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Bleeding and spotting are common during the luteal phase of the menstrual cycle, and early stages of pregnancy, but are unrelated to implantation. Implantation bleeding occurs between 7 and 14 days after fertilization, [56] and is a small amount of light vaginal bleeding or spotting that can occur in early pregnancy due to the blastocyst ...
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Early pregnancy bleeding (also called first trimester bleeding) is vaginal bleeding before 14 weeks of gestational age. [ 1 ] [ 2 ] If the bleeding is significant, hemorrhagic shock may occur. [ 1 ] Concern for shock is increased in those who have loss of consciousness , chest pain, shortness of breath , or shoulder pain.
Implantation bleeding may be confused with a regular period. [5] [6] Heavy vaginal bleeding in the first trimester or bleeding associated with pain, may be a sign of a complication, such as a miscarriage or an ectopic pregnancy, that would need to be assessed by a healthcare provider. [7]
Bleeding which occurs before 24 weeks is known as early pregnancy bleeding. Causes of bleeding before and during childbirth include cervicitis, placenta previa, placental abruption and uterine rupture. [4] [5] Causes of bleeding after childbirth include poor contraction of the uterus, retained products of conception, and bleeding disorders. [4]
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[5] Signs and symptoms of early pregnancy may include missed periods, tender breasts, morning sickness (nausea and vomiting), hunger, implantation bleeding, and frequent urination. [1] Pregnancy may be confirmed with a pregnancy test. [7] Methods of birth control—or, more accurately, contraception—are used to avoid pregnancy.
[6] [7] [5] Vaginal bleeding during pregnancy can be normal, especially in early pregnancy. [8] However, bleeding may also indicate a pregnancy complication that needs to be medically addressed. [8] During pregnancy bleeding is usually, but not always, related to the pregnancy itself.
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