Bleeding in Pregnancy: Spotting, Light, Heavy

Author: Dr. Tejinder Kaur MBBS, Diploma in Hospital Administration, Diploma of National Board training, Fellowship in Reproductive MedicineConsultant: Obstetrician & Gynaecologist at  Motherhood Hospital, Mohali

Bleeding or light spotting from the vagina during pregnancy is common. Approximately 25% of all pregnant women during pregnancy experience bleeding or spotting. According to Dr Tejinder Kaur, MBBS, Diploma in Hospital Administration, Diploma of National Board Training, Fellowship in Reproductive Medicine, Consultant-Obstetrician and Gynaecologist, bleeding and spotting in pregnancy do not always mean a problem. It can, however, be a sign of miscarriage or other complications. If you experience any such symptoms, meet a high-risk pregnancy doctor in Mohali at the earliest to safeguard your pregnancy. 

Why Are You Bleeding During Pregnancy? 

Bleeding during pregnancy is common and may occur due to varied reasons. According to the gynecologist in Mohali, you are more likely to have bleeding in the first trimester of your pregnancy. Vaginal bleeding at any time point in pregnancy, however, can also indicate an underlying complication or condition. Hence, it is always advised to meet a high-risk pregnancy doctor in Mohali to determine if the bleeding is caused by something serious.  

What is the Difference Between Bleeding and Spotting? 

 As mentioned earlier, bleeding or spotting can occur anytime from the time you get pregnant to right before you give birth. Spotting refers to light bleeding. It is so light that you would not even notice blood at first glance. Bleeding, on the other hand, is heavier similar to menstrual flow. 

What Causes Bleeding in the First Trimester? 

 Bleeding or spotting in the first trimester is common and does not always indicate something serious. It can, however, be due to underlying conditions, including: 

 1.Implantation Bleeding: 

 This occurs when the fertilized egg implants on your uterus wall and causes light bleeding. It is usually considered normal. 

 2.Molar Pregnancy: 

 It is a rare condition when a fertilized egg implants in your uterus but a tumor develops instead of a foetus. 

3.Ectopic Pregnancy: 

This refers to a condition when pregnancy begins outside your uterus such as in the fallopian tubes. 

 4.Subchorionic Haematoma: 

Subchorionic hematoma refers to bleeding from one of the membranes surrounding the embryo inside your uterus. 

5.Cervical Polyps: 

This refers to a non-cancerous growth on your cervix that bleeds during pregnancy due to increased estrogen levels. 

6.Miscarriage: 

This refers to loss of pregnancy before 20 weeks. It starts with heavy bleeding along with severe cramping.  

What are the Causes of Bleeding in the Second or Third Trimester? 

Bleeding in the second or third trimester indicates complications. Hence, the top gynecologist in Mohali suggests you watch out for bleeding during the second or third trimester. The bleeding during this phase indicates: 

1. Placenta previa. 
2. Placental abruption. 
3. Incompetent cervix.
4. Preterm labour. 
5. Miscarriage. 

How Much Bleeding is Normal in Pregnancy? 

Spotting in early pregnancy, that is, during the first trimester is usually normal and does not show any serious issues. You should, however, still meet a high-risk pregnancy doctor in Mohali if you are unsure if it is spotting or bleeding. 

What Should You Do if You Have Bleeding or Spotting During Pregnancy? 

 Contact your gynecologist if you have any kind of bleeding during pregnancy and ensure: 

1. To keep track of how heavy your bleeding is. Note if it gets heavier or lighter and how many pads you are using. 
2. To check the colour of the blood. Check if the blood is brown, dark, or bright red. 
3. To not use a tampon or have sex when you are bleeding.  

Contact Dr Tejinder Kaur at the Motherhood Hospital at the earliest if you have:  

1. Heavy bleeding

1. Bleeding with pain or cramping

1. Dizziness

1. Pain in your belly or pelvis

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Mohali. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. 

Do take an appointment with the best woman care hospital in Mohali at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life. 

If you wish to get in touch with Dr. Tejinder Kaur, please book your appointment here.