During a normal pregnancy, a woman's menstruation stops. In some cases, pregnancy may be complicated by bleeding from the genital tract. Blood discharge can be of varying intensity and character - scanty, abundant, spotting, scarlet, brown. In any case, the discharge of blood from a woman’s vagina while expecting a baby is a reason to immediately contact a gynecologist, otherwise the pregnancy may be terminated.
Can you bleed during pregnancy?
Separation of blood from the vagina during pregnancy can occur due to many reasons. reasons, the most common of them are:
- ectopic pregnancy;
- implantation bleeding;
- threat spontaneous interruption pregnancy;
- detachment of the fertilized egg and its membranes (abortion in progress);
- placental abruption;
- placenta previa;
- damage to the mucous membrane of the vagina and cervix during gynecological diagnostic procedures or rough sexual intercourse;
- removal of the mucous protective plug.
If bloody streaks are detected, a woman should consult her gynecologist or go to the nearest maternity ward for examination, then threatening situations The pregnancy and the life of the child are saved. Depending on the cause of bleeding, the expectant mother will be prescribed treatment, including:
- hemostatic drugs;
- bed rest;
- sexual and psycho-emotional peace.
Bloody discharge in the early stages of expectant mothers
Appearance of blood on initial terms pregnancy requires the woman to take immediate action and urgently contact a gynecologist. This is usually a sign that pregnancy has occurred and the embryo has successfully attached to the lining of the uterus. During implantation, damage to the small blood vessels of the endometrium occurs, which is accompanied by small highlight scarlet blood. Normally, bleeding stops already 2-3 days after implantation, and the discharge should not increase.
Blood on underwear along with cramping pain in the abdomen and lower back may indicate an abortion in progress or spontaneous miscarriage. If you go to the clinic in a timely manner, the bleeding can be stopped and the child’s life saved.
Bleed on early pregnancy may also be due to insertion of the fertilized egg into the fallopian tube. In this case, in addition to bloody discharge and pain in the lower abdomen, the woman will be bothered by weakness, dizziness, and falling blood pressure, shortness of breath, increased heart rate. Fallopian tube rupture is a serious complication ectopic pregnancy and if the patient is not provided with emergency medical care, death may occur.
Bloody discharge at 10, 11, 12 weeks
Blood from the vagina at 10, 11, 12 weeks of gestation in most cases is caused by fading pregnancy or spontaneous abortion. This can happen by various reasons- from chromosomal abnormalities before previous infections, as a result of taking medicines, abdominal injuries, cervical pathology.
Erosion of the uterine cervix can also bleed, but a doctor can determine the exact cause through an ultrasound and examination of the patient. Examination on the chair is usually abandoned so as not to provoke even more bleeding.
Bloody discharge in the second trimester
Vaginal bleeding in the second trimester is most often caused by abnormal placenta previa- full or marginal. In this case, as the uterus grows, the blood vessels extending from the placenta rupture and blood flows out. Sometimes the bleeding can be quite severe, which threatens acute hypoxia fetus and its death. With partial placental abruption, the blood from the genital tract is scarlet in color.
Bloody discharge in the third trimester
The appearance of blood from the vagina in the third trimester of pregnancy is caused by:
- placental abruption;
- complete or partial presentation placenta;
- the beginning of labor.
Detachment children's place is a serious complication that can lead not only to the death of the child, but also to the death of his mother.
Brown or bloody discharge in expectant mothers after examination by a gynecologist
After examination in a gynecological chair or diagnostic procedures, scarlet or brownish blood may be released from the genitals of a pregnant woman. Most often this is caused damage to cervical erosion or injury to the vaginal mucosa tools. If bleeding do not intensify and general state expectant mother remains normal, then there is no cause for concern, but in order not to provoke increased bleeding in the next few days, the patient should refrain from sexual intercourse, lifting weights and taking a hot shower (bath).
During pregnancy, bloody discharge may appear on the different dates, but most often this phenomenon is observed in the first trimester.
Bleeding can vary in intensity, and the color of the discharge ranges from bright red to dark brown. For a woman, such symptoms should become a worrying sign and a significant reason to consult a doctor or ambulance.
Causes of bleeding in the first trimester
The appearance of a few drops of blood on the underwear can be caused by damage to the capillaries of the inner layer of the uterus at the time of implantation of the fertilized egg. This may be the first sign of pregnancy and occurs approximately 7-10 days before the next period in 3% of pregnant women.
