Bleeding During Pregnancy: Do We Have To Care? If some bleeding is mild during pregnancy, others should give warning, because they can hide a more or less severe complication. We take stock.
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Totally benign, these bleeds appear in early pregnancy: they are linked to the nesting of the fertilized egg. The latter must indeed “dig his nest” in the wall of the uterus, which explains these slight blood loss … It is only small traces of brown or rosy, possibly accompanied by vague tightness or pain Similar to premenstrual syndrome.
The “first anniversary rules.”
It is during the first trimester of pregnancy that the bleeding is most frequent: about one in four pregnant women is affected. Fortunately, in most cases, it is only little vaginal bleeding (also called spottings ), preferably when you should have had your period, hence their nickname! Like actual menstruation, their appearance is linked to your hormonal cycle. These losses are somewhat greater than for Nidal bleeding, but they are still lighter than actual menstruation. Their color varies from red to brownish.
Other benign causes of bleeding during the first trimester
There are many other causes of possible bleeding during the first trimester. Some are fortunately very benign: you can, for example, see a slight loss of blood after intercourse. Nothing very worrying: this is related to the hormonal upheavals of pregnancy, which can weaken the wall of the cervix.
Another possible cause of bleeding is the presence of uterine fibroid (benign tumor). This is rarely important, but gynecological monitoring is recommended in case.
Finally, you may also have a blood clotting disorder (e.g., hereditary disease of Von Willebrand): bleeding can be quite impressive, without there being any danger for the baby.
The more severe causes of bleeding during the first trimester
Unfortunately, in some cases, bleeding is due to more serious problems. They may especially be the manifestation of a miscarriage or an ectopic pregnancy (the embryo develops outside the uterus, usually in a fallopian tube: it is necessary to end a pregnancy ). The bleeding is then abundant and is often accompanied by very painful abdominal cramps.
Bleeding during the first trimester: when to consult?
If mild bleeding is common and not severe during the first trimester, it is important to ask when your losses last for a long time (two to three consecutive hours) and are very abundant (reference example: you use a maxi sanitary towel in one hour). Consult all the more quickly if this bleeding is accompanied by severe abdominal pain, shoulder pain (a sign of certain ectopic pregnancies) and loss of consciousness.
Bleeding in the second and third trimesters: when to consult?
Having small blood loss after sexual intercourse or vaginal examination is even more common in late pregnancy than in the first trimester: do not worry, it is really not serious!
In other cases, the instruction is simple: a blood loss during the second or third trimester is not healthy, and must therefore always be the subject of a consultation to determine its cause.
This does not mean that you have something serious! In fact, you can, for example, have a urinary tract infection: taken care of quickly, it will remain safe for you as for your baby. However, blood loss can also come from placenta detachment, especially during the third trimester: the blood is often blackish … If the separation is slight, the pregnancy can be carried out to the end without any hindrance. The case of the placenta praevia (placenta poorly positioned) is more delicate: a hospitalization is often necessary until delivery. In the most severe cases, the baby should be given birth by emergency cesarean section:
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