get a positive test, could be a sign of implantation bleeding.  This type of bleeding during pregnancy is better described as spotting, which is just very light bleeding.  
  • Implantation bleeding occurs when the embryo burrows into the lining of the uterus.  Because the uterus is engorged with blood to nourish the embryo, implantation can cause slight spotting or bleeding.  This is normal and is not a cause of concern. 
  • Friable Cervix:  This condition, which is simply a cervix that is easily irritated, is common in pregnancy.  The 50% greater blood volume combined with the engorgement of the cervix makes it ripe for spotting during pregnancy.  If the cervix is bumped during intercourse, a pap smear, or a vaginal exam bleeding may occur.  While this is a concern to women, doctors or midwives know that this is common and not a cause for concern. 
  • Sexually Transmitted Infections:  Certain sexually transmitted infections like HPV and herpes can sometimes cause spotting during pregnancy if the lesions or warts are by the cervix.  While the infection itself is cause for concern, the bleeding is considered a symptom of the infection. 
  • Miscarriage:  Typically when women first see pregnancy spotting after they know they are pregnant, their minds immediately go to miscarriage.  While it is not definitely the reason for
  • your bleeding, it the most scary for women.  The fear that something is wrong with the baby is all consuming.  Miscarriage bleeding tends to be bright red and copious in amount accompanied by cramping.  Contact your provider if you experience this
  • Ectopic Pregnancy:  A pregnancy that has implanted somewhere in the uterine tube that connects your ovary to the uterus can begin to rupture and cause bleeding.  An ectopic
  • pregnancy usually is accompanied by intense pain.
  •  
  • Twin Demise:  In early pregnancy, the presence of bleeding could be the result of a twin pregnancy in which one of the sacs has dissolved.  This does not mean that you are not
  • still pregnant.  Indeed, rough estimates put the chances of this happening in about 20% to 30% of all twin pregnancies.  As the living baby continues to grow, the other tissue begins to reabsorb into your body.  The demise of one twin might cause bleeding. 
  • Placenta Issues:  If your placenta has implanted over your cervix or begun to detach from the wall of your uterus, bleeding could occur.  Typically, placenta previa (where the cervix is covered partially or totally by your placenta) causes painless bleeding that comes an goes with increasing amounts.  
  • Placenta abruptio (where the placenta completely or partially separates from the wall of the uterus) presents with intense abdominal pain and/or large amounts of blood.  Both of these conditions are considered obstetrical emergencies. 

Periods During Pregnancy
Some women report getting periods during pregnancy.  While this is impossible, there can be episodic break-though bleeding that can be perceived as a period while pregnant.  Hormonal shifts in pregnancy can cause bleeding where parts of the lining of the uterus shed with regularity.  It might, indeed, seem like a woman is getting a period when in reality it’s just bleeding during pregnancy. 

Spotting during pregnancy can be a scary thing, and it requires the knowledge of your doctor or midwife to help you make sense of it all.  Do not hesitate to seek out care if your bleeding is copious, worrisome, or combined with pain and fever.  Getting help to understand this issue is vital to your emotional and physical well being. 



Go from Spotting During Pregnancy to Pregnancy Problems.


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