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First Trimester Bleeding

First Trimester Bleeding

Bleeding in the first trimester of pregnancy is very common. Bleeding during the first trimester can be caused by various factors, ranging from harmless to potentially concerning issues. Some common causes include:

1. Implantation Bleeding: Around the time of expected menstruation, some patients may experience light spotting or bleeding as the embryo implants itself into the uterine lining. This is usually mild and lasts for a short duration.

2. Hormonal Changes: Fluctuations in hormone levels, particularly during early pregnancy, can lead to cervical changes and subsequent spotting. This type of bleeding is typically light and resolves on its own.

3. Cervical Irritation: Activities such as sexual intercourse or a pelvic exam can irritate the cervix, causing it to bleed. While often harmless, it's essential to consult a healthcare provider if bleeding persists or is accompanied by pain.

4. Threatened Miscarriage: Bleeding accompanied by cramping in the first trimester can be indicative of a threatened miscarriage. However, it's important to note that many pregnancies progress normally despite experiencing this symptom. Medical evaluation is necessary to determine the cause and appropriate management.

5. Ectopic Pregnancy: In rare cases, bleeding during early pregnancy may indicate an ectopic pregnancy, where the embryo implants outside the uterus, typically in the fallopian tube. This condition requires immediate medical attention as it can pose serious risks to maternal health.


When to reach out to your provider:

1. Heavy Bleeding: Significant bleeding, especially if it resembles a menstrual period or is accompanied by clotting, warrants prompt evaluation by a healthcare provider.

2. Severe Pain: Intense abdominal or pelvic pain accompanied by bleeding may indicate a serious complication such as an ectopic pregnancy or miscarriage.

3. Dizziness or Fainting: Experiencing dizziness, lightheadedness, or fainting alongside bleeding can signal significant blood loss and requires urgent medical intervention.

4. Tissue Passage: Passing tissue or material resembling clots along with bleeding may indicate a miscarriage or other pregnancy-related complication.

5. Fever or Chills: These symptoms, along with bleeding, could indicate an infection and require immediate medical attention.

Experiencing bleeding during the first trimester can be incredibly distressing. It's essential to prioritize self-care and seek emotional support during this time. Engaging in relaxation techniques, such as deep breathing or meditation, can help alleviate anxiety.

Additionally, connecting with loved ones, support groups, or mental health professionals can provide valuable emotional support and reassurance. Remember that experiencing bleeding does not necessarily mean something is wrong with the pregnancy, and maintaining a positive mindset can be beneficial for both you and your baby.

Allison Bradley-Amore, DO, FACOOG Allison Bradley-Amore, D.O., F.A.C.O.O.G. is a Board-Certified OB-Gyn physician who joined Premier OB-Gyn in 2018. Dr. Bradley-Amore is originally from Groveland, Massachusetts, a small town north of Boston. She received her Bachelor of Science degree from Davidson College in North Carolina and earned her Master of Science degree from Tufts University in Boston. She received her doctoral degree from Nova Southeastern University College of Osteopathic Medicine in 2014. She was elected Chief Resident of the University of Central Florida’s Obstetrics and Gynecology residency at Osceola Medical Center. She is a huge Disney fan and can be found exploring Walt Disney World during her time off.

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