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The bleeding usually happens once and then goes away on its own. Sometimes what begins as spotting or lighter bleeding becomes heavy bleeding. Most miscarriages happen in the first trimester of pregnancy. Up to 20 percent of all pregnancies are miscarried.

Most women can and do go on to have a healthy pregnancy and baby. If you have any of these symptoms, call your doctor. You can have bleeding and other symptoms of a miscarriage without having miscarried. This is called a threatened abortion abortion is a medical term here. On the other hand, a study that followed more than women who were pregnant with twins from in-vitro fertilization IVF found that they had a high chance of healthy pregnancies.

An ectopic pregnancy happens when the fertilized egg mistakenly attaches somewhere outside the womb. Most ectopic pregnancies are in the fallopian tubes — the connections between the ovaries and the womb. An ectopic pregnancy is less common than a miscarriage. It happens in up to 2. A baby can only grow and develop in the womb, so ectopic pregnancies have to be medically treated.

Another cause of bleeding in your first trimester is a molar pregnancy. This rare but serious complication happens in almost 1 in every 1, pregnancies. The fetus may not grow at all. A molar pregnancy can cause a miscarriage in the first trimester. Subchorionic hemorrhage , or hematoma, is bleeding that happens when the placenta slightly detaches from the wall of the womb. A sac forms in the gap between the two.

Subchorionic hemorrhages vary in size. Smaller ones are the most common. Larger ones cause heavier bleeding. Many, many women have hematomas and go on to have healthy pregnancies. But a large subchorionic hemorrhage may also increase the risk of a miscarriage in the first 20 weeks of pregnancy. Bleeding in the first trimester might have nothing to do with your pregnancy at all.

An infection in your pelvic area or in the bladder or urinary tract can also cause spotting or bleeding. They may be caused by bacteria, viruses, or fungi. A serious yeast infection or inflammation vaginitis can also cause bleeding.

Infections typically cause spotting or light bleeding that is pink to red in color. You may have other symptoms like:. Bleeding in the second or third trimester of your pregnancy is normally more serious than first trimester light bleeding.

Let your doctor know if you experience any kind of bleeding during pregnancy. Get immediate medical care if you have any of these symptoms :. It occurs when the fertilized egg attaches itself outside the uterus. Light to heavy vaginal spotting or bleeding can be a symptom of an ectopic pregnancy. Most miscarriages occur in the first 13 weeks of pregnancy.

You should still call your doctor, though, so they may rule out ectopic pregnancy or another complication. Your doctor will likely do two or more blood tests to check your pregnancy hormone levels. This hormone is called human chorionic gonadotropin hCG. The tests will be 24 to 48 hours apart. A decline in hCG levels indicates a pregnancy loss. In some people, changes to the cervix can cause mild spotting.

Other times, hormonal changes may be responsible. They can rule out more serious causes and put your mind at ease. Light bleeding or spotting during the second trimester may be caused by irritation to the cervix, usually after sex or a cervical exam.

This is common and not usually cause for concern. A cervical polyp is another possible cause for bleeding in the second trimester. This is a harmless growth on the cervix.

You may have spotting from the area around the cervix due to an increased number of blood vessels in the tissue there. Heavy bleeding in the second trimester may be a sign of a medical emergency, such as:. Light bleeding or spotting during late pregnancy may occur after sex or a cervical exam. If you experience heavy vaginal bleeding during late pregnancy, seek emergency medical care. It could be caused by a:. If you experience a lighter blood flow or light spotting, you should still call your doctor right away.

Depending on your other symptoms, you may need an evaluation. About 10 percent of all clinically recognized pregnancies end in miscarriage.

You may also experience pain or cramping in your lower back or abdomen, or fluid or tissue passing from your vagina along with the following symptoms:. Further along in the first trimester, or if there are com plications , you may require a procedure called dilation and curettage — commonly called a D and C — to stop bleeding and prevent infection. If the fetus is no longer alive, you may be given medication to help you deliver the fetus and placenta vaginally or your doctor may decide to surgically remove the fetus using a procedure called dilation and evacuation , also known as D and E.

A second or third-trimester miscarriage requires physical and emotional care. If you work outside your home, ask your doctor when you can return to your office or work site. If you think you need more time for emotional recovery, let your doctor know. And with your uterus pushing up near your diaphragm and crowding your stomach, the consequences may be shortness of breath and heartburn. You may have lower-back pain as your pregnancy advances. If you do, let your doctor or midwife know right away, especially if you haven't had back pain before, since it can be a sign of preterm labor.

Keep monitoring your baby's kicks , and let your healthcare provider know immediately if you notice a decrease. Though your baby's quarters are getting cozy, he should still be as active as before. Don't see your symptom? Wondering about a symptom you have? Find it on our pregnancy symptoms page. You won't have as much energy to read after your baby's born, so learn all you can about the first few weeks now.

Start with BabyCenter's newborn area. Don't feel pressured to allow relatives and friends into the delivery room if you don't want to. In a BabyCenter poll, most moms-to-be wanted only their partner and medical staff in the room. BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world.

When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing.

Learn more about our editorial and medical review policies. Prenatal development: How your baby grows during pregnancy. American College of Obstetricians and Gynecologists. March of Dimes.



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