Bleeding in pregnancy

If you have any bleeding during your pregnancy, with or without pain, it’s very important to get it checked out.

Maternity care is still essential during the coronavirus pandemic and services are still running. If you have any concerns about your pregnancy call your GP, midwife, nearest early pregnancy unit or maternity unit.

Is it normal to bleed in early pregnancy (before 12 weeks)?

What can cause bleeding in early pregnancy?

Bleeding and miscarriage

What are the causes of bleeding in late pregnancy (after 24 weeks)?

Rhesus negative

Where should I seek help for bleeding in pregnancy?

Bleeding in pregnancy when you have had a previous miscarriage

Is it normal to bleed in early pregnancy (before 12 weeks)? 

It’s common to have light bleeding or ‘spotting’ without pain before 12 weeks. This isn’t often serious, but you should contact your doctor, midwife or Early Pregnancy Unit immediately to be checked, just in case.

Bleeding in pregnancy after 12 weeks is not common. Contact A&E or your hospital maternity unit immediately so you can be checked.

What can cause bleeding in early pregnancy?

Light bleeding or spotting can happen in the first trimester (first 12 weeks of pregnancy) for a few reasons.

Implantation bleeding

Implantation is when the fertilised egg (developing embryo) is embedding into the wall of the womb. This usually happens around the time your period would normally have been due. Some women have had implantation bleeding after 8 weeks of pregnancy.

An implantation bleed is very light bleeding (spotting) that is usually pinkish and sometimes brown. You may see it when you wipe after going to the toilet or in your underwear. It shouldn’t be enough to soak through pads or underwear. Usually it only lasts for a day or so, though for some women it can last a little longer.

Cervical changes 

Pregnancy hormones can cause changes to the cervix, which can sometimes cause bleeding. The cervix gets an increased blood supply and becomes softer. This can cause some bleeding after sex (known as post-coital bleeding).


Occasionally, vaginal bleeding can also be caused by an infection.

Bleeding and miscarriage

Bleeding can sometimes be a sign of something more serious. Try to remember that many women who have bleeding in early pregnancy (before 12 weeks) go on to have a successful pregnancy. Just make sure that your symptoms are checked. 


A miscarriage is when a pregnancy ends before 24 weeks.

Symptoms can include:

  • bleeding, especially bleeding that is bright red and and needs a pad
  • back or stomach pain or cramping.

Some women may experience a 'threatened miscarriage'. This is diagnosed where there is ongoing bleeding with or without pain but the woman is still pregnant.

Ectopic pregnancy

An ectopic pregnancy is when a fertilised egg implants outside the womb, usually in the fallopian tube. Symptoms can include:

  • bleeding
  • tummy pain on one side
  • pain in the tip of the shoulder
  • discomfort when peeing or pooing.

Molar pregnancy

A molar pregnancy is when a foetus doesn't form properly in the womb and a baby doesn't develop. Symptoms can include:

  • bleeding
  • severe morning sickness
  • an unusually swollen tummy.

What are the causes of bleeding in late pregnancy (after 24 weeks)?

Some women may experience a light bleed later on in their pregnancy. This is may not be from inside the womb, but from the cervix, for example, which can cause bleeding after sex. This may settle and doesn't necessarily mean there is a problem, but you should contact the hospital maternity unit immediately so you can be checked, just in case.

There are two more serious causes of bleeding in late pregnancy:

Low-lying placenta (placenta praevia) 

The area where the placenta is attached usually stretches upwards away from your cervix. A low lying placenta is when the placenta stays low in your womb, near to or covering your cervix. This may block the baby’s way out. In most cases, this would have been seen at one of your routine ultrasound scans and you will have an extra scan later in your pregnancy to see if the placenta has moved up.   

If the placenta is still low in your womb you may blead heavily during your pregnancy and your baby’s birth. This can put you and your baby at risk. If you have a low lying placenta and you have bleeding you may need emergency treatment – call 999.  

You’re more likely to need a caesarean section if you have a low-lying placenta.

Placental abruption (abruptio placentea)

This is a serious condition in which the placenta starts to come away from the womb wall. It usually causes extreme stomach pain which does not come and go like contractions. It may occur even if there is no bleeding.

Contact your hospital maternity unit immediately if you are bleeding in late pregnancy.

Find out more about placental abruption.

