Bleeding during pregnancy-is it dangerous?

Bleeding at the beginning of pregnancy

Many women experience bleeding at the very beginning of pregnancy. If it is small and occurs on the date of the expected menstruation, it may be implantation bleeding. It is associated with the implantation of the embryo in the endometrium. In addition, spotting in early pregnancy can occur, among other things. As a result of vaginal infections, after intercourse or due to ectopia (erosion) of the cervix. In a great many situations, it is impossible to find a clear cause for spotting or bleeding. However, you should always consult a gynecologist, who will perform the necessary tests.

A much more serious condition that causes bleeding in the early stages of pregnancy is, for example.
ectopic (ectopic) pregnancy
. This is a situation in which a fertilized egg cell nests in an abnormal place, i.e. outside the uterine cavity. Early detection of ectopic pregnancy is difficult due to the uncharacteristic symptoms, which are similar to miscarriage. However, ignoring them can lead to rupture of the fallopian tube and even shock, which is a threat to a woman’s life.

Bleeding in the 1st trimester- miscarriage

Many women worry that bleeding from the genital tract in the first half of pregnancy unequivocally means miscarriage. In fact, the first trimester of pregnancy is associated with the highest risk of miscarriage, but the occurrence of spotting or bleeding can be associated with much less serious causes, as mentioned above. In addition, do not forget about a threatened miscarriage. Despite the appearance of bleeding, it is not equivalent to pregnancy loss.

The severity of bleeding in a miscarriage varies from light spotting to severe hemorrhages. There may also be other symptoms such as lower abdominal pain or less characteristic symptoms such as fever.  Never underestimate bleeding during pregnancy and consult with your health care provider for any such episode.

Bleeding in the second half of pregnancy

Bleeding in the second half of pregnancy is most often associated with abnormalities of the placenta. More than half of the cases are placenta previa and premature separation of the placenta. These are serious conditions that threaten both the pregnant woman and the baby and are an indication for hospitalization. Other reasons for the occurrence of bleeding in II. mid-pregnancy include cervical polyps, bleeding erosion, anterior vessels, trauma to the reproductive tract, and in the perinatal period, among others. uterine rupture. It is also important to note that bleeding may occur due to the onset of labor.

• Anterior bearing

  This is the term for the situation when the placenta is implanted within the lower uterine segment. Most often it covers the inner mouth of the cervical canal. The diagnosis of placenta previa generally falls in II. mid-pregnancy, since only then is the placenta fully developed. In the earlier weeks, its migration is still possible. Often the only symptom is bleeding, and each subsequent symptom is more profuse. Pregnant women with placenta previa are subject to intensive obstetric surveillance. KTG and ultrasound examinations are performed, as well as a fetal biophysical profile, which provides information on fetal well-being. In the case of an anterior placenta, natural childbirth is impossible. In addition, an internal examination is contraindicated due to the high risk of hemorrhage.

• Premature separation of the placenta

The situation when there is a partial or complete separation of the placenta from the uterine wall of a properly located placenta is called its premature separation. Symptoms, in addition to bleeding from the genital tract, include severe pain in the lower abdominal area and increased uterine tension. If more than 50% of the placental surface separates, fetal hypoxia and even death can occur.

In most cases, both placenta previa and placenta previa are not contraindications to cord blood collection. During a cesarean section, blood is drawn as soon as the placenta is extracted. Studies show that the volumes taken in natural childbirth and cesarean delivery are comparable. If you have any questions or concerns, please feel free to contact us using the form.