Vaginal bleeding in pregnancy

Only Level III NICU in Kane County
Having a baby? Let Rush-Copley put your mind at ease. First in the nation to receive national quality certification in both Normal Delivery and Respiratory Distress Syndrome in the Preterm Infant by Joint Commission, Rush-Copley also offers the only Level III NICU in Kane County. In addition to birthing and parenting programs, you will also be treated to accommodations designed with your comfort and privacy in mind. Let Rush-Copley’s Family Birth Center instill confidence.


Vaginal bleeding in pregnancy is any discharge of blood from the vagina during pregnancy.

Alternative Names

Pregnancy - vaginal bleeding; Maternal blood loss - vaginal


Up to 1 in 4 women have vaginal bleeding at some time during their pregnancy. Bleeding is more common in the first 3 months (first trimester), especially with twins.


During the first 3 months, vaginal bleeding may be a sign of a miscarriage or ectopic pregnancy. Contact the health care provider right away.

During months 4 to 9, bleeding may be a sign of:

  • The placenta separating from the inner wall of the uterus before the baby is born (abruptio placentae)
  • Miscarriage
  • The placenta is covering all or part of the opening to the cervix (placenta previa)
  • Vasa previa

Other possible causes of vaginal bleeding during pregnancy:

  • Cervical polyp or growth
  • Early labor (bloody show)
  • Ectopic pregnancy
  • Infection of the cervix
  • Trauma to the cervix from intercourse (small amount of bleeding) or recent pelvic exam

Home Care

Avoid sexual intercourse until your provider tells you that it is safe to start having intercourse again.

Drink only fluids if the bleeding and cramping are severe.

You may need to cut down your activity or be put on bed rest at home.

  • Bed rest at home may be for the rest of your pregnancy or until the bleeding stops.
  • The bed rest may be complete.
  • Or, you may be able to get up to go to the bathroom, walk around the house, or do light chores.

Medicine is not needed in most cases. DO NOT take any medicines without talking to your provider.

Talk to your provider about what to look for, such as the amount of bleeding and color of the blood.

When to Contact a Medical Professional

Contact your provider if:

  • You have any vaginal bleeding during pregnancy. Treat this as a potential emergency.
  • You have vaginal bleeding and have placenta previa (get to the hospital right away).
  • You have cramps or labor pains.

What to Expect at Your Office Visit

Your provider will take a medical history and perform a physical exam.

You will probably have a pelvic exam as well.

Tests that may be done include:


Francois KE, Foley MR. Antepartum and postpartum hemorrhage. In: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 19.

Houry DE, Salhi BA. Acute complications of pregnancy. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 178.

Review Date: 4/5/2016
Reviewed By: Irina Burd, MD, PhD, Associate Professor of Gynecology and Obstetrics at Johns Hopkins University School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.