One in four women will bleed in early pregnancy, many of whom go on to have a healthy baby. However, if you have any bleeding at any time during your pregnancy, contact a health professional, so that appropriate investigation and treatment can be started.
Signs Of Internal Bleeding During Pregnancy
Bleeding may occur with broken bones. Bones contain the bone marrow in which blood production occurs. They have rich blood supplies, and significant amounts of blood can be lost with fractures. The break of a long bone such as the thigh bone (femur) can result in the loss of one unit (350 cc to 500cc) of blood. Flat bones such as the pelvis require much more force to cause a fracture, and many blood vessels that surround the structure can be torn by the trauma and cause massive bleed
About 10% of women face mild spotting during their pregnancy especially during the first trimester when the foetus is just implanting into the uterus. This remedies itself on its own. At times, the bleeding can be brought under control with the help of progesterone supplementation.
Internal bleeding during late pregnancy can also be due to preterm labour, which can occur due to a wide variety of reasons. Preterm labour is common in women who are carrying multiples, have an incompetent cervix or foetal growth retardation. All these conditions can manifest themselves in the form of heavy internal bleeding.
A full-blown miscarriage or an abortion gone wrong can result in heavy bleeding. Women who have had repeated miscarriages or those who have had an incomplete abortion are more at risk for heavy internal bleeding. This too needs medical intervention and needs to be treated well in time so that the woman can go on to make a full recovery.
Some cases of cervical bleeding are also seen in case of yeast infections. Such yeast infections need to be immediately treated especially since they pose a threat to the health of the foetus. Most of the above medical conditions warrant prompt and early medical attention.
Very heavy bleeding especially in the case of an ectopic pregnancy can lead to tubal rupture, which requires immediate surgery. If the fallopian tube ruptures, it can put the mother’s life at risk especially when the bleeding leads to a severe haemorrhage. Severe internal bleeding may also start in case of internal haemorrhage.