Top things to know about bleeding during pregnancy
What is spotting?Spotting is any bleeding from the vagina outside your menstrual period. Light bleeding at the beginning or end of your period is not spotting. In this article we use bleeding and spotting interchangeably. Download Clue and track bleeding episodes and spotting.  How Long Does Implantation Bleeding Last?Implantation bleeding should last only between a couple of hours to three full days. If the bleeding you are experiencing is bright or dark red blood, lasts more than three days, and is a full flow in that you are filling up pads/tampons, it it very unlikely you are experiencing implantation bleeding. Women who are going through their first pregnancy will likely spot or bleed a little bit more than women who are used to the egg attachment. (It is similar to dental flossing of the gums as the first time the gum line is aggravated, it will bleed more, while subsequent times bleeding is lessened.) However, if your menstruation cycle is shorter than normal (< 3 days), you did not fill up pads or tampons, it was more pinkish/brownish than red, and you had less cramping than normal, it is possible that you are having implantation bleeding. Why Does Implantation Bleeding Happen?About 10-14 days after conception (when the sperm joins with the egg), the embryo will implant itself into the wall of the uterus. This movement may break down some blood vessels within the uterus wall and cause some bleeding. Menstruation occurs around 11-14 days after ovulation (when an egg is released & conception is possible), which is another reason why the two are often confused with one another. Some women may simply believe their period is a few days early. Implantation bleeding typically happens within the week before the expected period. For example, if you are sexually active and expect your period on January 25th, then you might question any spotting you have between Jan. 18th – Jan. 25th as possible implantation bleeding. It is not common that implantation bleeding would occur before this time or after a period is expected or missed. However, if one experiences ovulation early in the fertility window and the implantation process is quick, or one experiences ovulation late in the fertility window and the implantation process is slow, it is possible. Women know what their normal menstrual flow looks like, and as long as they are not on any kind of new medication (including birth control and emergency contraceptives) or have a change in stress level, then their menstrual blood flow, color, and consistency are usually the same. So, when this lighter, pink spotting occurs, it will appear a bit out of place. Implantation Bleeding ConcernsImplantation bleeding should not be a cause for concern and should pose no real risk to the developing baby. If you experience bleeding or spotting more than a few days after your missed period, it is not likely to be implantation bleeding. True pregnancy concerns rarely come from implantation and usually occur after the missed period. Though this post-implantation light bleeding during pregnancy is not considered normal, there are a few main reasons it may occur:
At least 50% of women that experience spotting/bleeding (other than implantation bleeding) will go on to have a normal, healthy pregnancy.
For women going through nausea/vomiting, dizziness, abdominal pain (especially one-sided pain), it is possible you are experiencing an ectopic pregnancy, so inform your doctor right away. Cramping is normal during pregnancy, yet if the level of pain during cramping increases, it is recommended to contact a doctor. Still Not Sure?If you are not sure which type of bleeding you are having, we recommend waiting three days after the bleeding/spotting stops before taking a pregnancy test. You are welcome to contact our toll-free helpline at 1-800-672-2296 to speak with a pregnancy educator. Often, taking a pregnancy test before the missed period or during implantation bleeding is just too soon for tests to offer conclusive results. Ideally, waiting a week after the spotting or missed period is most desirable as the results should prove more accurate. Next StepsImplantation bleeding is a sign of a potential pregnancy. If you have waited until after your period was due and taken a pregnancy test that delivered a negative result, there is a good chance you are not pregnant. Watching for implantation bleeding while trying to get pregnant is fine, but many women do not experience nor notice implantation spotting even when it does occur. Want to Know More?
Compiled using information from the following Medical sources: 1. March of Dimes: “Pregnancy Complications.” 2. National Institute of Child Health and Human Development: “What Are Some Common Signs of Pregnancy?” 3. American College of Obstetricians and Gynecologists: “Abnormal Uterine Bleeding,” “Early Pregnancy Loss.” 4. Norwitz ER, et al. Overview of the etiology and evaluation of vaginal bleeding in pregnant women. 5. Moore KL, et al. Answers to clinically oriented questions. In: Before We Are Born: Essentials of Embryology and Birth Defects. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2013. 6. Frequently asked questions. Pregnancy FAQ038. Bleeding during pregnancy. American College of Obstetricians and Gynecologists. https://www.acog.org/Patients/FAQs/Bleeding-During-Pregnancy 7. American College of Obstetricians and Gynecologists. Months 1 and 2. In: Your Pregnancy and Childbirth Month to Month. 6th ed. Washington, D.C.: American College of Obstetricians and Gynecologists; 2015. 8. Mayo Clinic FAQs Can you get spotting 1 week pregnant?In early pregnancy, you might get some harmless light bleeding, called "spotting". This is when the developing embryo plants itself in the wall of your womb. This type of bleeding often happens around the time your period would have been due.
How can I tell if it's implantation bleeding?Implantation bleeding is more likely to be a pinky-brown color. Menstrual bleeding, on the other hand, may start off light pink or brown, but it soon changes into crimson red. Strength of flow. Implantation bleeding is usually super-light spotting.
What does spotting look like in early pregnancy?Spotting is light vaginal bleeding that can happen when you're pregnant. It is a very common and tends to happen in early pregnancy, during the first trimester. Spotting is usually red or pink in colour. It can also look brown, like old blood or like the bleeding at the start and end of your period.
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