Bleeding During Your First Trimester

Vaginal bleeding during the first trimester can be a little scary, and yet, it is normal in most instances. Statistics state that one out of three women will experience bleeding at some time during their pregnancy, and this is most likely during the first trimester. As stated earlier, some of this is normal and some of the bleeding is a sign that something is not quite right. The first bit of advice to tell you is that if you do experience any kind of bleeding, no matter how insignificant you think it might be, you need to let your doctor or healthcare provider know.

If you are aware of what causes bleeding while you are pregnant, you will be more able to recognize any symptoms that are unusual or abnormal.

What causes the bleeding?

1. When the egg that is fertilized attaches itself to your uterus lining, you may notice a little bit of bleeding. This kind of bleeding is called implantation bleeding. The bleeding will be lighter colored than menstrual bleeding. For some women who do not realize they are pregnant, they will mistake this light bleeding as a period. For the most part this bleeding will be painless. Your doctor will probably ask that you avoid any heavy lifting or sex for a while. You may also be required to take some bed rest to allow the fertilized egg to attach itself better, if you have a history of high risk pregnancy or infertility.
2. When pregnant, your cervix will experience an extra supply and flow of blood to it. After intercourse or a pelvic exam, you may have some bleeding, which is going to be normal.
3. Miscarriages also can happen during the first trimester and cause bleeding. Don’t let this fact put you in a panic though, because at least half of the first trimester bleedings are not the result of a miscarriage.
4. A tubal pregnancy happens when the embryo attaches itself outside of the uterus. When this happens, there can be very serious internal bleeding. The tubal pregnancy needs to be removed from the mother to save her life. Other symptoms of a tubal pregnancy are abdominal pain that is worse on one side of your body than the other, a feeling of being lightheaded, and feeling the need to have a bowel movement.

These are just a few of the causes of bleeding. Your doctor or healthcare provider will be able to give more information if it is needed.

When should you call your doctor?

• If you experience a slight amount of bleeding, remember to tell your doctor on your next visit.
• If your bleeding lasts more than one day, call your doctor.
• If you experience bleeding that ranges from moderate to heavy, and/or you have bleeding with pain, cramps, fever, and chills and/or have tissue that is passing from your vagina, then call your doctor immediately.

Be prepared to answer questions from your doctor, and take a pelvic exam. You may also have some lab tests done and/or an ultrasound to check on the status and growth of your baby or pregnancy. The treatment you will receive will depend on the cause of your symptoms.

Remember, that not all first trimester bleeding is serious, but it is important to know the facts so you will be more aware and better prepared for a healthier pregnancy.