Early-pregnancy bleeding can originate from the uterus, cervix, or vagina, or it can come from outside the genitals. In many cases, the cause of the bleeding is due to a minor condition that requires no treatment. However, if you experience
vaginal bleeding during your pregnancy, particularly if it is associated with abdominal pain, you should consult your doctor. Possible causes of bleeding include:
—the baby starts to develop outside the uterus, such as in a fallopian tube
Molar pregnancy—usually benign formations of placental cells (trophoblasts) in the uterus that can spread to nearby tissues and
A risk factor is something that increases your chance of getting a disease or condition.
Miscarriage is common, with about 20-30% of pregnancies being complicated by bleeding in the first 20 weeks. About 10-15% of all established pregnancies ultimately abort (miscarry). Some factors thought to increase the risk of threatened abortion are:
The main symptom of miscarriage is bleeding during the first 20 weeks of pregnancy, with or without abdominal cramping. The bleeding may be light or heavy.
Your doctor will ask about your symptoms and medical history, and perform a physical exam. Other tests may include:
—a test that uses sound waves to examine the body
Fetal heart monitoring—a procedure that places electrodes on the abdomen to detect the fetal heart rate (detectable at 8-10 weeks of pregnancy), and determine the strength and duration of uterine contractions
Talk with your doctor about the best treatment plan for you. Many cases of miscarriage require no treatment at all. In other cases, treatment options include:
Your doctor may recommend bed rest if your bleeding is heavy. He or she may also give you instructions on limiting your activity.
Your doctor may prescribe
, which is a female hormone that supports a pregnancy. It can also relax your uterus if you are experiencing a cramping uterus. Buphenine hydrochloride is another medication that can be used to relax your uterus.
Finally, if your blood is
, and your partner is RH + your doctor may give you anti-D immunoglobulin. This will prevent your body from producing antibodies against your fetus' blood.
If you are diagnosed with a possible miscarriage, follow your doctor's instructions.
There is usually no way to prevent a threatened abortion. But things you can do to increase your chance of having a healthy pregnancy include:
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a