Rhesus negative

During your antenatal care your midwife will find out your blood group and whether you have rhesus positive or negative blood. Knowing which group you are in is important. If you have rhesus negative blood, but your partner has rhesus positive blood, your baby has a chance of having rhesus positive blood too. If this happens, your body might see your baby’s blood as different to yours and develop antibodies. These antibodies can pass across the placenta and attack your baby’s blood cells.

This won’t normally affect your first pregnancy, but it can be very serious in later pregnancies. Because of this, if you have rhesus negative blood your midwife will offer you an injection called anti-D during your pregnancy to protect your baby.

If you have any bleeding or trauma to your bump (for example, if you fall over) contact your midwife or hospital maternity unit immediately. You may need to be checked and possibly have another injection of anti-D.

Talk to your midwife if you have any questions about your and your baby’s blood type.

Where should I seek help for bleeding in pregnancy?

Any bleeding in pregnancy should be investigated even if you are not experiencing any other symptoms. It is important to make contact with a health professional to be seen as soon as possible.

Before 12 weeks pregnant

If you feel generally well and the bleeding is not heavy, then you can call your GP or midwife (if you have one yet) for an appointment who can then assess if they need to refer to the local Early Pregnancy Unit. Sometimes, you can self-refer to a local Early Pregnancy Unit depending on your history and where you live. If you call your local GP surgery they should be able to advise you. 

You can also call NHS 111 if you feel you need urgent medical help but it is not an emergency.

Go to your local A&E if you are experiencing bleeding and:

  • it is during the night or at the weekend when a GP is unavailable
  • the bleeding is heavy
  • the pain is severe
  • you feel generally unwell

After 12 weeks pregnant

Go to your local A&E or contact the hospital maternity unit immediately so you can be checked, just in case.

What to expect if you need to go to the Early Pregnancy Unit?

When you go to the Early Pregnancy Unit you may wish to bring someone with you for support.

Firstly, you’ll be asked about:

  • your symptoms
  • your medical history
  • any previous pregnancies
  • the date that your last period started (so they can estimate how many weeks pregnant you may be).

Then, they may ask you to provide a urine sample to confirm that you are pregnant, or you may have an ultrasound scan.

They may also do an internal scan, where a small probe is inserted through your vagina to get a clearer picture. This is helpful if you are very early on in your pregnancy. It is not possible to do an abdominal scan as the pregnancy sac is tucked deep inside the uterus, in the pelvis, so a vaginal scan is the only option this early in the pregnancy.

Ultrasound scans are safe to have and do not carry any risk of causing a miscarriage.

It’s unlikely that they will be able to see a heartbeat if you’re not around 6-7 weeks pregnant yet. Instead, they will be checking the size of the pregnancy sac and that it is in the womb. This helps to rule out an ectopic pregnancy.

It’s usually possible to see the baby’s heartbeat from about 7 weeks. Sometimes they may need to invite you back for another scan about 1-2 weeks after your first one if:

  • they want to check the baby’s growth
  • they could not get a good enough picture during the first scan
  • your bleeding or other symptom continue.

Other tests and examinations you may have

A speculum and/or vaginal examination

This involves a small instrument covered in gel being inserted into the vagina. This allows the doctor to check the neck of the womb to see if there is any obvious cause for the bleeding. It isn’t painful, but it can sometimes be a little uncomfortable.

Vaginal swab

This involves inserting a swab (which looks like a long cotton bud into the vaginal to collect some cells. This is to check for infections, such as chlamydia. The swab is safe to do and not painful.

A blood test

This is done to check your pregnancy hormone level (hCG). If this is under 5 IU/L then this indicates that you are not pregnant.

If it is above 5 IU/L they will expecting it to double about every 2-3 days, so they may ask you to come back to the unit for another blood test a few days later to see if the level is rising or falling.

Depending on the results of these tests, they will plan with you what will happen next. It can be a bit overwhelming when you get a lot of information at once, especially at stressful times, so feel free to ask as many questions as you need to make sure you understand what is happening and what to expect. They should also give you some written information to take away with you and a contact number to call in case you have further questions or need advice when you get home.

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Bleeding in pregnancy when you have had a previous miscarriage

If you have bleeding in your current pregnancy after one or more previous miscarriages, recent research has shown that progesterone can be beneficial. This research was published in 2019 and showed that the more previous miscarriages you had, the greater the benefit from progesterone treatment.

Progesterone is a hormone that helps thicken the lining of the womb and the mother’s body to accept the growing baby. It is given as pessaries (tablets) and taken twice daily in the vagina (like inserting a tampon).