Discharge this kind not abundant, they are safe and last 1-2 days. Some women mistake them for menstruation, but hallmark implantation bleeding is considered dark color and small quantity. Such bleeding often indicates pregnancy. A blood test for hCG or a hormone-sensitive test strip for home use will help confirm or refute this fact.
Sometimes the reason for the appearance of small bloody discharge is increased blood circulation in the growing uterus, as a result of which varicose veins polyps form in her veins and in the cervical canal. Similar symptoms are observed with. These conditions do not cause discomfort in a woman during pregnancy and do not require treatment.
There is a common misconception that you can have periods during pregnancy. In fact, the menstrual cycle stops after the successful implantation of the egg in the uterine cavity. Normally, there should be no bleeding. Sometimes scanty bleeding on the days when a new one begins menstrual cycle in early pregnancy occur for the following reasons:
- taking hormonal medications before conception;
- decreased estrogen production;
In medical practice it was recorded rare cases, when a woman became pregnant twice, with the second fertilization occurring later, against the background of a pregnancy that had begun to develop. In this case, the second ovum excreted by the body with a certain amount of blood. These situations are quite rare and difficult to diagnose.
In the fifth week of pregnancy, the formation of the embryo's circulatory system begins. During this period, a Rh conflict is possible between the mother’s body and the unborn child. Immunoconflict can provoke. This is usually accompanied by pain in the abdominal area.
It is quite difficult to detect a frozen pregnancy before 4-5 weeks. Only in the second month of development can signs of a heartbeat be detected in the embryo during ultrasound examination. If the development of pregnancy has stopped, then after some time a spontaneous miscarriage will occur, but before this moment an inflammatory process may develop in the uterus, therefore, if a frozen pregnancy is detected, cleaning is recommended.
The critical periods are considered to be the intervals between 4 and 5, 8 and 9, as well as 12 and 13 weeks of pregnancy. If any signs of bleeding appear, seek immediate medical attention.
Most dangerous cause bleeding is an ectopic pregnancy. The appearance of blood from the genital tract is extremely alarm signal about the onset of bleeding in the abdominal cavity. As a rule, there is little bleeding, sometimes the discharge may resemble menstrual bleeding, only occasionally intense uterine bleeding is observed. The pain has different character, it can be aching, sharp, and can be concentrated in the lower abdomen or radiate to the side. Ectopic pregnancy is considered a serious complication and requires urgent surgical intervention to save a woman's life.
Causes of bleeding in the second trimester
The appearance of spotting in the second trimester is quite rare. Their causes are usually the same as in the last three months of pregnancy. After the 14th week there are no longer harmless prerequisites for such symptoms, so any even minor spotting bloody issues should be a reason to urgently contact a gynecologist.
From 15 to 28 weeks of pregnancy, the main cause of bleeding is pathology of the placenta. In addition, these may be factors not related to bearing a child. Sometimes bleeding occurs due to infectious, hereditary diseases or injuries.
Causes of bleeding in the third trimester
Minor bleeding in the third trimester, as in the second, is a sign of pregnancy pathology, so the woman is hospitalized to establish an accurate diagnosis and treatment. On the part of the placenta, in the period from 28 to 37 weeks, phenomena such as presentation and detachment can be observed.
One of dangerous conditions considered for various, often unknown, reasons. Symptoms include discharge of a dark color and thick consistency, increased tone uterus and abdominal pain. Placental abruption can be complete or partial.
In case of partial detachment, a decision is often made on wait-and-see tactics; ultrasound diagnostics and diagnostics are regularly performed. In more severe cases, an emergency caesarean section is necessary.
Bleeding in the second and third trimester may be due to its unnatural location near the cervix. During this period, the woman’s body and the muscles of the uterus intensively prepare for the upcoming birth; during this process, part of the placenta may not stay in place and move away from the walls of the uterus. As a result, profuse bleeding begins, usually without pain. In some cases, it is accompanied by cramping or nagging pain in the abdomen.
Starting from the 37th week of pregnancy, the restructuring of the body before childbirth is activated. Overly accelerated labor activity may cause placental abruption. More often at this stage, thick discharge appears in the form of mucus streaked with blood, this indicates the passage of the mucus plug from the cervix and starting soon contractions
No matter how successful your pregnancy is, any suspicious discharge should be reported to your doctor. Special attention deserve a bloody highlight. Timely diagnosis of their causes will help prevent undesirable consequences and safely bear the child.
