Approximately 30% of women experience some form of spotting during their first trimester. While this can be alarming, the vast majority of women who have experienced spotting or bleeding during their pregnancy have gone on to have healthy pregnancies.
Spotting vs. Bleeding
It's important to understand the difference:
Spotting:
- Light bleeding
- Brown or pink in colour
- Minimal flow
- Usually only noticed when wiping
Bleeding:
- Bright red colour
- Similar to menstrual flow
- Heavier and more continuous
Both warrant attention, but heavy bleeding that is persistent may signal more serious complications.
Common Causes of Spotting
Implantation Bleeding
Occurring 6-12 days after conception, this light spotting happens when the fertilized egg attaches to the uterine wall. It's usually very light and short-lived.
Cervical Changes
During pregnancy, increased blood supply to the cervix can make it more sensitive. This can cause light bleeding after:
- Sexual intercourse
- Internal examinations
- Pap smears
Hormonal Changes
Elevated estrogen levels and other hormonal imbalances can occasionally trigger spotting.
Cervical Polyps
These benign growths on the cervix can become more prominent during pregnancy and may cause occasional bleeding.
When to Contact Your Doctor
Always report any bleeding or spotting to your healthcare provider. Seek immediate attention if you experience:
- Heavy bleeding (soaking a pad)
- Severe cramping or abdominal pain
- Dizziness or fainting
- Fever
- Tissue passing from the vagina
- Bleeding that continues for several days
Managing Spotting
If your doctor advises, consider:
- Bed rest as recommended
- Limiting physical activity
- Avoiding heavy lifting
- Staying off your feet when possible
- Avoiding sexual intercourse until cleared
Reassurance
While any bleeding can be worrying, remember that spotting is quite common and often harmless. Many women experience spotting at various stages of pregnancy and go on to deliver healthy babies.
The key is to:
- Stay calm
- Note the colour, amount, and duration
- Contact your healthcare provider
- Follow their advice
If you're concerned about spotting during pregnancy, an Early Pregnancy Scan can provide reassurance. Call Ultrasound Ireland at 01 210 0232.