The study that showed that progesterone can be an effective treatment was a large, multi-centre, randomised controlled trial, which is the gold standard of research trials.

4,153 women with early pregnancy bleeding from 48 hospitals across the UK participated in the study. Around half the women were given vaginal progesterone tablets and the other half were given placebo (dummy) tablets. The findings were:

  • For women with no previous miscarriages: the live birth rate was 74% (824/1111) in the progesterone group and 75% (840/1127) in the placebo group, i.e no benefit.
  • For women who have had 1 to 2 previous miscarriages: the live birth rate was 76% (591/777) in the progesterone group and 72% (534/738) in the placebo group, i.e some benefit.
  • For women who have had three or more previous miscarriages: the live birth rate was 72% (98/137) in the progesterone group and 57% (85/148) in the placebo group, ie substantial benefit.

The study did not find any safety concern from progesterone treatment.

Talk to your doctor

If you have early pregnancy bleeding and a history of a previous miscarriage, progesterone treatment can be of benefit. As this research is relatively recent, your doctor may not have heard of it, so please discuss this treatment with your GP or the doctors at your local Early Pregnancy Unit. If necessary, show them this information or or download this leaflet and take it with you.

Read more about the Prism trial. 

Information for clinicians

Live births



Relative risk

95% confidence interval

P value

All women






Previous history of miscarriage







Read more


NHS Choices. Vaginal bleeding in pregnancy (Page last reviewed 26/01/2018. Next review due 26/01/2021)

Harville EW et al (2003) Vaginal bleeding in very early pregnancy. Human Reproduction. Volume 18, Issue 9, 1 September 2003, Pages 1944–1947

Sommerkamp S & Wittels K (2012) OB/GYN Emergencies, Elsevier, Philadelphia 

Sue Macdonald and Gail Johnson (2017) Mayes' Midwifery, Elsevier, Edinburgh

NHS Choices. Molar pregnancy (Page last reviewed 20/07/2017. Next review due 20/07/2020)

Royal College of Obstetricians & Gynaecologists (2011) A low-lying placenta (placenta praevia) after 20 weeks

NHS Blood and Transplant. Protecting women and babies with anti-D Immunoglobin (Leaflet last reviewed 10/10/2016 Next review due 10/10/2019) 

Coomarasamy et al (2019). ‘A Randomized Trial of Progesterone in Women with Early Pregnancy Bleeding’. New England Journal of Medicine

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    Last reviewed on October 11th, 2018. Next review date October 11th, 2021.

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    Please note that these comments are monitored but not answered by Tommy’s. Please call your GP or maternity unit if you have concerns about your health or your baby’s health.
    • By Tosin (not verified) on 26 Feb 2019 - 04:51

      32weeks bleeding after sex

    • By Midwife @Tommys on 27 Feb 2019 - 11:26

      Dear Tosin, please go to your hospital maternity unit to be reviewed urgently (as soon as possible today!) due to the bleeding from your vagina after intercourse. Please take your pregnancy notes with you too.
      Take care, Tommy's Midwife

    • By Vero (not verified) on 14 Feb 2019 - 14:02

      Hi, I was ovulating the week of January 31st, been having a bit of unprotected sex throughout that week. I started bleeding on the 3rd or February, very lightly a few days after ovulation. I have been bleeding since, there has been stringy "clots" but has remained light. Now i am 2 days away from when my period should begin. Been really tired, and feeling like i have to throw up all the time but never do. Please help, give me and idea of what it could be.

    • By Ttori (not verified) on 13 Feb 2019 - 19:42


      I’m 12+5 and had a bit of light coloured bleeding today. Went to emergency obstetrics where they did a speculum examination and diagnosed cervical erosion. Due to my blood I had an Anti D injection. Bleeding has turned bright red this evening. They said I need to wait it and see. They didn’t do a scan and said it was to early to hear Heartbeat. But I’m worried it’s something more. Any advice please?


    • By TryingForTheFirst (not verified) on 13 Feb 2019 - 19:41

      Ovulation was 29/01. I have been spotting brown for 5 days now (11 DPO). This morning I have started to bleed and have slight cramping. Menstrual cycle is due tomorrow (15/02). I have taken a pregnancy test and it was negative. I have never had brown discharge before a period like this.
      I’m not sure what to do?