We all feel a surge of anxiety and concern at the sight of blood; some even begin to panic in this case. What can we say about a woman when she notices blood during pregnancy. There is panic, anxiety, and worry, everything is inherent and this is quite natural, because first of all she is worried about her child. Fortunately, not all bleeding is a terrible sign, but it can also be ignored similar phenomena not worth it.Causes of bleeding in pregnant women and their consequences.
At short notice, in the first trimester, slight bleeding may occur. normal occurrence. While the egg is implanted, it prepares a place for itself, as if scraping it out, as a result of which small spotting may appear. They should not be abundant, sometimes they may be accompanied by minor spasms, but this should not scare you. Although, to reassure yourself and not create an atmosphere of anxiety, go to the doctor to fully find out the cause of the bleeding and rule out possible pathologies.If you have previously experienced cervical erosion, then during pregnancy it may well begin to bleed due to increased blood flow to the uterus. Benign polyps can also form in the cervix, which can cause minor bleeding. They may fall off during pregnancy, but this does not harm you or the baby in any way.
But there are situations in which you need to be wary, because blood during pregnancy, especially in the first trimester, can also appear as a warning. This can happen when there is a threat of miscarriage, in which case the bleeding is quite long, often accompanied by aching and nagging pain in the lumbar region and lower abdomen. But in some cases they can be painless, and only a medical examination, which is done in a timely manner, can identify the threat and prevent a sad outcome of pregnancy if you contact specialists in time.
Ectopic pregnancy, oncological problems, as well as severe forms of cervical pathology and varicose veins of the blood vessels of the external genitalia can begin with bleeding. All these unpleasant factors can be detected only by consulting a doctor in time.
An especially dangerous cause of bleeding during pregnancy is ectopic pregnancy. It occurs when the functions of the fallopian tubes are impaired or too weak to push the fertilized egg into the uterus, and it is quite capable of taking root “along the way”, in the cervix, for example.
If this pregnancy not detected in time, it can cause great harm a woman’s health, as well as pose a potential threat to her life. After all developing embryo, if it is not removed in time, it can damage or rupture the cervix, which can lead to large blood loss and the risk of infection. Therefore, for any symptoms, even if it is simple, non-painful bleeding or bleeding discomfort, it is better to play it safe and consult a doctor without delaying time. You will definitely undergo all the necessary examinations and tests to determine how dangerous this situation is, how the pregnancy is progressing, whether there is a threat of miscarriage and other related factors. If any of the above is confirmed, you will be provided with medical care and observation to protect you and your baby from threats as much as possible, so don’t be afraid, almost any situation can be corrected if you don’t delay going to the hospital and contact it in time see a doctor rather than trying to figure out the cause on your own.
Over the course of 9 months, a woman may constantly encounter various kinds difficulties and pathologies. Some manage to carry their baby to term without problems, while others are at constant risk of losing the child. One of the main reasons is vaginal bleeding during pregnancy. In this article we will look at why bleeding may occur during pregnancy at different stages. In addition, we will tell you what can be done in such cases to maintain the pregnancy.
In the first weeks of pregnancy, there is a high probability of bleeding, and it is especially dangerous at this stage, because the risk of losing the baby is 20%. Discharges can be of different types:
- they may be spotting;
- abundant;
- take the form of clots.
The causes of bleeding during early pregnancy include the following pathologies:
- Implantation bleeding - in fact, this is not a pathology, it is a common phenomenon that manifests itself by the appearance of underwear a few drops of blood due to the fact that the fertilized egg has successfully attached to the wall of the uterus. Some girls confuse this type of bleeding with the onset of menstruation, although there is no pain that usually occurs in the lower abdomen.
- The most common cause of bleeding in the first weeks of pregnancy is the threat of miscarriage. In this case, blood is released abundantly, and this whole process is accompanied by cramping pain in the lower abdomen. This may occur due to an infection that enters the uterus through the external genitalia or after sexual intercourse. The embryo remains in the walls of the uterus, but whether the pregnancy can continue to develop or not can only be determined by a qualified doctor.
- Miscarriage is the most common reason, through which blood can flow in the first trimester of pregnancy. If a miscarriage does occur, the bleeding gradually ends and the pain subsides. Only a doctor can determine a miscarriage using an ultrasound.
