or Connect
Mothering › Mothering Forums › Pregnancy and Birth › I'm Pregnant › bleeding question
New Posts  All Forums:Forum Nav:

bleeding question

post #1 of 49
Thread Starter 
Okay- short version, I'm 17 weeks (nearly 18 weeks) pregnant. Second pregnancy (#1 is taking a nap right now ) First pregnancy entirely uneventful. Homebirth.

I woke up last Monday night/Tuesday morning with some spotting. Put on a pad, went back to bed. 3 hours later when I got up the pad had blood over about 2/3. Red. No clots.

No more bleeding then until Friday night/Saturday morning. What I'd call heavy spotting (maybe 50 cent piece sized?) Then again Saturday night/ Sunday morning (for more weirdness, all of these happenings were all at 3am. Including the sunday morning one when my clock said 2am but it was the time change night...) Then a bit Sunday evening (started while I was asleep in the car driving home from a birthday party)

All bleeding is bright to dark red. Normal period color for me.

No clots.

No cramps.

Cervix is unchanged (firm and closed, not as tight as pre-dd, but at the same open-ness as it's been for years)

Thoughts? Experiences?

We don't use doppler or u/s as a rule without medical reason, so haven't heard the heartbeat yet this pregnancy. If it keeps up I may go see my midwife and see what we can hear.

When I talked to her (midwife) after the first happening she pretty much said we can do doppler if we want but at this point, nothing really to do but wait and see and I agree.

I would think that the bleeding *could* be the placenta moving or something of that sort. There has been nothing traumatic and I haven't been particularly active.

Thanks if you've read this far. Interested in any insight.

-Angela
post #2 of 49
The first thing that comes to mind is placenta previa. Some people do have it severe enough that it can bleed over the cervix this early on and have no pain from it. Bed rest is often what is recommended. It's possible it will move or not if this is the case. Most the time heart rate is checked and an US is used to make sure there is no abruption taking place or that you are not carrying twins. Previa is more common with twin pregnancies. I don't believe you have any other risk factors for previa, even though it can just happen randomly.

Do you have cramping?
Do you have any other discharge?
Do you feel heaviness?

One thing that can cause bleeding during the second trimester is infection of the cervix. The problem with this is that it could lead to pre-term labor and delivery because the infection actually causes the cervix to begin to open and then the uterus can begin to contract. In the beginning there is usually no pain but often there is intermentint (sp) bleeding. The resolution is a course of antibiotics, normally 10-14 days worth, moderate bed rest (not long term, just short term), and sometimes a cerclage if your cervix feels unstable or has dilated too much.

Those are the two main things that come to mind without knowing if you have a fetal heart tone.
post #3 of 49
A friend of mine went into the emergency room with bleeding like you're describing when she was about 16 or 17 weeks and baby was totally fine. I guess something about the hormonal and/or physical shift of the placenta taking over can cause bleeding at that time during pregnancy.

Or...it could be placenta placement. I had an u/s done at 20 weeks and the tech asked me if I bled during early pregnancy, and I said no, asked why, and she then told me I had a partial previa (which has since grown up and far away from my cervix). But you sound like you're aware that a previa could cause bleeding too, just thinking out loud.
post #4 of 49
Hi Angela,

When I was pregnant with Madison I had alot of bright red bleeding, it was a subchorionic hemmorage (I KNOW I spelled THAT wrong! ) But it was so much that I went STRIAGHT to the ER, I was like a dying animal, blood POOLS were following me. Your bleeding sounds significantly less, BUT I dunno, could still be, maybe? Just a thought. I know you're pretty in tune with your body so if you feel fine, I bet all is well. Personally, I'd have the doppler. It can only take seconds to find the heartbeat so for just a quick check definatly better than US! And the worrying isn't healthy either. But whatever you do, I'm sending positives thoughts your way! I'm sure the twin boys ( ) are just fine! Let us know!

~M
post #5 of 49
Thread Starter 
Thanks for all the input. No cramping. No other discharge. No heaviness.

Sure, I could go get an u/s but IMO no real point at this point. If the baby is alive, there's nothing to be done. If it's not... there's nothing to be done. (I wouldn't do a D/C unless the bleeding were severe or there seemed to be an infection)

Not a lot of point in bedrest IMO since the bleeds all happen when I'm lying down anyway I'd consider it if they were happening when I was up and doing things.

If it keeps up I may get a quick doppler check later this week or next weekend. I've gotten my head in a good space right now, so I'm not stressing so not much point in the doppler right now.

thanks all!

-Angela
post #6 of 49
Thread Starter 
evening bump for more input..... :

-Angela
post #7 of 49
Possibly low lying placenta. I had severe bleeding at 11 weeks with this pregnancy. No cramping or tissue. It was like a period the first day, and heavy spotting after that for about a week and a half. Had u/s and showed no signs of previa. My OB said it was a low lying placenta.
post #8 of 49
Thread Starter 
Thanks. That's what I'm thinking at this point. We'll see.

-Angela
post #9 of 49
There are a few things that come to mind...

Had you had sex recently? The increased vascularity of the cervix can cause bleeding after sex.

Also, a polyp on your cervix can sometimes cause bleeding. Again, as the cervix gets more vascular, polyps can bleed as they grow. They're pretty benign and fall off during labor/birth.

A low lying placenta - this should be fairly easy to diagnose since you'd continue to have bleeding throughout your pregnancy. I'm not sure if a doppler would help any, since the baby's heart rate is likely fine. However, as you get further along, a fetoscope might be able to indicate placental sounds down low (a doppler could, too). This might give you some indication. But the intensity of imaging ultrasound is lower than handheld doppler. Something to consider.