    • By Midwife @Tommys on 15 Feb 2019 - 15:16

      It maybe that it was a little early for you to take the pregnancy test. If your period does not come when due then I would suggest to repeat the test.
      Best wishes
      Tommy's midwife

    • By melissa (not verified) on 13 Feb 2019 - 04:25

      hi.. im so very worried and i dont know what to do. i am pregnant im 14 weeks now.. on january 21 i have bleeding but not heavy im using 2 mini pads every day not full? i didnt feel anything just bleeding what is that? continue january 31. that day im go with my doctor to have scan they say theres womb but without sac..they suggeted to have 2 opinion. but my bleed stop at february 1.. then came again to another doctor february 8 have scan again. then same comment they suggest to me to perform d&c.. i went to another big hospital for emergency to do d&c but they said they will give me medicine to help my cervix to be tender and if i have bleeding heavy they send me back to do d&c.. so stressed about this dont know what to do. they cannot suggest me to have perform beta hcg.. im just little hoping. because i never heard this before. other people why doctor having perform d&c for me. if im having misscarriage i supposed ti have heavy bleeding and so much on my belly

    • By Shmeo (not verified) on 6 Feb 2019 - 21:22

      Hello iv been having propper periods for 3 months and a negetive pregnancy test i havent had sex since october...i havent gotten my period this month and im 2 days late todai iv been having leg pain n back n tummy cramps like i do in my period but only had slight brown discharge today pls help im scared that im pregnant all 3 months iv had me period with heavy cramps n bleeding as usual pleasee help

    • By Midwife @Tommys on 7 Feb 2019 - 16:17

      Hi _ if you are worried you are pregnant, you should carry out a pregnancy test. If you are - you need to visit your GP urgently.

    • By thandiwe (not verified) on 31 Jan 2019 - 19:27

      I have use 4 differents test indicates that i am pregnant and i have 2-3 weeks ,but today i went to see a doctor for a scan he can't see anything so the problem is I have been seeing bleed when visting bathroom it's all most 2weeks now can you please tell me what's wrong with me

    • By Midwife @Tommys on 1 Feb 2019 - 09:59

      Dear Thandiwe,
      It is difficult to know what is happening exactly. It is possible that it was a little early for your doctor to able to see anything on the scan so may have to re-scan you in a couple of weeks time. If you have been bleeding for two weeks continually then it is possible that the pregnancy is not continuing. Repeating a pregnancy test may be helpful, if this is negative then this provides you with an answer. If it is positive then the doctor will see you again for another scan but likely need to wait a week or two.
      Best wishes
      Tommy's midwife

    • By Tena (not verified) on 30 Jan 2019 - 16:15

      Hi, Recently found out I was pregnant...I spotted for a day the day I was suppose to get period and then tested at home after being 8 days late...all positive and schedule an appt with ob next morning. Started bleeding bright red very light with some mild cramping that morning. Dr’s confirmed pregnancy and said it could be implantation bleeding. Too early to tell DOC and requested to come back in 2 weeks for ultrasound. But for precaution she wanted bloodwork done. Results from bloodwork came back that hcg is rising but not at where they’d like and it looks like an abnormal pregnancy but is still too early to tell anything until ultrasound. I’m still currently bleeding going on for 2 weeks straight. Very mild cramping here and there but not so much. Bleeding has only filled a panty liner once this whole entire time on just one day but did not need to change out. All other days it’s been light. There has been some really tiny bits of tissue possibly pass when going to the bathroom but not too significant. I’m just confused on to what could be going on especially this being our first pregnancy and we’re worried. They dr also has me taking progesterone. I guess I’m just concerned is this normal to be bleeding for this long? Should I go to the hospital or should I just wait until my appt for the ultrasound? I’m just also worried too if this is a possible miscarriage:( I’m havent found much similar related stories that could possibly tell us what’s going on.

    • By Midwife @Tommys on 31 Jan 2019 - 11:06

      Hi - Thank you for your comment.
      I'm sorry to learn you have been having a worrying time in this pregnancy so far. As your Doctor has advised, it is common to have light bleeding or ‘spotting’ without pain before 12 weeks.
      Low levels of hCG may be detected in your blood around 8 to 11 days after conception. hCG levels are highest towards the end of the first trimester, then gradually decline over the rest of your pregnancy.