- An incomplete miscarriage is a condition when there is no longer a chance to save the pregnancy. Tissue and blood clots come out of the uterus, while the cervix is open. To ensure that the woman’s life is not in danger in this case, the gynecologist performs curettage of the uterine cavity.
- Frozen pregnancy - in this case, there may be no blood in the early stages of pregnancy, the woman’s breasts simply stop hurting, and toxicosis goes away. Bleeding occurs when the uterus rejects the fetus because it is not developing. In this case, as a rule, doctors still perform curettage.
- An ectopic pregnancy is another reason why blood begins to leak from a woman’s genitals during pregnancy. As a rule, with this pathology the discharge is insignificant, because bleeding occurs mainly in the abdominal cavity. A woman feels cutting pain in the ovarian area. They are so strong that the pregnant woman is in shock. In this case, it is impossible to do without surgical intervention.
- Hydatidiform mole is a cause of bleeding that occurs if pregnancy develops incorrectly - the embryo does not develop, tissue grows instead. Doctors cannot explain why this happens. He does not pose any danger to the woman's life.
Why does bleeding occur during late pregnancy?
If blood comes out of the vagina during pregnancy, starting from the 13th week, this only indicates the presence of some serious problem that urgently needs to be treated immediately. Most often we are talking about emergency situation when without medical care can't get by. We propose to understand in more detail why blood may bleed during pregnancy in the 2nd and 3rd trimesters:
- Incorrect placenta previa in the uterus - when the placenta is located very close to the uterine os, due to which the muscle layer cannot hold the placenta. As a result, small separations of the placenta begin to occur. A woman notices that she is bleeding during pregnancy, but she does not feel pain. It happens that there is no bleeding at all (during pregnancy, it can only be smeared with blood during placental abruption), because blood accumulates between the placenta itself and the uterine wall.
- If the placenta is completely exfoliated long before birth, although most often it is partially exfoliated, this is no less dangerous for the life of the child and mother. This is a very dangerous and rare phenomenon that can occur in 1 in 200 women who are expecting a baby. In this case, dark blood clots come out of the vagina during pregnancy, and this whole unpleasant process is accompanied by cramping pain in the lower abdomen.
- If the umbilical cord or the vessels of the fetal membranes are torn, then streaks of blood appear in the woman’s vaginal discharge during pregnancy. In this case, the baby may die, and doctors most often resort to emergency delivery to save the baby’s life.
How to stop bleeding during pregnancy?
- Before a pregnant woman discharges red blood from the vagina, she usually feels sharp pain lower abdomen. At this moment, you need to be near the bed or any other piece of furniture in order to lie down.
- Then you should definitely call an ambulance. Ask someone nearby to put a cushion under your feet and give you 2 tablets of drotaverine and valerian to drink.
- In addition, before the ambulance arrives, you need to place a heating pad with ice wrapped in a cloth on your stomach.
- Do not under any circumstances think about douching or washing yourself. It is important for your doctor to see what type of discharge you have in order to determine why the bleeding started.
- Place a pad on your underwear, but do not use a tampon.
- Do not try to stop the bleeding yourself with hormonal drugs.
- When the doctor arrives, he will most likely offer you hospitalization, which it is better not to refuse. You definitely need to go to the maternity hospital to be under the supervision of doctors for some time.
Prevention of bleeding during pregnancy
To avoid bleeding during pregnancy, a woman should take care of her health long before its onset. Of course, there is a 100% guarantee that you can prevent negative impact external factors for the development of the embryo, no one will give you, especially since most often problems arise against the background of genetic abnormalities of the fetus, from which no one is immune.
However, you still need to take precautions. These include:
- Pregnancy planning. You must treat any infections you have before you decide to become pregnant. Because of them, miscarriages often occur and various defects develop in the child.
- You must live in a calm psychological environment. Eliminate any stress, depression, because all this has an extremely negative impact on hormonal background women, on which the favorable course of pregnancy and the health of the child depend.
- Be in the fresh air as often as possible, take a walk, be happy, because this is very important for the emotional component of your health and normal development child if pregnancy has already occurred.
- Don't drink unfiltered water. If heavy metals or radionuclides enter your body during pregnancy, then all this can have a very negative impact on the health of the child.
- Do health-improving exercises so that you do not experience gestosis during pregnancy and other problems.
