Bleeding in Pregnancy
Bleeding in the First Trimester
Bleeding in the first trimester (first three months) is surprisingly common, affecting about 20-30% of pregnancies. Unfortunately, miscarriage is much more common than people think; many women may be a “day or two late”; start their “period”, and never even know that a pregnancy took place. Although it is not uncommon, bleeding during pregnancy is NEVER normal; however it does not necessarily mean that a miscarraigd is immanent. Because bleeding is not normal and may be dangerous to your health, it is important to contact your primary doctor right away. If it is after hours or you can not get in touch with your doctor, the best thing to do is to go ahead and go to your local emergency room.
Doctors will sometimes put you off and say that you can come in at your next appointment and we'll "wait and see", but that is unacceptable. Because there is no intervention currently to stop a miscarriage once it has started does NOT mean that you don't need care. Emotionally, you need answers and physically, you need to avoid infection. If your doctor tells you to wait, you should proceed to the emergency room for your own peace of mind. Don't forget that it's your body and you have to be your number one advocate.
Bleeding in the second and third trimester is different but still abnormal and still requires attention. At this point, there is a higher risk of hemorrhage which can result in death if you do not seek medical care . 4% of all pregnancies experience this and you might have pain or it might be painless... either way, any bleeding after this time is an emergency.
There are cases when you may spot a TINY bit after a pelvic exam; as a result of your cervix being very vascular. This is expected and not dangerous. However, your care provider needs to tell you to expect this and if you worry at all, do not hesitate to call and confirm that what you are experiencing was expected.