Bleeding in pregnancy

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

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).

Infection

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. 

Miscarriage

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.

Where should I see a health professional about bleeding?

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.

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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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?

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.

Read more

Sources

NHS Choices. Vaginal bleeding in pregnancy www.nhs.uk/conditions/pregnancy-and-baby/vaginal-bleeding-pregnant/ (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 www.nhs.uk/conditions/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 http://hospital.blood.co.uk/media/28571/160915-27612-anti-d-blc7231p-final.pdf (Leaflet last reviewed 10/10/2016 Next review due 10/10/2019) 

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

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Comments

  • By Stephanie (not verified) on 30 Mar 2019 - 06:48

    So, I went to the doctors they told me I was 9 weeks pregnant I got my ultra sound done they told me my yolk sac was looking bigger than expected what does that mean?

  • By Preethi (not verified) on 22 Mar 2019 - 08:36

    Hello I used to have regular period btw the cycle of 26 days every month 3-4 days b4 I used to get periods but this month I missed my periods for 8 days then after that light red blood spots Nd brown clotting I found only for 2 days it was can I b pregnant I'm eagerly waiting to get pregnant

  • By Tiffany Williams (not verified) on 21 Mar 2019 - 20:30

    I have been pregnant for 6 weeks now going on to 7 and I haven't Experience any pregnancy symptoms

  • By [email protected] (not verified) on 21 Mar 2019 - 09:29

    I dont know whats going on with my body. Im never late and always have a normal cycle heavy bleeding cramping the period smell the works. This month I period was late 16 days and on the 15 th day i had left leg pain like i was gonna start. I started spotting a brown pinkish orangish colored discharge for 3 days with no more cramps and no other period symptoms it didnt smell or anything. I have been extremely tired sleeping alot which is not me i have insomnia, breast a lil sore on the sides and have some milk coming out in the shower. I feel super bloated and gassy and have indigestion with burping often. I do not have insurance and dont want to buy a pregnancy test yet im nervous im gonna be so disappointed if its negative and nervous about the cause if im not pregnant. I want a baby not trying just hoping im 42 my bouyfriend is 30. Help could I be pregnant ????

  • By Midwife @Tommys on 21 Mar 2019 - 12:41

    Hi - Thank you for your message.
    As your periods have been delayed and you are experiencing some unusual symptoms for you, it is important you take a pregnancy test to determine if you are pregnant or not. If you are it is important to see your GP for antenatal care and support. Similarly if you aren't, it is again important you are seen by doctor to ensure all is well.

  • By Swaburah (not verified) on 18 Mar 2019 - 11:33

    Two days ago I tested and I found out I was pregnant from my last periods about two weeks ago and am bleeding the blood is lightly red and brown too this happenns the whole day even when am showering i can still see the blood with little cramps I could still see the blood after using a toilet before i flash thea blood stains am so worried

  • By Midwife @Tommys on 20 Mar 2019 - 11:40

    Hi Swaburah. Please go to be reviewed by your GP, or if the bleeding is very heavy still since you sent this message, go to the local A&E minors urgently. They may need to scan you to see if the pregnancy is ongoing or unfortunately if you are miscarrying. Please take care, Tommy's Midwife

  • By RihannaK (not verified) on 18 Mar 2019 - 04:08

    I missed my period on March 7th and found out I was 4 weeks 4 days pregnant. About 3 days later I started bleeding but not heavy, so I went to the hospital and the bleeding stopped. The doctor said I was fine, but my hcg levels was a 47 and was very low. They advised me to come back in 2-3 to have my levels checked again....but the next day I started bleeding heavy and clotting with pains. It lasted for about 3 days and has stopped. Now I am feeling nauseous. My hpt are still showing up positive. Could I still be pregnant? Has this ever happened to anyone before.

  • By Kasey (not verified) on 17 Mar 2019 - 12:59

    Hi I am three weeks pregnant started out spotting four days ago now I have to wear a pad no clots or anything I went to the doctor Tuesday my hcg level was 50 went back Thursday and they dropped is there still any chance at all

  • By Midwife @Tommys on 20 Mar 2019 - 11:53

    Hi Kasey, I am sorry to hear what a tough time you are going through. Unfortunately, when HCG levels are dropping, this is a sign that the pregnancy will not be able to continue . I do hope that your Doctor is being supportive to you. If you need to get in touch with us for any further information or support, please feel to email or call us on the helpline. All the best, Tommy's Midwife

  • By Britty (not verified) on 16 Mar 2019 - 08:00

    I went to the Dr. 5 days ago for routine exam. From lmp is should have been 9 weeks ultrasound measured me at 6 weeks 1 day. Could see fetus but no heartbeat. They examined me and cervix was closed. They ordered another ultrasound for a week later. Last night I had bright red blood that didn't fill up an entire panty liner. I put on two pads because I really figured it was a miscarriage but the bleeding almost stopped only when I wipe and it is light brown now. Dr said my hcg dropped slightly from 5 days ago and I have mild cramps but bleeding is almost non existent. Is there any chance this pregnancy will continue or is this like an early stage of miscarriage?