- Refuse any bad habits. Because of them, not only bleeding may occur, but the embryo will also develop incorrectly.
- Do not take medications that your doctor does not prescribe for you. Taking any medications must be agreed with a gynecologist.
May your pregnancy not be burdened with complications! We wish you an easy birth and a happy meeting with your long-awaited baby!
Video: “Blood during pregnancy”
Bleeding during pregnancy is the most common pathology. And this is not just a pathology, but also a serious complication, which, unfortunately, not every pregnant woman is aware of. This is primarily due to the common misconception that you can have periods during pregnancy. But in fact, there should be no bleeding normally during pregnancy. Very rarely (in 3% of cases out of 100), some pregnant women experience slight spotting bleeding at the very beginning of pregnancy, when the woman does not yet know about her pregnancy. This occurs at the moment of attachment of the fertilized egg to the uterus, and, as a rule, corresponds to the expected period of menstruation. Only in this case is bleeding normal. In other cases, any bleeding is regarded as a pathology
Causes of bleeding during pregnancy
Bleeding can occur both early and late later pregnancy. Depending on how early or late the bleeding occurred, we can assume the pathology that caused the bleeding.
Bleeding in early pregnancy (before 12 weeks of pregnancy) may indicate:
About the beginning of a miscarriage;
- about ectopic pregnancy;
- about a non-developing “frozen” pregnancy;
- about hydatidiform mole.
Bleeding in late pregnancy (after 12 weeks) may be due to abruption or placenta previa.
It should be noted that if bleeding occurs during pregnancy, this does not mean that it is associated specifically with fetal pathology. This may also be due to exacerbations gynecological diseases in the expectant mother - cervical erosion, uterine fibroids, cervical canal polyps, and so on. Bleeding can also be caused by a banal injury to the genital organs.
Bleeding during pregnancy can be of varying intensity - spotting, moderate or heavy with clots. Quite often, bleeding is accompanied by painful sensations. The pain can be intense and sharp, spreading throughout the entire abdomen. Often they resemble contractions, as happens, for example, with a miscarriage. Or may be slightly noticeable nagging pain lower abdomen. In addition to pain and bleeding, a pregnant woman’s blood pressure decreases, her pulse quickens, and weakness appears. But it is impossible to make a diagnosis based on the nature and intensity of pain and bleeding, since with one pathology different women these indicators vary.
If the bleeding is insignificant, this does not mean that you need to lie at home and wait for it to pass. Any bleeding during pregnancy is a reason for an emergency visit to a gynecologist. Similar conditions can be dangerous to both the life of the fetus and the mother.
Diagnosis of the cause of bleeding during pregnancy
In order to identify the exact cause of bleeding, an examination by a gynecologist and a series of diagnostic studies in a hospital or maternity hospital setting.
During the examination, the doctor takes a swab from the vagina. A pregnant woman takes a general and biochemical analysis blood, coagulogram, blood test for HIV, hepatitis, syphilis; general analysis urine. Her blood type and Rh factor are determined. An ultrasound of the pelvic organs and fetus is required.
Further, depending on the identified pathology, additional studies may be prescribed. So, in case of miscarriage, non-developing pregnancy the blood is additionally examined for hCG (human chorionic gonadotropin), hormones, tests are taken for TORCH infections (herpes, rubella, cytomegalovirus, toxoplasmosis); smear for sexually transmitted infections. If an ectopic pregnancy is suspected, a diagnostic laparoscopy is performed. In cases of hydatidiform mole, the level of hCG is also examined.
To diagnose the cause of bleeding in late pregnancy, additional studies, as a rule, are not required, due to the high informativeness of ultrasound.
Treatment of bleeding during pregnancy
Treatment is prescribed depending on the pathology and stage of the disease. When a miscarriage begins, measures should be aimed at maintaining the pregnancy and stopping bleeding. If, according to the results of an ultrasound, the fetus is viable, in the early stages of pregnancy hemostatic drugs (Ditsinon), antispasmodics to reduce the tone of the uterus (No-spa, suppositories with papaverine) are prescribed. hormonal drugs- gestagens (Duphaston or Utrozhestan) up to the 16th week of pregnancy to maintain the level of progesterone - the “pregnancy hormone”, vitamins and microelements (vitamin E, Iodomarin, folic acid, MagneB6). At good effect bleeding stops and pregnancy continues. If a miscarriage does occur and the discharge is profuse, the uterine cavity is curetted to remove the remnants of the fertilized egg.