      A rough average levels of hCG in a pregnant woman’s blood are:

      non-pregnant women - less than 10 U/L
      borderline pregnancy result - 10 to 25 U/L
      positive pregnancy test - more than 25 U/L
      pregnant women, about 4 weeks after the last menstrual period or LMP (average 1 week before first missed period) - 0 to 750 U/L
      pregnant women, about 5 weeks after the LMP (week after first missed period) - 200 to 7,000 U/L
      pregnant women, about 6 weeks after the LMP - 200 to 32,000 U/L
      pregnant women, about 7th weeks after the LMP - 3,000 to 160,000 U/L
      pregnant women, about 8 to 12 weeks after the LMP - 32,000 to 210,000 U/L
      pregnant women, about 13 to 16 weeks after the LMP - 9,000 to 210,000 U/L
      pregnant women, about 16 to 29 weeks after the LMP - 1,400 to 53,000 U/L
      pregnant women, about 29 to 41 weeks after the LMP - 940 to 60,000 U/L

      Remember that these ranges are based on the length of the pregnancy dated from the last menstrual period and any woman with abnormal cycles may see variation in these ranges. For example, a woman with six-week menstrual cycles at eight weeks after her last menstrual period should fall roughly in the same range as a woman with four-week menstrual cycles would at four weeks after her last menstrual period

    • By Laura (not verified) on 24 Jan 2019 - 18:29

      I am 9 weeks pregnant and I am getting bleeding on and off sometimes it's brown and now it's bright red has anyone had this and had a successful pregnancy?

    • By Tina (not verified) on 21 Jan 2019 - 06:17

      So for the last 4 days I've been having pressure under my belly in the uterus area. The first day was strong then it has eased up every day since. I seen a dr he said as long as there is no spotting I'm okay. So today I had light light pink on the toilet paper which later in about 3 hours turned to bright dark red and a fair bit. No clots and only when I wiped. This lasted around 4 hours and now it's back to light light pink. I'll be calling my GP tomorrow but just wondering what your thoughts are? Could it be implantation pain and spotting?

    • By Midwife @Tommys on 25 Jan 2019 - 15:52

      Dear Tina,
      Some light spotting can be very common in early pregnancy and is usually an implantation bleed where the fertilised egg is embedding into the wall of the uterus. This bleeding often occurs round about the same time as when your next period would have been due and can last for a couple of days.
      Best wishes
      Tommy's midwife

    • By Bosede (not verified) on 14 Feb 2019 - 03:29

      I'm pregnant ...I'm in my first trimester

    • By Anne Singleton (not verified) on 19 Jan 2019 - 22:38

      I am currently 9 weeks and 1 day. Woke up brown stringy discharge... cramping and I've had Yellow discharge no bad smell for the duration. I worked out yesterday (easy workout) and had sex yesterday with the husband. Is it possible this is just from overdoing it? I called my dr. He said if I get bright blood or it gets worse to go get checked but to just take it easy. I need a peace of mind. Is my uterus just expanding and that's the cramping sore feeling. I have 2 live children and have had 2 miscarriages before 9 weeks before this pregnancy. Had a scan at 6 weeks confirmed heart beat and had prenatals and bloodwork. Next scan / blood work in 4 weeks.

    • By Midwife @Tommys on 25 Jan 2019 - 12:04

      Dear Anne,
      It is completely understandable to be feeling anxious especially as you have had two miscarriages before. Having some light spotting and brown discharge after intercourse is not uncommon. As your Dr said, if you have nay red bleeding or pain then do call them to be seen.
      Best wishes
      Tommy's midwife

    • By Susie (not verified) on 15 Jan 2019 - 13:33

      Hi, I’m 8 weeks and 5 days into my pregnancy. I woke up at 6am to use restroom and to find when i wiped a lot of brown discharge. This is the date I’m usually suppose to get my period if i wasn’t pregnant. But seeing the amount of brownish discharge after couple wipes got me scared. Is this normal or anything i need to afraid of. It’s my first pregnancy as well.

    • By Beuty (not verified) on 31 Dec 2018 - 12:28 embryo transfer was on 2nd of dis month after 2weeks I went for a pregnancy test which came out positive,a week later I started seeing brownish discharg from dat 2 light red from dat 2 blood dat will not full pad n 3days heavy cramping n 2 small clots ,I bleed for 1week in total,2days after d bleeding I did a home text d second line is faint ...plz is it possible am still pregnant second attempt on ivf though ,thanks

    • By Midwife @Tommys on 9 Jan 2019 - 15:35

      Hi Beuty
      I hope that you have been able to do another pregnancy test since you sent this message - to find out if you are pregnant or not.
      Bleeding can occur in early pregnancy as the embryo implants into the uterus, but sadly bleeding can also be a sign of miscarriage too. Please get yourself seen by a doctor if you have not already done so. All the best. Tommy's Midwife

    • By Solomon chinenye (not verified) on 31 Jan 2019 - 11:49

      I am seven weeks pregnant but started bleeding yesterday. The bleeding has stopped but I don't know if my baby is still there.

