Bleeding during pregnancy in the first trimester is quite common.
About 30% of women bleed during pregnancy at some point or another.
Most pregnancies continue despite normal bleeding, but about 15% of pregnancies will fall during the first trimester, usually until the 12th week (therefore recommend that you wait with notification of pregnancy to family and friends).
Bleeding in pregnancy can occur for several reasons:
Rooting – most pregnancies have a blood different from normal at the beginning of pregnancy, between the week 4-6, and this is the blood of rooting of the fetus in the womb.
Usually, it’s not blood but more a brown-pink affair, sometimes like little brown crumbs, and that’s normal.
Abortion – As noted above, most miscarriages occur during the first trimester until the 12th week when the pregnancy does not develop normally or for other reasons:
- Genetic chromosomal factors
- Coagulation problem
- Anatomical factors
- Hormonal factors
- Infectious factors
- Immune factors
- Environmental factors
Signs of abortion :
- Very sharp abdominal pains in the lower abdomen (more painful than menstrual pain)
- Strong vaginal bleeding
- Tissue fragments in the bleeding from the vagina
- Feeling dizzy and weak
Abortion (or loss of pregnancy) can happen in the following ways:
A chemical pregnancy – a pregnancy that fell before it was possible to diagnose a pregnancy bag in the womb.
In this case, pregnancy is diagnosed in the blood test, but the hormone level of pregnancy (HCG – beta) does not increase properly, and usually, they are declining.
If you suspect a chemical pregnancy, keep track of the beta levels and make sure that it is zero.
Many chemical pregnancies occur and fall before the woman can find out that she is pregnant.
There is an empty sack of pregnancy at the stage where they were supposed to see a fetus (very early in pregnancy).
In the gestational sac there’s an embryo without heartbeat when they were supposed to recognize a pulse (starting from week 8).
Abortion is rejected – a fetus who died after an embryonic pulse has been observed.
Death of the fetus – in the second or third trimester.
Ectopic Pregnancy –
Sometimes, after the fertilization takes place, the fertilized ovum fails to complete its path from the trumpet to the uterus, remains in the trumpet or ovary and begins to divide and become entrenched in it.
In some cases, pregnancy takes place in the abdominal cavity or cervix, and pregnancy usually does not develop normally, often falls on its own, but may also endanger the woman.
In the case of ectopic pregnancy, there will be regular pregnancy symptoms, and the presence of the pregnancy hormone (beta-HCG) will appear, but its increase will not be normal and will occur too fast or too slow.
Usually, pregnancy outside the womb is accompanied by severe abdominal pains, cramps and severe vaginal bleeding.
In case of the most severe menstrual cramps at the beginning of pregnancy, please contact your doctor to check.
If an ultrasound pregnancy bag is not observed above the beta level of 1000, ultrasound should be performed to rule out ectopic pregnancy.
In the case of an ectopic pregnancy, medical intervention is required to ensure that there is no residual residue in the bugle tube or other parts of the abdominal cavity.
Over-exertion – Some women who have had a physical activity or physical exertion, or a quick and frequent walk, will experience mild bleeding.
In such cases it is recommended to lie down and rest, to minimize activity, and to drink a lot.
Intensive sex – During pregnancy, blood vessels in the vagina and genital area expand and become more sensitive.
Having too intense sex can damage the vaginal mucosa and cause minor injury.
It is recommended to avoid “wild” sex and to remember that the area is nevertheless sensitive.
Low placenta bleeding
When a placenta takes root in the lower part of the uterus, near the opening or right of the cervix, the pregnancy is very sensitive and at risk.
In many cases, a low placenta increases until the 15th week, but in cases where an opening is performed, it is necessary to be on guard duty and avoid sexual intercourse. Due to the sensitivity of the place, there can be many bleeds in this case.
Separation of placenta – complication with low incidence, placental detachment usually occurs in advanced weeks of pregnancy, usually towards birth, which is a risk to the mother’s life and fetal life.
The placenta disconnects from the inner part of the uterus in part or in full, which can lead to a lack of oxygen in the fetus and massive bleeding in the woman.
The cause of the placenta is unknown, but it is associated with high blood pressure, coagulation, infection, abdominal trauma, and even preeclampsia.
The signs of Separation of the placenta are extreme abdominal pain and severe bleeding.
Premature birth – many births begin with bleeding, especially during advanced stages of pregnancy, if there is massive bleeding, contact the doctor immediately to be tested.
Progesterone deficiency – There are cases in which the body has a hormonal imbalance and a lack of progesterone hormone essential for the development of pregnancy.
If there are recurrent bleeding, it is recommended to check for progesterone levels and make sure there is no deficiency.
Sometimes progesterone support with injections or pills (injections more effective) can prevent recurrence of bleeding.
(In my case there were hemorrhages until week 20 when progesterone injections started once a week, the bleeding stopped completely until the end of pregnancy).
In case of bleeding in pregnancy, it should be noted that in the case of a few drops of blood, there is no point in panic, and usually, it is normal and common.
In the case of massive bleeding such as a severe cycle, consult a Doctor for an examination.
In most cases, you will hear the term “abortive abortion.” Try not to press and remain as calm as possible, unhealthy stress and tension for your body and for the fetus in your stomach.
In any case of bleeding, it is important to avoid strenuous activity, to rest for two or three days in bed (without cleaning, cooking, etc.), not to work too long, the work and the whole world will wait.
Sometimes it is the body’s way of signaling that it needs rest because it works twice as hard as pregnant to maintain two life systems, which is not a simple task.
It is important to remember that there are many pregnancies that are accompanied by bleeding at some level or another. I know of cases of bleeding, such as a massive cycle that resulted in healthy births and healthy babies.