I suppose it all depends on what you'll do with the information - if you have an u/s and it's previa or low-lying placenta, what will you do now? perhaps some time will offer ease on the bleeding or it will increase. Perhaps some other symptoms will appear or not.

to you, Angela. You're one of my favorite MDC mamas here. I hope everything works out perfectly for you.
post #10 of 49
Thread Starter 
Quote:
Originally Posted by pamamidwife View Post
There are a few things that come to mind...

Had you had sex recently? The increased vascularity of the cervix can cause bleeding after sex.

Also, a polyp on your cervix can sometimes cause bleeding. Again, as the cervix gets more vascular, polyps can bleed as they grow. They're pretty benign and fall off during labor/birth.

A low lying placenta - this should be fairly easy to diagnose since you'd continue to have bleeding throughout your pregnancy. I'm not sure if a doppler would help any, since the baby's heart rate is likely fine. However, as you get further along, a fetoscope might be able to indicate placental sounds down low (a doppler could, too). This might give you some indication. But the intensity of imaging ultrasound is lower than handheld doppler. Something to consider.

I suppose it all depends on what you'll do with the information - if you have an u/s and it's previa or low-lying placenta, what will you do now? perhaps some time will offer ease on the bleeding or it will increase. Perhaps some other symptoms will appear or not.

to you, Angela. You're one of my favorite MDC mamas here. I hope everything works out perfectly for you.
Thanks for chiming in! No sex recently (poor dh.... been busy and not trying it now )

If the bleeding keeps up closer to date, I would do an u/s to rule out previa, but as you mention- no purpose in it now. Previa at this point is meaningless.

I'm not stressing about it now. I figure I'll get a quick doppler at my next appt IF we can't find the bugger with fetoscope (next appt I'll be *almost* 20 weeks, so it's a maybe) just so that if babe is *not* okay I can make my mind let go.

Pam- am I right in thinking at this point there's no way to NOT be able to find the bugger with doppler? I only had doppler in labor last time- only fetascope before, so I don't know doppler's limitations. My impression is that at this point finding the heartbeat (if there's one) should be a sure thing- is that correct? I know that at this point fetoscope is still at the maybe point.

thanks for the info and good thoughts.

-Angela
post #11 of 49
Not Pam, but at one of my appointments about 17-18 weeks my doctor could not find baby on the doppler but we could "hear" her moving. I was scheduled for an US anyway but it was how she was laying and the fact I had a low lying anterior placenta that it couldn't be heard.
If you do have a low lying placenta and you have an US ask how far from the Os it is. Mine moved completely by 28 weeks. I had no bleeding with it though.
post #12 of 49
Doppler range is around 10-12 weeks depending on size of the baby, position of the placenta, etc.

I think at this stage of the game, the point in knowing is to protect the MOTHER.

If it is a previa, this could be a warning bleed. Knowing it is a previa means you know to get to the hospital QUICKLY if you started to bleed more heavily.

Other possibilities are marginal, partial, or minor abruption (they can reseal); a hydatidiform mole; and a few other things that are much more unlikely.

Again, the reason to know at this point is to protect the mother from harm, should the bleeding worsen.
post #13 of 49
I bleed this pg because my placenta isn't attached right. I have to limit my physical activities because of it. Blood pools behind the part that isn't on right and occasionally comes out. Last pg an irritable cervix was the culprit. Or there is the off chance you are miscarrying a twin or something. A uterine fibriod can cause bleeding, too.
post #14 of 49
Thread Starter 
Quote:
Originally Posted by OnTheFence View Post
Not Pam, but at one of my appointments about 17-18 weeks my doctor could not find baby on the doppler but we could "hear" her moving. I was scheduled for an US anyway but it was how she was laying and the fact I had a low lying anterior placenta that it couldn't be heard.
If you do have a low lying placenta and you have an US ask how far from the Os it is. Mine moved completely by 28 weeks. I had no bleeding with it though.
Interesting on not hearing at that stage. Thanks.

-Angela
post #15 of 49
Thread Starter 
Quote:
Originally Posted by mamaverdi View Post
Doppler range is around 10-12 weeks depending on size of the baby, position of the placenta, etc.

I think at this stage of the game, the point in knowing is to protect the MOTHER.

If it is a previa, this could be a warning bleed. Knowing it is a previa means you know to get to the hospital QUICKLY if you started to bleed more heavily.

Other possibilities are marginal, partial, or minor abruption (they can reseal); a hydatidiform mole; and a few other things that are much more unlikely.

Again, the reason to know at this point is to protect the mother from harm, should the bleeding worsen.
At this point if the bleeding picked up to a worrisome point, I'd take action immediately. I agree- since there's nothing to be done about a baby at this point, that's number one.

-Angela
post #16 of 49
Thread Starter 
Here's an interesting bit- as mentioned earlier, at first the spotting was at 3am. Now it's twice a day. Once in the middle of the night (not sure on exact time any more) and once in the late afternoon.

The bleeding happens within a short time frame (hard to say exactly, but probably less than 30 minutes) and then is over.

Still all dark-ish red- normal period color for me.

Still no cramping or cervix changes.

-Angela
post #17 of 49
Thread Starter 
Bump for any other insight.

-Angela
post #18 of 49
I thought you said bright red before. Darkish red would lead me to think more of a placenta attachment problem, possibly a minor abruption, in which case, if you knew it was a minor abruption, there are steps that can be taken through vitamins, etc to stop the abruption..*IF* that is something you would want to do.
post #19 of 49
Thread Starter 
Bright/dark... hard to say- same color I have with a period. Not dark-dark. Not brown. Red.

Any clearer than mud?

-Angela
post #20 of 49
Yep. Is it like bit your lip red? Or blood draw no anemia red?
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: I'm Pregnant
Mothering › Mothering Forums › Pregnancy and Birth › I'm Pregnant › bleeding question