Posts Tagged ‘spotting’

Common pregnancy concerns: when should you call your provider?

Monday, August 28th, 2017

During pregnancy, it’s common to worry about every ache, pain, and unfamiliar feeling. But do you always need to contact your health care provider? Here is information to help you decide.

Bleeding

Up to half of all pregnant women have some bleeding or spotting during pregnancy. Although it may be common, it’s still important to let your health care provider know. Make sure you:

  • Keep track of how heavy you are bleeding, if the bleeding gets heavier or lighter, and how many pads you are using.
  • Check the color of the blood. It can be brown, dark or bright red.
  • Don’t use a tampon, douche or have sex when you’re bleeding.

Call your provider or go to the emergency room right away if you have any of the following symptoms:

  • Heavy bleeding,
  • Bleeding with pain or cramping,
  • Dizziness and bleeding,
  • Pain in your belly or pelvis.

Abdominal Pain

As your baby grows, the muscles around the uterus pull and stretch. This can cause pain low in your belly. You may feel it most when you cough or sneeze. It usually goes away if you stay still for a bit or if you change to a different position.

But if your pain is severe, doesn’t go away, gets worse, or is accompanied by bleeding, you should call your provider right away.

Headaches

Headaches are common during pregnancy, especially in the first trimester. They’re often caused by pregnancy hormones, stress or body tension caused by carrying extra weight throughout pregnancy.

However, headaches may be sign of preeclampsia or other complications. You should call your provider if your headache:

  • Is severe or doesn’t go away,
  • Comes with fever, vision changes, slurred speech, sleepiness, numbness or not being able to stay alert,
  • Comes after falling or hitting your head,
  • Comes with a stuffy nose, pain and pressure under your eyes or a toothache. These may be signs of a sinus infection.

Vomiting

Morning sickness is nausea and vomiting that happens in the first few months of pregnancy. Even though it’s called morning sickness, it can happen any time of day.

At least 7 in 10 pregnant women (70%) have morning sickness in the first trimester. It usually starts at about 6 weeks and is at its worst at about 9 weeks. Most women feel better in their second trimester, but some have morning sickness throughout pregnancy. If you are experiencing any nausea or vomiting, let your provider know.

For most women, morning sickness is mild and goes away over time. But call your provider if:

  • Your morning sickness continues into the 4th month of pregnancy.
  • You lose more than 2 pounds.
  • Your vomit is brown in color or has blood in it. If so, call your provider right away.
  • You vomit more than 3 times a day and can’t keep food or fluids down.
  • Your heart beats faster than usual.
  • You’re tired or confused.
  • You’re making much less urine than usual or no urine at all.

Don’t take any medicine, supplement or herbal product to treat your symptoms without talking to your provider first. And if you are ever unsure whether or not you should call your provider, it’s better to call. Most likely your provider will be able to answer your question and put your mind at ease.

Have questions? Email us at AskUs@marchofdimes.org.

Bleeding during pregnancy – what does it mean?

Monday, July 6th, 2015

bleeding during pregnancyIf you are pregnant and experience spotting or bleeding, it can be very scary. When you see blood, your first thought may be “is my baby ok?” Bleeding and spotting from the vagina during pregnancy is common. Up to half of all pregnant women have some bleeding or spotting.

Bleeding? Spotting? What’s the difference?

Spotting is light bleeding and happens when you have a few drops of blood in your underwear. Bleeding is a heavier flow of blood, enough that you need a panty liner or pad to keep the blood from soaking your underwear or clothes.

Bleeding in early pregnancy

Bleeding doesn’t always mean there’s a problem, but it can be a sign of serious complications. There are several things that may cause bleeding early in your pregnancy, such as having sex, an infection, or changes in your cervix and hormones. You may bleed a little when the embryo attaches to the lining of your uterus (called implantation bleeding). This may occur 10-14 days after fertilization. Although this spotting is usually earlier and lighter than a menstrual period, some women don’t notice the difference, and don’t even realize they’re pregnant.

Sometimes bleeding and spotting in the first trimester can be a sign of a serious problem such as miscarriage, ectopic pregnancy, or molar pregnancy. But keep in mind that bleeding doesn’t always mean miscarriage. At least half of women who have spotting or light bleeding early in pregnancy don’t miscarry.

Bleeding in late pregnancy

Causes of late pregnancy bleeding include labor, sex, an internal exam by your provider or problems with your cervix, such as an infection or cervical insufficiency. It could also be a sign of preterm labor, placenta previa, placental abruption or uterine rupture.

How to tell if the bleeding is dangerous

Bleeding or spotting can happen anytime, from the time you get pregnant to right before you give birth. Bleeding can be a sign of a serious complication, so it’s important you call your prenatal care provider if you have any bleeding or spotting, even if it stops. If the bleeding is not serious, it’s still important that your provider finds out the cause. Do not use a tampon, douche or have sex if you’re bleeding.

Before you call your provider, write down these things:

• How heavy your bleeding is. Is it getting heavier or lighter and how many pads are you using?
• The color of the blood. It can be different colors, like brown, dark or bright red.

Go to the emergency room if you have:

• Heavy bleeding
• Bleeding with pain or cramping
• Dizziness and bleeding
• Pain in your belly or pelvis

Treatment for your bleeding depends on the cause. You may need a medical exam or tests performed by your provider.

Bottom Line

If you are bleeding or spotting at any point in your pregnancy, call your provider right away and describe what you are experiencing. It’s important that your bleeding or spotting is evaluated to determine if it is dangerous to you and your baby.

Have questions? Send them to AskUs@marchofdimes.org.