    • By Midwife @Tommys on 31 Jan 2019 - 12:17

      Hi -Thank you for your message.
      If you are experiencing, please visit your doctor/midwife to be checked over. Whilst it is common to have light bleeding or ‘spotting’ without pain before 12 weeks. This isn’t often serious, but you should contact your doctor, midwife or Early Pregnancy Unit immediately to be checked, just in case.

    • By Sienna (not verified) on 30 Dec 2018 - 20:05

      Hello ladies any advice is great and helpful advice!
      My periods are very regular since the beginning even through past bc and stuff it always ends up back in sync. My last period was Nov. 27. Oct 30 before that. My ovulation window was Dec 9 - 13 11th being expected ovulation.
      Me and my boyfriend were very active the first 4 days. and from the 12th to 15th I experienced some cramping and on the 16th I started bleeding brown and pinkish was more like light spotting but gradually got a little heavier and more red not like period red though don’t really know how to describe it kind of bright white I wipe but when it drips it’s dark. Not enough for a pad but too much for a liner. And it isn’t consistent bleeds it’s just a little bit when I wipe but I’ll feel some come out with a cough sneeze etc. My expected period was the 25th today’s the 30th and I am still bleeding like this. I tested today mid day and got a negative. :( Any advice? Could I be pregnant ? I really hope so! My boyfriend thinks early miscarriage but I didn’t cramp at all while bleeding and no pain and no clots! Please I need any advice

    • By Midwife @Tommys on 9 Jan 2019 - 15:29

      Hi Sienna
      Please do another pregnancy test if you have not already done one. Any unprotected intercourse can result in pregnancy. If the test is negative and you are still experiencing abnormal bleeding, then please go to your GP for referral to a gynaecology specialist.
      Please take care, Tommy's Midwife

    • By Favour (not verified) on 16 Dec 2018 - 17:57

      Please I really need help.. Am 6 weeks pregnancy. Last week I had sex with my husband and the following day I started spotting and from spotting I started bleeding using 2 pad every day.. I have been bleeding for 1 week now and I have gone to the hospital I did scan the doctor said i have to remove the pregnancy that it is not forming well then I went to another hospital the doctor said I should go for another scan after two week that for now the scan shows that the pregnancy is still there.. I did a blood test yesterday and it was positive too.. No pains just bleeding and I had blood clot 2times..
      I was given an injection and drugs on Thursday to stop the bleeding but am still bleeding although the bleeding is reducing since I started taking the drugs.. Am really confuse. What should I do next??

    • By Midwife @Tommys on 20 Dec 2018 - 14:02

      Hi Favour, I am afraid that only a scan can confirm whether the pregnancy is on-going. The guidelines do suggest that a second scan after two weeks will be more conclusive. The blood test if repeated will also confirm whether the pregnancy is still viable. Look after yourself. Tommy's midwives

    • By Amanda (not verified) on 13 Dec 2018 - 11:09

      Hi, i am 16 weeks pregnant and i yesterday when i pee and wipe myself i saw light pink blood....what is the cause for that and is that something to worry about.

    • By Midwife @Tommys on 14 Dec 2018 - 15:39

      Hi Amanda,
      We would advise, that for any bleeding at this stage of pregnancy, you should contact your GP for a review. It is likely to be nothing to worry about however it is important to make sure it is not anything serious. Sometimes the reason for the bleeding is unknown, or else it can be from the cervix or due to infection.
      Best wishes
      Tommy's midwife

    • By Alyssa (not verified) on 9 Dec 2018 - 10:52

      I’m currently 32 weeks pregnant (I’ll be 33 weeks on Thursday) and I went to the bathroom and wiped and there was a little blood on the toilet paper. I don’t know if I should go to the hospital or what. I haven’t noticed any bleeding before until today and there wasn’t any in the toilet there was just a little on the toilet paper. My ob office isn’t open until Monday and I don’t have a midwife so I just wasn’t sure if I need to go to the closest hospital or what I should do.

