This is one of the commoner presentation to my clinic besides the general antenatal workload.
The euphoria of early pregnancy(first trimester) is sometimes interrupted by symptom of vaginal bleeding. There is usually high anxiety level, which is only natural. This bleeding varies from brownish discharge to fresh red bleeding. This symptom can be associated with lower abdominal cramps. Most couple come early for consultation. My assessment during this consultation is to attempt to ascertain the cause of vaginal bleeding and demonstrate pregnancy viability.
It is understandable that couple would want to know if ‘the pregnancy or fetus is alright’. However, there is no single clinical assessment, blood test or ultrasound features that provides a reliable prediction of the pregnancy outcome following such event. The current treatment this condition remains empirical. Most doctors advocate bedrest and hormonal support, although the evidence is lacking.
On the contrary, it is not uncommon to find a cervical polyp as the source of vaginal bleeding. This condition can be treated with removal of the polyp to relieve the symptom. The pregnancy is usually left undisturbed.
Our clinical experience has shown that about half of the early pregnancies with complication of vaginal bleeding is associated with good prognosis. In these cases, the vaginal bleeding stop gradually over time and the pregnancy continues to term.
Early pregnancy vaginal bleeding is common and requires immediate medical attention
See also “Pregnancy and Baby” section for Early pregnancy bleeding or click here.