If the diagnosis of “frozen” pregnancy is confirmed or hydatidiform mole, as in the case of a miscarriage, curettage of the uterine cavity is indicated. After curettage, the hormone Oxytocin and hemostatic drugs are prescribed to contract the uterus. Bloody discharge after curettage stops after a week.
For ectopic pregnancy, treatment is surgical. Do laparoscopy or laparotomy and remove the affected fallopian tube or squeeze the fertilized egg out of the tube.
In case of placenta previa, if the discharge is insignificant, antispasmodics, magnesium drips, beta-adrenergic agonists (Ginipral), antiplatelet agents (Trental or Curantil) and vitamins are prescribed to maintain pregnancy. With placenta previa, bleeding may continue until delivery. All this time the woman is supposed to stay in the maternity hospital. When reaching full term (38 weeks of pregnancy), a cesarean section is performed. If the bleeding is heavy, a cesarean section is performed as an emergency, even if the fetus is premature. To compensate for blood loss, infusion therapy is performed (transfusion of fresh frozen plasma and red blood cells).
If placental abruption is suspected, an emergency cesarean section is performed, regardless of the gestational age and fetal viability. In parallel, infusion therapy is carried out.
To all women with Rh negative blood immediately after curettage, surgery for ectopic pregnancy and caesarean section anti-Rhesus D-immunoglobulin is administered to prevent Rh-conflict between mother and fetus when fetal blood enters the mother’s bloodstream.
It is recommended for all pregnant women who have experienced bleeding and managed to maintain pregnancy. sexual abstinence and emotional peace. Many drugs that are prescribed in the hospital must be used after discharge, even if there is no bleeding, in order to protect yourself from the repeated threat of miscarriage. If bleeding reappears, the pregnant woman should also immediately contact a gynecologist.
IN rehabilitation period after stopping the bleeding, sedatives are used - tinctures of motherwort or valerian. Non-drug and physiotherapeutic treatment is recommended - acupuncture, endonasal galvanization, and so on.
As for traditional medicine, except for tinctures of motherwort and valerian, which have been used in obstetrics for a very long time, it is better not to use other herbs for bleeding, since in most cases they are ineffective, and in the worst case, harmful during pregnancy and can further aggravate the situation.
Complications of bleeding during pregnancy:
Miscarriages that cannot be treated;
- antenatal fetal death;
- infectious complications, septic shock, which occurs due to the presence of tissue remains of a dead fetus in the uterine cavity;
- with large blood loss, hemorrhagic shock may develop, which can lead to death;
- Choriocarcinoma is a rare malignant cancer that can occur after curettage for hydatidiform mole.
Prevention of bleeding:
Natural family planning - no abortion;
- limitation of physical and sexual activity during pregnancy;
- timely treatment chronic gynecological diseases (especially sexually transmitted infections) before pregnancy;
- implementation of reproductive function up to 35 years.
Consultation with a doctor on bleeding during pregnancy
1. Can I use any medications to stop bleeding at home?
This is not possible, you must immediately consult a doctor.
2. How quickly can you get pregnant again after curettage?
After 3-6 months, after examination and appropriate hormonal treatment.
3. Do you have periods during pregnancy?
They don't.
4. Can bleeding occur during pregnancy due to sex?
They can.
5. She went into storage at 5 weeks. The bleeding did not go away and I had a miscarriage, although I took hormones. Tell me, maybe the dose of hormones was insufficient?
Maybe, but unlikely. We need to find out why you had a miscarriage after the examination. The doctor probably prescribed hormones to compensate for the lack of progesterone in the body, which often happens with miscarriages. But a miscarriage can also occur due to genetic defects of the fetus (in 75% of cases) and then hormones have nothing to do with it.
6. How can you tell by the nature of the bleeding whether it is a miscarriage or a frozen pregnancy?
No way, only a doctor can determine for sure after an examination and ultrasound.
7. I have placenta previa. There is no more bleeding. Is it possible to have sex?
It is forbidden. It is necessary to abstain from sexual intercourse until delivery.
8.I started spotting after missing my period for a week. What is this?
Take a pregnancy test and see a gynecologist. Either it is pregnancy or ovarian dysfunction.
9. Can there be bleeding due to the bath?
Maybe all thermal procedures are undesirable during pregnancy, especially in the short term.