Spotting during pregnancy is the light bleeding through the vagina and its color ranges from pink, red to brown and is common during the first trimester of pregnancy.
Spotting at times may be normal, but in certain instances it may lead to even miscarriage. Hence, if you have spotting during pregnancy, consult your gynecologist at the earliest.
Reasons for Spotting During Pregnancy
Implantation bleeding occurs even before you detect the pregnancy. It usually occurs in about ten to fourteen days after fertilization. Implantation bleeding occurs when the fertilized egg gets attached to uterus wall. This is a very light bleeding that lasts for one or two days and many women might not even notice this, where as some others mistake it as the starting of menstrual cycle.
In some women, bleeding is noticed at around twelve weeks of pregnancy. This is because at this time, the placenta gets embed into in to the uterine lining and cause slight bleeding.
An inflammation or irritation in the cervix due to internal examination, sexual intercourse or due to the collection of cervical smear may also lead to spotting. Cervical polyp may also cause spotting. Certain women experience cervical erosion which is the softening of cervix and cervical erosion can also cause spotting.
Spotting can also be a warning sign of miscarriage. Ectopic pregnancy, that is pregnancy resulted from implantation of the fetus anywhere other than in uterus or molar pregnancy, in which the abnormalities in the fertilized egg during conception makes the growth and survival of the embryo impossible, can also be the reasons for miscarriage. In all the above mentioned cases spotting or bleeding are the early visible signs of miscarriage.
During pregnancy, usually the progesterone, which is the pregnancy hormone, covers the normal hormonal cycle of the women. But in certain cases, the level of progesterone won’t be enough to cover up the variations in normal cycle and such women experience spotting or bleeding approximately at the time when they would have had their menstrual cycle.
Bleeding in the Second and Third Trimester of Pregnancy
Placental Abruption or Premature Labor
In certain cases, the placenta gets separated from the uterus and cause bleeding. This happens when placenta develops in the lower part of the uterus close to the cervix. Placental abruption may cause miscarriage between 13 weeks of pregnancy to mid pregnancy, and premature labor between mid-pregnancy and 37 weeks of pregnancy. Placental problems may also cause bleeding even in the first trimester of pregnancy.
Dilation of Cervix
Spotting after 37 weeks of pregnancy is mostly due to the dilation and softening of cervix as a preparation for delivery. A blood tinged mucous discharge can also be noticed at this time.
If the spotting is associated with low back pain and abdominal cramping or if the bleeding is bright red in color, or if you have chills, fever and dizziness, then consult the doctor immediately, as it may be a more serious health issue concerning both the mother and the fetus.