PREGNANCY: WHAT CAN GO WRONG?
In spite of the fact that most pregnancies are routine, relatively problem-free events, sometimes things can go wrong.
Bleeding. It is not uncommon for women to notice some bleeding in early pregnancy. However, the fact that it happens fairly often to other people does not usually make it seem any less important when it happens to you.
The bleeding may be light, ‘spotting’, as it is often described. It is also usually painless. Light bleeding in early pregnancy does not necessarily mean that there is anything wrong with the pregnancy, but it is still worth having it checked by a doctor. If you are otherwise feeling well, with no accompanying pain, there is probably no need to rush off, lights and sirens, to the doctor’s immediately. Telephone your doctor or the hospital emergency department for advice. In the meantime, wear a pad (not a tampon), and don’t have intercourse until you’ve been examined, which may even be the next day, if the bleeding has occurred overnight. If you have significant pain, or feel unwell, you may need to be seen sooner.
Heavy bleeding (more than your normal period), perhaps with clots and pain will usually indicate that the pregnancy is not likely to continue, and is miscarrying. There may even be visible bits of ’tissue’ in the blood loss.
Vaginal bleeding at any stage of pregnancy should be assessed and investigated. There are really only two important conditions typically associated with bleeding in early pregnancy: miscarriage and ectopic pregnancy. There are other, rarer causes, but these are the two most common
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