Trickling in the initial trimester

Bleeding is considered to be quite normal in the first trimester of pregnancy. There are a lot of bodily changes that occur to a woman during her initial stages. Even though it will not be an alarming matter, one needs to find the possible reasons for spotting during pregnancy. 

Various causes of bleeding

Spotting or light bleeding in the initial stages of pregnancy can be considered to be normal if it lasts only for a day or two. Nearly 20% of women would experience spotting in the first trimester. However, they would have a healthy pregnancy and a healthy baby. 

• Implantation bleeding: light bleeding that occurs when the fertilized egg implants itself in the lining of the uterus is considered to be implantation bleeding. This would occur within six to 12 days of conceiving and would last for a few hours or days. 
• Miscarriage: at times, lighter bleeding might lead to heavy flow with pain, and this could be a sign of miscarriage. Usually, a lot of miscarriages happen in the first trimester itself. However, if there is a heartbeat found in the ultrasound, then they may not lose the baby but need to be careful. 
• Cervical polyp: rarely women would get polyps or finger-like growths near or on the cervix. This would lead to inflammation and irritation, which will eventually lead to bleeding. Through a pelvic examination, it is easy to diagnose and resolve the issue. 
• Intercourse or physical examination: the body will be sensitive than usual hence, anything that pokes could lead to bleeding. This includes intercourse as well as physical examination, and right after the act, a woman might see blood. The bleeding will go away on its own after a while. 
• Ectopic pregnancy: when a fertilized egg gets attached outside the womb, usually in the fallopian tubes. This would lead to bleeding and need to be medically treated. 
• Molar pregnancy: the placental tissue tends to grow abnormally due to a genetic problem during fertilization. In a molar pregnancy, the fetus may not grow at all, and this would cause a miscarriage in the first trimester. 
• Subchorionic hemorrhage: if the placenta gets detached slightly from the wall of the womb, a woman will bleed. A sac might form in the gap between these two. Depending on the size of the hemorrhage, the risk would also vary. A large hemorrhage might lead to miscarriage within the first 20 weeks of pregnancy. 
• Infection: An infection in the pelvic area or urinary tract or the bladder can cause bleeding or spotting. Bacteria, viruses, or fungi could cause it. 

Be it at any time when a woman bleeds during her pregnancy; it is better to consult the doctor on time. At Aikya Speciality Clinic,the doctor helps to identify the cause of spotting during the first trimester and provides the necessary support and care.

Blog Reviewed By: Dr Sunil Eshwar

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