Understanding Blood Spotting During Pregnancy: Causes & Concerns
- By Dr. Lynda Odoh - Anikwe
- 20 Dec 2023
Key highlights or summary
- Blood spotting during pregnancy is a common concern for expectant mothers which usually occurs in the first trimester.
- Causes of normal spotting include brown discharge when 5 weeks pregnant, hormonal changes, and the cervix being more sensitive during pregnancy.
- Abnormal spotting is characterized by heavy implantation bleeding, bleeding with clots during pregnancy, and severe abdominal pain.
- Early detection and medical evaluation are crucial for the health of both the mother and the baby.
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Frequently asked questions
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Uterine rupture is extremely rare and occurs in less than 1% of women who attempt natural birth after previously having had a cesarean. It occurs when the C-section scar left behind on the uterus ruptures, or breaks open, due to extra pressure or stress on the same. Uterine rupture is life-threatening to both the baby and the mother, requiring an emergency C-section to be performed.
Implantation bleeding looks different from your regular period bleeding -- the shade of discharge varies from pinkish to brown, and if you pay attention, it can easily be distinguished from the bright or deep red colors of your monthly cycle. Implantation bleeding presents mild to zero cramping, but may sometimes cause nausea, mood swings, fatigue, headache, frequent urination, and upset stomach, as well as cravings or aversions to certain types of food.
Implantation bleeding can last between a few short hours, to 3 full days, but does not have the same heavy flow as period bleeding. With a similar flow rate that's usually compared to heavy spotting, discharge, or at most light bleeding, implantation bleeding is not enough to soak through your period pad.
NSAIDs or Nonsteroidal anti‐inflammatory drugs are typically prescribed to treat IUD pain bleeding and spotting. Ibuprofen or Naproxen are examples of NSAIDs, and are the first line of treatment to help reduce IUD bleeding. However, each person reacts to medication differently, so it's best to consult your doctor for the most effective course of action in accordance with your personalized needs.
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