    • By Midwife @Tommys on 12 Dec 2018 - 16:05

      Hi Alyssa, Unfortunately we are not able to answer these questions every day and we are not an urgent referral centre but, I hope that you decided to ask for advice from your local maternity unit. Any bleeding in the 3rd trimester MUST be assessed as soon as possible. I hope all is well. Best wishes

    • By Amy (not verified) on 18 Nov 2018 - 02:23

      Hi I am 14 weeks pregnant I had some spotting last mouth it was red blood doctors did a hormone test 48 hr it was perfect they said today is Saturday I woke up did a wipe when I went pee it was pink hrs later it was red then went to light pink now it stopped I don't have any pain I have a yeast infection can this be the reason why do doctors say the chance in a unborn baby only happens if they can't find a heart beat at 6 weeks I had a ultrasound sound down last month they said theres a heart beat can you bleed like this from an infection thanks

    • By Midwife @Tommys on 19 Nov 2018 - 14:04

      Hi Amy, If you are bleeding I would advise you to go to see your doctor or go to the early pregnancy unit at your hospital. Infection can increase the risk of miscarriage so it is advisable to ask for your doctor's advice.

    • By K (not verified) on 14 Nov 2018 - 08:21


      So I have had a bit of brown blood bleed the other day, contacted early pregnancy unit who were fab and had an early scan, all fine found a heartbeat! (I am 7 weeks pregnant) yesterday at work I did a lot of manual work and started bleeding more, do you think I have overdone things at work? I panicked and came home and bleeding stopped (it was all brown blood but just more than the first time) do I need to just be careful and go easier at work? Could doing too much have caused a bleed? Thank you xx

    • By Midwife @Tommys on 14 Nov 2018 - 12:03

      Difficult to say what the cause is, but brown discharge indicates this is old blood and not a fresh bleed. Reassuring that it has stopped now. Yes, perhaps take it easier for a while and see what happens. Best wishes

    • By Sarah (not verified) on 9 Nov 2018 - 15:35

      Hello again. I got in touch on Monday because I had a bleed on Sunday and I was concerned about the brown discharge that came after. The following day (Tuesday) I went for a scan which showed a small sub chorionic hematoma... there was a lot of brown after the scan and I was reassured that it was the hematoma causing it.

      The following day consisted of brown clots, brown discharge and beige discharge. This was to be expected and I was not concerned.

      Yesterday, and today, I have found a lot of clear discharge with orange tint when I wipe. Is this potentially the end of the hematoma or should I prepare self for another bleed?

    • By Midwife @Tommys on 12 Nov 2018 - 16:21

      Hi Sarah
      It is really difficult to know for sure.
      Brown blood is old blood. So hopefully the end of what is being passed now. An orange tinge may need to be reviewed though in case there is infection present, especially if you notice any unusual smell too.
      So please be checked over as soon as you can be at your GP/Early pregnancy assessment unit/ A&E minors or maternity unit.
      All the best, Tommy's Midwife

    • By maryam (not verified) on 6 Nov 2018 - 16:20

      My sister, 27 years old, have had 2 pregnancy losses at 17 weeks and 26 wks. Now she is 10 wks pregnant and her doctor suggested cerclage. She did not go for preconception checkups, as she was very upset and sad after her losses. I am pharmacist and I read some articles about the role of antiphospholipid antibodiesin pregnancy loss. I would like to know if she need to do these tests or not. 6 months after her first loss she has been diagnosed for type 1 diabetes and her last A1c was 6/3. She takes one tab levothyroxin for hypothyroidism hashimoto too. Look forward to hearing your advices and thanks for your time and consideration. Regards

    • By Midwife @Tommys on 9 Nov 2018 - 14:08

      Hi Maryam,
      I am so sorry to hear about what your sister has been through, we will try to support best we can. If you could just copy this into an email and send it to [email protected] as it is quite complex.
      Best wishes
      Tommy's midwife

    • By AMINAT (not verified) on 6 Nov 2018 - 10:28

      GOOD DAY DOC,PLS AM 12WEEK PREGNANT BUT YESTARDAY AROUND 3AM AM seen blood all my body ,at arrond 8am i went to see my midwife,she cheched me and say my baby is fine.she gave me drug to stop the bleding.hope my baby we be fine.tanks.

    • By Sarah (not verified) on 5 Nov 2018 - 15:31

      Hi. Yesterday, I found bright red blood on the tissue when I wiped. For the rest of the day, there was no blood, and clear discharge was found occasionally.

      Today, there is no red blood but I am experiencing quite a few brown clots. I am booked in for a scan tomorrow to find out what’s going on.

