Bleeding in pregnancy

Bleeding in pregnancy can sometimes be referred to as PV bleeds 

Around 20-25% of women will experience PV bleeds in their first trimester, whereas bleeding in the second and third trimester is less common.

Bleeding in early pregnancy can be a sign of either miscarriage or an ectopic pregnancy. Whereas bleeding in later stages of pregnancy can have different meanings.

The most common bleed is known as an “implantation bleed” which is when the fertilised egg implants itself into the lining of a uterus. An implantation bleed is discharge or spotting and is usually pinkish or dark brown, implantation bleeding tends to only happen will the egg is attaching itself into the uterus, it may last anything from a few hours or 1-2 days.

I was 27 weeks pregnant when I was admitted to hospital with abdominal cramps and PV bleeds, my little boy's chance of making it to his due date was cut short as the doctor told me the SCBU at our hospital was full and I was being prepped to be transferred to another hospital where I would face delivering my little boy early when he was weighing just 2lb 2oz.

It was a magical moment when the bleeding stopped.

I had an urgent ultrasound which showed that there was no known cause for the bleed. I began to puzzle even my doctors... Here was this 27 week pregnant lady who was having PV bleeds but with no cause, my little boy's growth took a dip and I was kept in hospital for nearly a month of monitoring. I was told every time I bled, I was to add 24 hours to the chances of me going home.

“well Miss Simkins, we don’t know why you’re bleeding, but we’ll monitor your little baby’s growth and keep an eye on you and look at your delivery options” 

Pregnancies with PV bleeds tend to result in small babies. So I was having scans every 2 weeks and gradually Oliver’s growth began to pick up, and as he grew more, my chance of having a natural birth was increasing too. At my last growth scan the sonographer chuckled and told me he weighed 8lb 5oz with still 3-4 weeks to go!

One thing my midwife told me was that I was no longer able to have a water birth and I would no longer be able to deliver on the low-risk unit. I would now have to deliver on the high risk labour ward as I was booked to be induced due to the PV bleeds.

There are many causes for PV bleeds during pregnancy but they can all mean different things and should be reported to a medical professional immediately. To determine what is causing the bleeding, your doctor may request an internal examination, ultrasound and blood tests.

I was incredibly fortunate and ended up having a perfectly healthy baby boy born on his due date weighing 8lb 11oz.


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