Vaginal bleeding in pregnancy
Pregnancy - vaginal bleeding; Maternal blood loss - vaginal
Vaginal bleeding in pregnancy is any discharge of blood from the vagina during pregnancy.
The ultrasound has become a standard procedure used during pregnancy. It can demonstrate fetal growth and can detect increasing numbers of conditions in the fetus including meningomyelocele, congenital heart disease, kidney abnormalities, hydrocephalus, anencephaly, club feet, and other deformities. Ultrasound does not produce ionizing radiation and is considered a very safe procedure for both the mother and the fetus.
External structures of the female reproductive anatomy include the labium minora and majora, the vagina and the clitoris. Internal structures include the uterus, ovaries, and cervix.
The placenta provides the fetus with oxygen and nutrients and takes away waste such as carbon dioxide via the umbilical cord.
Placenta previa is a condition of pregnancy when the placenta implants in the lower part of the uterus, partly or completely obstructing the cervical outlet to the vagina (birth canal).
There are many possible causes of bleeding during pregnancy. Bleeding should always be evaluated by a health care provider.
Considerations
Up to 1 in 4 women have vaginal bleeding at some time during their pregnancy. Bleeding is more common in the first 3 months (first trimester), especially with twins.
Causes
A small amount of light spotting or bleeding may be noted 10 to 14 days after conception. This spotting results from the fertilized egg attaching itself to the lining of the uterus. Assuming it is light and does not last very long, this finding is most often nothing to be concerned about.
During the first 3 months, vaginal bleeding may be a sign of a miscarriage or ectopic pregnancy. Contact the health care provider right away.
During months 4 to 9, bleeding may be a sign of:
- The placenta separating from the inner wall of the uterus before the baby is born (abruptio placentae)
- Miscarriage
- The placenta covering all or part of the opening to the cervix (placenta previa)
- Vasa previa (baby's blood vessels exposed across or near the internal opening of the uterus)
Other possible causes of vaginal bleeding during pregnancy:
- Cervical polyp or growth
- Early labor (bloody show)
- Ectopic pregnancy
- Infection of the cervix
- Trauma to the cervix from intercourse (small amount of bleeding) or recent pelvic exam
Home Care
Avoid sexual intercourse until your provider tells you that it is safe to start having intercourse again.
Consume only fluids if the bleeding and cramping are severe.
You may need to cut down your activity or be put on bed rest at home. Your provider will talk to you about the specific kinds of activity changes you may need to make.
Medicine is not needed in most cases. DO NOT take any medicine without talking with your provider.
Also, talk to your provider about what to look for, such as the amount of bleeding and color of the blood.
When to Contact a Medical Professional
Contact your provider if:
- You have any vaginal bleeding during pregnancy. Treat this as a potential emergency.
- You have vaginal bleeding and have placenta previa (get to the hospital right away).
- You have cramps or labor pains.
What to Expect at Your Office Visit
Your provider will take a medical history and perform a physical exam.
You will probably have a pelvic exam, or ultrasound as well.
Tests that may be done include:
- Blood tests
- Pregnancy ultrasound
- Ultrasound of the pelvis
You may be referred to a high risk specialist for the duration of the pregnancy.
References
Francois KE, Foley MR. Antepartum and postpartum hemorrhage. In: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Normal and Problem Pregnancies. 8th ed. Philadelphia, PA: Elsevier; 2021:chap 18.
Salhi BA, Nagrani S. Acute complications in pregnancy. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 178.
Turocy J, Williams Z. Early and recurrent pregnancy loss: etiology, diagnosis, treatment. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 16.
Version Info
Last reviewed on: 1/10/2022
Reviewed by: John D. Jacobson, MD, Department of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
