If you’ve had bleeding early in your pregnancy, you’re not alone. Many other pregnant women have early bleeding, too. And in most cases, nothing is wrong. But your healthcare provider still needs to know about it. They may want to do tests to find out why you’re bleeding. Call your provider if you see bleeding during pregnancy. Tell your provider if your blood is Rh negative. Then they can figure out if you need anti-D immune globulin treatment. Show
What causes early bleeding?The cause of bleeding early in pregnancy is often unknown. But many factors early on in pregnancy may lead to light bleeding (called spotting) or heavier bleeding. These include:
If you see spottingLight bleeding is the most common type of bleeding in early pregnancy. If you see it, call your healthcare provider. Chances are, they will tell you that you can care for yourself at home. If tests are neededDepending on how much you bleed, your healthcare provider may ask you to come in for some tests. A pelvic exam, for instance, can help see how far along your pregnancy is. You also may have an ultrasound or a Doppler test. These imaging tests use sound waves to check the health of your baby. The ultrasound may be done on your belly or inside your vagina. You may also need a special blood test. This test compares your hormone levels in blood samples taken 2 days apart. The results can help your provider learn more about the implantation of the embryo. Your blood type will also need to be checked to assess if you will need to be treated for Rh sensitization. Warning signsIf your bleeding doesn’t stop or if you have any of the following, get medical care right away:
Questions you may be askedBleeding early in pregnancy isn't normal. But it is common. If you’ve seen any bleeding, you may be concerned. But keep in mind that bleeding alone doesn’t mean something is wrong. Just be sure to call your healthcare provider right away. They may ask you questions like these to help find the cause of your bleeding:
Monitoring your pregnancyBleeding will often stop as quickly as it began. Your pregnancy may go on a normal path again. You may need to make a few extra prenatal visits. But you and your baby will most likely be fine. FAQ038 Last updated: May 2021 Last reviewed: August 2022 Copyright 2022 by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information. This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Read ACOG’s complete disclaimer. Spotting is when you see a light or trace amount of pink, red or dark brown blood. It will be lighter than your menstrual period and there won’t be enough blood to cover a panty line. Spotting during pregnancy isn’t always a sign that something is wrong. It’s actually a common concern that many pregnant women experience during their first 12 weeks of pregnancy. The majority of women who experiencing spotting during pregnancy go on to have a healthy pregnancy and baby. Spotting During Pregnancy Versus BleedingVaginal bleeding during pregnancy is any discharge of blood from the vagina. It can happen anytime from conception (when the egg is fertilized) to the end of pregnancy. Light bleeding, or spotting, during pregnancy is common, especially during the first trimester. It is considered spotting when you notice a few drops of blood occasionally in your underwear, or if you wipe yourself with tissue and see a little blood on the paper. There should not be enough blood to fill a panty liner. Bleeding is a heavier flow of blood. With bleeding, you will need a liner or pad to keep the blood from soaking your clothes. Whether you are bleeding or spotting, it is best to contact your healthcare provider and describe what you are experiencing. What Causes Spotting During Pregnancy?Implantation bleeding is a common cause of spotting early on in pregnancy. Implantation bleeding happens when the fertilized egg attaches to the uterine lining. This can trigger a few days of light bleeding or spotting. This spotting occurs before a woman even knows she is pregnant and is often mistaken as a pending period. Bleeding that occurs after the day a woman expects her period is typically too late to be considered implantation bleeding, and is more likely related to early pregnancy in general. Another common cause of spotting is a cervical polyp (a harmless growth on the cervix), which is more likely to bleed during pregnancy due to higher estrogen levels. This may occur because there is an increased number of blood vessels in the tissue around the cervix during pregnancy. As a result, contact with this area (through sexual intercourse or a gynecological exam, for example) can cause bleeding. Even without the presence of a cervical polyp, there are a few things that may cause some spotting in the couple days after:
When to Worry About Spotting During Pregnancy?Spotting or bleeding during pregnancy is not expected and may be abnormal, but it is not always a cause for concern. However, it is important to contact your healthcare provider to discuss the symptoms you are experiencing. The good news is that 50% of women with bleeding during pregnancy go on to have a healthy pregnancy and a healthy baby. Any spotting or bleeding in the second or third trimesters should be reported to your healthcare provider immediately. In the first trimester, spotting is somewhat more common, but should also be reported to your doctor or midwife. Call your obstetrician especially if you notice heavy bleeding similar to a menstrual period to make sure the bleeding is not a result of pregnancy complications, such as an ectopic pregnancy. Abnormal bleeding in late pregnancy may be more serious because it can signal a complication with you or your baby. Call your doctor as soon as possible if you experience any bleeding in your second or third trimester. Your healthcare provider will most likely check for cervical polyps, and make sure your cervix is closed. To help manage your spotting during pregnancy and to increase the probability of continuing with a healthy pregnancy, your healthcare provider may encourage you to do the following:
Remember, the good news is the majority of women who experience spotting during pregnancy go on to have a healthy pregnancy. However, do not let this fact keep you from contacting your healthcare provider. It is important to discuss spotting and bleeding with your doctor. Want to Know More?
Compiled using information from the following sources: 1. Mayo Clinic Guide to a Healthy Pregnancy, New York, NY: HarperCollins Publishers Inc. 2. Obstetrics and Gynecology: The Essentials of Clinical Care. New York, NY: Thieme New York 3. Danforth’s Obstetrics and Gynecology, Ninth Ed. Scott, James et al., Ch. 17 4. Williams Obstetrics, Twenty-Second Ed. Cunningham, F. Gary et al., Ch. 51 Is spotting for 7 days normal in early pregnancy?Only about a third of pregnant women experience implantation bleeding after they get pregnant, but it's considered a normal symptom of pregnancy. In most cases, implantation spotting only lasts from a few hours to a couple days, but some women report having implantation spotting for up to seven days.
Is it normal to spot for a week during early pregnancy?It's normal to have some spotting or bleeding early in pregnancy. Bleeding or spotting in the first trimester may not be a problem.
Can you spot for 2 weeks in early pregnancy?Vaginal bleeding is a common symptom of early pregnancy. About 1 in 4 people experience spotting during early pregnancy, usually in gestational weeks 5 and 8 — this is about 1 to 4 weeks after someone expects their period (1). This bleeding can sometimes be confused with a light period (2).
How many days spotting will be there in early pregnancy?Implantation bleeding is defined as a small amount of light spotting or bleeding. It typically occurs about 10 to 14 days after conception. Implantation bleeding is common, and it usually isn't a sign of a problem. Implantation bleeding is thought to happen when the fertilized egg attaches to the lining of the uterus.
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Spotting for 1 week during early pregnancy
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