  • By Amelda (not verified) on 15 Mar 2019 - 11:59

    Hello i am 26 with my 2nd pregnancy i m 8 weeks n 6 days i should hve periods at this tym if not pregnant but last night i wokeup n have bright red spots on my undrwear n have blood in my pee too n on paper when i wiped i placed a pad n in morning it was chnged to brown bloody spots i pee in morning but didn't pass any blood but have brrownish red blood on paper but without pain i have called the midwife n she said i should wait n notice i can go to hospital if i have heavy bleeding like period n pains. Is it oke to have this prblm??

  • By Midwife @Tommys on 15 Mar 2019 - 13:28

    Hi Amelda,
    If you continue to have some red spotting then I would suggest for you to see your GP for a referral to your local early pregnancy unit.
    Best wishes
    Tommy's midwife

  • By Kloye (not verified) on 7 Mar 2019 - 08:04

    Hi so my period was about 5 days late and I took 4 pregnancy tests and 2 out of 4 had faint lines so I went to the early pregnancy clinic and found out i am pregnant . On the 13th day of my period being late I started bleeding lightly and then like a normal period the next day and later that night there were two clots . The next morning I had one more small clot and and now light bleeding . Maybe two days before this happened me and my fiancé had sex and he came inside me . I was told I could’ve had a miscarriage or it was rejecting Sperm and causing the bleeding ? I still am nauseous and dizzy and extremely tired . My breast are still sore and My stomach is firmer . And at night I get pains in my rib cage and underneath my belly button like almost like tugging from the inside

  • By Midwife @Tommys on 7 Mar 2019 - 11:18

    Hi - Thank you for your message.
    Any bleeding in pregnancy should be checked by your doctor. As you are bleeding quite heavily, you should attend either the early pregnancy unit you have visited recently, or A&E if you cannot see your GP to be checked urgently.
    Best wishes
    Tommy's midwife

  • By Kaye (not verified) on 11 Mar 2019 - 14:03

    Hi I'm in a similar boat I am a 27day cycle 5 days b4 period due when to the toilet when wiped there was bright red very watery discharge then when I checked an hour later brown spots then nothing so waited for my period it came 4 days late if that what it was as I was only bleeding when I whips this happened on about 4-5 occasion in a 48hr time period no cramps and no heavy feeling down below as I would normally bin to the doctors and told me to wait till next month .

  • By Lynn (not verified) on 6 Mar 2019 - 12:04

    Hello I’m 7wks pregnant going on 8wks this is my first pregnancy. Yesterday morning when I wiped myself very light pink appeared on my paper it’s only happened twice when I went to the restroom but I was fine the rest of the day, and this morning it’s happening again but it’s not on my pad just when I wipe in the morning this is the second day.

  • By Midwife @Tommys on 7 Mar 2019 - 11:21

    Hi - Thank you for your message.

    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.

    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).

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

  • By Shady (not verified) on 6 Mar 2019 - 07:14

    Hi.
    A friend of mine tested positive for pregnancy and she went to the doctor who said she is 5 weeks pregnant. She was experiencing alot of symptoms like nausia, headaches, dizziness and no period. Suddenly she started bleeding...she explained to me that its light bleeding, i told her it could be normal but to go to the doctor which she did. They explained to her that she had a threatened miscarriage and send her to Victoria Hospital where they checked her, said her womb was closes and that everything looks ok and gave her medication. She still had very light bleeding following a few days and had an appointment again Monday pass...there they took blood again and she said to them the bleeding has stopped a few days ago. So they did a pregnancy test again but this time it showed negative. They told her it might be her hcg levels that are low so she had to go back to Victoria where she explained what the doctor said. She called me this morning and said the doctor wont do a scan cause chances are she had a miscarraige. She says she had no clotting no cramps and dont know what to believe anymore... please advise me what to tell her that will help her. Oh she is 21 years old.

  • By Midwife @Tommys on 7 Mar 2019 - 11:26

    Hi - Thank you for your message.
    As you friend has had positive pregnancy tests followed by bleeding, and then a negative pregnancy test, she will need to have an ultrasound scan to determine if she is pregnant or has miscarried. She should speak to her GP and request a referral to an early pregnancy unit.
    Best wishes
    Tommy's Midwife

  • 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

    Hi,

    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?

    Thanks

  • 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

    Hi,
    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

    Hi....my 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 ...my 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

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