Miscarriage or Heavy Bleeding in Early Pregnancy

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Many women experience some bleeding in early pregnancy. About 1 in 5 recognised pregnancies end in miscarriage. Most are caused by a one-off fault in the genes. Always tell your doctor if you have vaginal bleeding when you are pregnant. Call an ambulance if the bleeding is very heavy or if you have severe tummy (abdominal) pain. Bleeding with pain can also be a sign of an ectopic pregnancy. This is less common than miscarriage but is serious and needs urgent medical care. Losing a pregnancy can be hard for both partners. However, most couples who experience this will go on to have a successful pregnancy next time.

What causes bleeding in early pregnancy?

Many women may have a small amount of bleeding (spotting) at the time of their missed period. This is sometimes called an ‘implantation bleed’. It happens when the fertilised egg implants itself in the wall of your womb (uterus). It is harmless.

The most common cause of bleeding after the time of the missed period is miscarriage. Miscarriage is the loss of a pregnancy at any time up to the 24th week. A loss after this time is called a stillbirth. At least 8 miscarriages out of 10 actually occur before 13 weeks of pregnancy. These are called early miscarriages. A late miscarriage is one that happens from 13 weeks to 24 weeks of pregnancy.

A less common cause of bleeding in pregnancy is an ectopic pregnancy. This is a pregnancy that occurs outside the womb. It occurs in about 1 in 100 pregnancies. Always tell your doctor if you have vaginal bleeding when you are pregnant.

Many women and their partners find that miscarriage is distressing. Feelings of shock, grief, depression, guilt, loss and anger are common.

It is best not to bottle up feelings but to discuss them as fully as possible with your partner, friends, a doctor or midwife, or anyone else who can listen and understand. As time goes on, the sense of loss usually becomes less. However, the time this takes varies greatly. The time when the baby was due to be born may be particularly sad.

Dr. Madhu Goel is the best Gynecologist in South Delhi to deal with recurrent pregnancy loss. Consult her for any doubts about the future pregnancies or a successful pregnancy even after several previous miscarriages. Dr. Madhu Goel will provide you the best treatment with the utmost comfort and care.

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