      Is the brown blood old blood from yesterday? The clots are stringy and mixed with white discharge. There is no smell except a faint smell of blood.

    • By Midwife @Tommys on 5 Nov 2018 - 16:04

      Hi Sarah
      Old blood is brown in colour yes, so it is likely that this was from the same bleeding episode you had originally now all coming out. I am pleased that you have a scan tomorrow- so that you get a clear answer about whether things are ok or not. Wishing you all the best. Tommy's Midwife

    • By Flora Jones (not verified) on 5 Nov 2018 - 08:53

      Hi, I am nearly 9 weeks pregnant and for the past 3 days I have been having brown bleeding. There is no pain associated with it and it is heavier than spotting but not enoigh to fill a pad. I am very worried as my last pregnancy ended in a missed miscarriage which we found out at the 3 month scan. I don't know if it is in my head but I feel as if my breasts are not as heavy either. Any reassurance/advice is appreciated.

    • By Midwife @Tommys on 8 Nov 2018 - 14:57

      Hi Flora, Thank you for your comment.

      It is reassuring that you are in no pain and that it is not fresh red bleeding but we would suggest that you call your GP or early pregnancy unit to be checked over. If this loss increases or you have any abdominal pain then you can always go to your local A and E to be seen. Take Care, Tommy's Midwives x

    • By Roxy (not verified) on 29 Oct 2018 - 07:10

      Hi please help, I’ve done 3 pregnancy test two of which said pregnant but it was a super faint line on both. , and now 3 days later I’m bleeding with cramps in lower back, Was I even pregnant? Ive had 5 previous miscarriages but at a later stage. My son also was born prematurely at 27 weeks a year and a half ago and he sadly only survived for 8 days. Please help, those faint lines on the test have me going crazy.. was I even pregnant? Am I pregnant? The bleeding started this morning It wasn’t too dark but a pinky red.

      Thanks for your help

    • By Midwife @Tommys on 1 Nov 2018 - 14:23

      Hi Roxy, Thank you for your comment.
      If you have taken a pregnancy test and you have seen a line then we would take this as a positive result. If you are still having spotting and you are unsure of a pregnancy then please call your GP who will be able to take a blood test for the pregnancy hormone, this will give you a more accurate result and tell you if you are pregnant. Keep an eye on the spotting and if this gets heavier or you have any abdominal pain then please seek further medical help. Hope this helps, Take Care, Tommy's Midwives x

    • By Claire (not verified) on 15 Oct 2018 - 20:29

      Hello, please can you help advise what is happening, yesterday I had a little gush of blood loss enough to go through knickers and jogging bottom, probably able a thimble full, hard to tell as I do know blood can seem much more when absorbing into clothes hospital, EPU and GP have all been very dismissive and not really provided me any reason on why this is happening nor want to see me, luckily I have reassurance scan on Friday, but going out of my mind after suffereing three missed miscarriage and a neonatal death. I must add I'm not in any pain.

      Thank you

    • By Midwife @Tommys on 17 Oct 2018 - 16:00

      Hi Claire
      I am sorry to hear you have been through so much.
      You were right to be seen- any bleeding in pregnancy needs to be reviewed by a dr, so I am pleased that you are being scanned on Friday. If you bleed anymore or develop pain, then you need to go back in and be scanned sooner. Some spotting can be normal, but many things needs to be ruled out first. Please take good care of yourself
      All the best
      Tommy's Midwife

    • By Deirdre (not verified) on 11 Oct 2018 - 05:00

      To whom it may concern.
      I'm really hoping Tommys can help me. We have had 3 miscarriages in 12 months between weeks 5-6. We used donor eggs (from two different donors) for the three embryos transferred. Prior to this we did 6 years of own egg IVF, all fails.

      We did a fourth donor egg embryo transfer and today would have been exactly 7wks, only it now appears I'm miscarrying again. I had spotting throughout and had scans at 5 wks-saw sac. Scan at 6wks saw foetus measuring 6wks and strong heartbeat 122bpm.

      I stupidly got excited as we'd never made it past week 6 and tests etc showed we were okay despite spotting m.5 Now it looks unlikely we ever will. Went to bathroom at 2am lots of bright red blood and clot down toilet. I'll go back to emergency just to confirm.

      My question is is this definitely another miscarriage ? Can lots of red blue 7 wks be anything else? Can you still miscarry after strong heartbeat is seen? What causes 4 recurrent miscarriages? What causes repeated miscarriages when donor eggs are used ?

      Thank you xx

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