Bleeding during pregnancy can be a sign of miscarriage but does not mean that miscarriage is imminent. Studies show that anywhere from 20-30% of women experience some degree of bleeding in early pregnancy. Approximately half of pregnant women who bleed do not have miscarriages. Approximately 15-20% of all pregnancies result in a miscarriage, and the majority occur during the first 12 weeks.
Signs of Miscarriage include:
- Vaginal bleeding
- Cramping pain felt low in the stomach (stronger than menstrual cramps)
- Tissue passing through the vagina
Ectopic Pregnancies:
Ectopic pregnancies are pregnancies that implant somewhere outside the uterus. The fallopian tube accounts for the majority of ectopic pregnancies. Ectopic pregnancies are less common than miscarriages, occurring in 1 of 60 pregnancies.
Signs of Ectopic Pregnancies:
- Cramping pain felt low in the stomach (usually stronger than menstrual cramps)
- Sharp pain in the abdominal area
- Low levels of hCG
- Vaginal bleeding
- An infection in the tubes
- A previous ectopic pregnancy
- Previous pelvic surgery
Molar pregnancies are a rare cause of early bleeding. Often referred to as a "mole", a molar pregnancy involves the growth of abnormal tissue instead of an embryo. It is also referred to as gestational trophoblastic disease (GTD).
Signs of a Molar Pregnancy:
- Vaginal bleeding
- Blood tests reveal unusually high hCG levels
- Absent fetal heart tones
- Grape-like clusters are seen in the uterus by an ultrasound
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