Vaginal bleeding in pregnancy is any discharge of blood from the vagina during pregnancy.
Pregnancy – vaginal bleeding; Maternal blood loss
Up to 1 in 4 women have vaginal bleeding at some time during their pregnancy. Bleeding is more commonin the first 3 months (first trimester), especially with twins.
- The placenta separating from the inner wall of the uterus before the baby is born (
- The placenta is covering all or part of the opening to the cervix (
- Vasa previa
Other possible causes of vaginal bleeding during pregnancy:
Cervical polypor growth
- Early labor (bloody show)
- Infection of the cervix
- Trauma to the cervix from intercourse (small amount of bleeding) or recent pelvic exam
Avoid sexual intercourse until your health care provider tells you that it is safe to start having intercourse again.
Drink only fluids if the bleeding and cramping are severe.
You may need to cut down your activity or be put on bed rest at home.
- Bed rest at home may be for the rest of your pregnancy or until the bleeding stops.
- The bed rest may be complete.
- Or, you may be able to get up to go to the bathroom, walk around the house, or do light chores.
Medication is not needed in most cases. Do not take any medicines without talking to your health care provider.
Talk to your doctor about what to look for, such as the amount of bleeding and color of the blood.
When to Contact a Medical Professional
Contact your health care provider if:
You have any vaginal bleeding during pregnancy. Treat this as a potential emergency.
You have vaginal bleeding and have placenta previa (get to the hospital right away).
You have cramps or labor pains.
What to Expect at Your Office Visit
Your health care provider will take a medical history and perform a
You will probably have a pelvic exam as well.
Tests that may be done include:
- Blood tests
- Ultrasound of the pelvis