What Are the Critical Details You Need to Know About Managing Bleeding in the Initial Phases of Pregnancy?

Written By Jeremy Clark

Bleeding in the early months of pregnancy could be very alarming for any expecting mother, whereas light bleeding and spotting during the first trimester is a relatively common phenomenon. It is important for you to understand the reason because, in some cases, it might be harmless and, in other cases, it could indicate a very serious issue. So, consulting the best gynaecologist in Bhubaneswar in any such concerns is important so that you have a clear idea about how to manage and respond to such a situation while making sure that there is no scope of any issue to the mother and the developing baby.

Bleeding in the initial phase of pregnancy, up to 12 weeks, can range from a light spot to a very heavy flow, and it has been estimated that approximately 30% of pregnant women will experience some bleeding in the first trimester. While not all episodes of bleeding are at all dangerous, it is still important for you to seek appropriate medical evaluation to determine the cause of bleeding. 

Common causes of bleeding in early pregnancy: 

  1. Implantation bleeding: This will happen when the fertilised egg attaches to the uterine lining around 6-12 days after conception, and usually this will be based upon a light pink or brown type of bleeding which will last for a few hours or two days. Normally, people take it mistakenly for a light period. 
  2. Cervical changes: The consistent increase in blood to the cervix during pregnancy can also lead to episodes of mild bleeding after sexual intercourse or a pelvic examination. 
  3. Hormonal fluctuations: Another very common reason behind the bleeding in early phases is the hormonal fluctuation, because some hormones can lead to light spots of blood around the time your period would normally happen. 
  4. Miscarriage: Bleeding is usually accompanied by cramps, tissue passing and lower back pain, and the majority of miscarriages occur in the first 12 weeks. In all such cases, you need to consistently remain in touch with the doctors to avoid any damage to your health. 
  5. Ectopic pregnancy: This is basically a very serious condition in which the fertilised egg will implant, commonly in the fallopian tube. In this case, there will be very sharp abdominal pain, consistent dizziness with heavy bleeding and will always require immediate medical attention. 
  6. Molar pregnancy: This is basically a very rare condition in which the abnormal tissues will be growing instead of a normal embryo, and this will lead to very heavy bleeding and will always require prompt and immediate treatment from the professionals. 
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Immediate steps that you should take if you notice bleeding:

  1. Remain calm, but you should act promptly: Creating panic will do no good, which is the main reason that you have to focus on managing things properly, and calm and composed behaviour to avoid any issues and reduce the stress. Taking stress at this particular point in time is not at all good for the mother or the baby, which is the main reason that taking note of the amount, colour and duration of bleeding is important to avoid any problem. 
  2. Connecting with healthcare provider: Even the light spot of bleeding should be reported to the healthcare providers, specifically if it has been accompanied by pain or dizziness. A doctor, in the majority of cases, will recommend that you go through the ultrasound, blood test or pelvic examination to determine the exact cause. 
  3. You should avoid stressful activities: Bed rest is not always necessary, but you should focus on avoiding heavy lifting, high impact exercise and sexual intercourse until your top gynecologist in Bhubaneswar gives a clearance for any such activity. 
  4. Monitoring the symptoms: Keeping a note of the symptoms clearly and discussing all of them with the best female gynaecologist in Pune will be recommended for the ladies, so that management of the symptoms will be appropriately done without any problem. Additionally, you should also take a note of any accompanying symptoms like fever, nausea or weakness at any point in time. 
  5. You should remain hydrated and eat less: Drinking plenty of fluid for maintaining the blood volume and eating small, as well as nutritious meals, will always be very much important so that you can maintain your overall energy levels without any problem at any point in time.
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When should you focus on getting emergency care? 

  1. Connecting with doctors for emergency care immediately is very much recommended if you are experiencing heavy bleeding which is soaking more than one pad per hour. 
  2. If there is an episode of severe abdominal and pelvic pain.
  3. If the ladies are facing the problem of fainting and dizziness. 
  4. If the ladies are consistently passing very large clots or tissue. 
  5. If the entire situation is accompanied by fever and chills, it can indicate the infection. 

Depending on the cause and intensity of your bleeding, the doctor, in some cases, might recommend:

  1. To perform an ultrasound to check the heartbeat and the development of the baby.
  2. Go for the blood testing systems to ensure her model levels of pregnancy, which is HCG. 
  3. Will recommend you to go for an immunoglobulin injection if you are RH negative to prevent complications.
  4. Suggest the medication for any kind of minor procedure if the situation is manageable with basic treatment, so that there is no development of infection later on.
  5. In the case of ectopic or molar pregnancy, immediate medical intervention will be required to avoid any problems. 

Conclusion:

Bleeding in the initial phase of pregnancy is a very common scenario, but it could be a very stressful situation as well if you are not paying attention to it. Consistently remaining aware of the basic symptoms and consulting the top pediatrician in Hyderabad, in addition to a gynaecologist, is recommended for the ladies so that they can get appropriate medical attention. The best approach in the entire situation will be to remain calm and composed, monitor your symptoms and consult your healthcare provider without any delay. With proper medical care, early detection and healthy lifestyle adjustment, the majority of the ladies will be able to enjoy smooth and healthy pregnancies despite early bleeding episodes.   

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