MEDLINEplus Health Information: Return to home page   A service of the National Library of Medicine: Go to NLM home page
Search     Advanced Search    Site Map    About MEDLINEplus    Home
Health Topics: conditions, diseases and wellness Drug Information: generic and brand name drugs Dictionaries: spellings and definitions of medical terms Directories: doctors, dentists and hospitals Other Resources: organizations, libraries, publications, MEDLINE

Medical Encyclopedia

Disease     Injury     Nutrition     Poison     Special     Surgery     Symptoms     Tests

Reproductive anatomy, female
Ultrasound, pregnancy
 
Overview   Treatment   

Vaginal bleeding in pregnancy

Alternative names:

maternal blood loss; pregnancy - vaginal bleeding

Home care:

Any bleeding during pregnancy should be evaluated by your health care provider. For a threatened miscarriage, follow the doctor's orders. Bed rest is often enough to stabilize the pregnancy. Medication is usually not necessary. Don't take any medication without consulting the doctor. Avoid sexual intercourse until the outcome is known. Drink only fluids if the bleeding and cramping is severe.

If a miscarriage occurs, expect a small amount of vaginal bleeding for up to 10 days. Avoid using tampons for 2 to 4 weeks. Wait through 2 or 3 normal menstrual cycles before attempting to become pregnant again.

For vaginal bleeding caused by placenta problems, get to the hospital immediately. Bed rest in the hospital, at least until bleeding stops, is mandatory and Cesarean section is likely if it is close to the delivery date, or if the bleeding persists.

For bleeding caused by an ectopic pregnancy, surgery to remove the growing fertilized ovum and control internal bleeding is likely to be needed.

Vaginal or cervical infection is treated with antibiotics that are safe for a developing fetus.

Call your health care provider if:

What to expect at your health care provider's office:

The medical history will be obtained and a physical examination performed.

Medical history questions documenting the vaginal bleeding during pregnancy in detail may include:

  • time pattern
    • Has bleeding occurred before during this pregnancy?
    • When did the bleeding begin?
    • Has it been constant since the beginning of the pregnancy?
    • How far along is the pregnancy?
  • quality
    • How much bleeding is present?
    • Is cramping present?
  • aggravating factors
    • Has there been an injury such as a fall?
    • Have there been changes in physical activity?
    • Has there been additional stress?
    • Did the bleeding occur during or after sexual intercourse?
  • relieving factors
    • Does rest reduce or stop the bleeding?
  • other
  • additional important information
    • Is there an IUD in place?
    • What medications are being taken?
    • Have you had previous problems during pregnancy?
    • Has there been recent vaginal penetration during sexual activity?
    • Has there been a change or increase in physical activities?

The physical examination will probably include a pelvic examination.

Diagnostic tests that may be performed include:

Intervention:
If there is a miscarriage, antibiotics may be prescribed to fight infection, and blood transfusions may be ordered if there is severe blood loss.

After seeing your health care provider:
You may want to add a diagnosis related to vaginal bleeding in pregnancy to your personal medical record.

Update Date: 02/09/00
Updated by: J. Gordon Lambert, MD, Associate Medical Director, Utah Health Informatics and adam.com editorial

 




Adam

The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2000 adam.com, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Health Topics | Drug Information | Dictionaries | Directories | Other Resources