Initial spotting is usually implantation bleeding. It happens when the newly fertilized egg implants into the uterine wall. This can occur as early as a week after conception. Even though spotting is an early indicator of pregnancy, bleeding may indicate a serious problem with the placenta. Researchers have found links between early bleeding and later complications, especially if bleeding is heavy.
Spotting during pregnancy that occurs later in the pregnancy can be an early sign of miscarriage or an ectopic pregnancy, especially if accompanied by abdominal pain. An ectopic pregnancy happens when the fertilized egg implants somewhere other than the uterus, most often in the fallopian tubes.
It isn’t possible to transplant an ectopic pregnancy and if allowed to progress the embryo’s growth could damage or rupture the fallopian tubes leading to bleeding, loss of the tube and possible death if heavy bleeding occurs and goes untreated.
Infections also cause spotting during pregnancy. Yeast infections or sexually transmitted diseases can cause inflammation of the cervix, making it more likely to bleed if irritated.
The causes of spotting vary and it isn’t always possible to determine the exact cause of the bleeding. Blood flow to your cervix will increase during pregnancy and you could experience some spotting after a pap smear, sex or an exam. It is important when spotting during pregnancy or bleeding occurs to contact your doctor or midwife to ensure the safety of your self and your baby.
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