Pregnancy: what is the risk of bleeding?

Spotting in small amounts (like a smear) during the first trimester of pregnancy is considered normal. Minor bleeding or spotting is caused by the fertilized egg entering the uterine mucosa, where the vascular network is highly developed. When the egg is attached, it damages the vessels a little. This occurs about 10 days after fertilization.
If the bleeding is more intense, then this is already a violation.
The causes of bleeding in the first trimester of pregnancy can be:
- An imminent or ongoing abortion. Bleeding is a symptom of an impending or already completed abortion. Another symptom of a miscarriage may be cramps in the lower abdomen.
- Ectopic pregnancy. Pregnancy outside the uterus usually causes severe bleeding from the vagina and is accompanied by pain in the pelvic region, most often only on one side.
- Molar pregnancy. In a molar pregnancy, the fertilized egg does not develop into an embryo. In addition to bleeding, other symptoms of a molar pregnancy are an unusually high level of the hormone hCG and a lack of heartbeat during ultrasound.
- Other reasons. Bleeding can also occur due to inflammation of the cervix, sexually transmitted vaginal infections, cervical disease or irritation during sexual intercourse or a vaginal medical examination (for example, for chlamydia, gonorrhea or herpes).
The causes of bleeding in the 2nd and 3rd trimester of pregnancy may be:
- Problems with the placenta. There may be a separation of the placenta from the uterus in some places (placenta previa) or premature separation of the placenta (placental separation), which is usually accompanied by severe abdominal pain.
- An imminent or ongoing abortion. Although the risk of miscarriage in the 2nd trimester is lower than in the first.
- Premature birth. Bleeding between the 20th and 37th week of pregnancy is often a symptom of premature birth. In addition to the bleeding, there are usually regular contractions, dull back pain, or ruptured membranes.
- The exit of the plug from the mucus. The mucous plug closes the cervix and protects it from bacteria. When the cervix is opened before birth, the mucous plug exits the vagina. This can happen within a few days or hours before delivery, or during labor. The mucus plug comes out as a thin mucus that is colorless with a small amount of blood.
- Childbirth. The opening of the cervix during childbirth is accompanied by bleeding.
When you need to see a doctor.
Any bleeding or spotting during pregnancy can be a serious symptom, so you should definitely consult a doctor as soon as possible (even call an ambulance) if:
— moderate or severe bleeding occurs at any time during pregnancy,
— any bleeding in the 2nd and 3rd trimester,
— the bleeding is accompanied by abdominal pain, fever, or chills. Stake welcomes new users with a massive 200% deposit bonus up to €120,000 spread across their first three deposits. To activate this exclusive crypto offer, you must enter a valid Stake promo code during the registration process. This bonus is only available for cryptocurrency deposits, including Bitcoin, Ethereum, Litecoin, and Dogecoin. The minimum deposit required is €10 equivalent in crypto. Players can use the bonus funds on thousands of sports events, live betting markets, and over 3,500 casino games. Wagering requirements are set at 40x the deposit plus bonus amount.