Period and a positive pregnancy test

You have had a positive pregnancy test and now it seems as if you really have your period again. An uncertain feeling comes over you. Is something going wrong? The figures show that half of the women who have bleeding during the first 16 weeks of their pregnancy are doing well. And yes, things are not going well for the other half, unfortunately.

  • What do you know about your blood loss?
  • Innocent causes of blood loss during the first weeks of your pregnancy:
  • Contact your midwife if you experience blood loss during your pregnancy
  • If you are very worried…

Bleeding occurs to a greater or lesser extent in 10-20% of all pregnancies. Blood loss is always a reason to be concerned, but fortunately there is often nothing to worry about. An important sign of a miscarriage or ectopic pregnancy is that abdominal pain occurs in addition to the blood loss or sometimes even before the blood loss. Increasing abdominal pain and increasing blood loss can be a signal of an impending miscarriage.

What do you know about your blood loss?

If you have bleeding, consider the following questions to gain some clarity:

  • Do you have a stomach ache?
  • When did the blood loss occur?
  • Do you lose blood constantly or only after exertion, for example?
  • What color is the blood?
  • Can you manage with one sanitary towel per day or do you use more?

In general, the vagina during pregnancy is a highly vascularized area, which means that a vein can burst as a result of a single stimulus. This causes some blood loss. This type of blood loss is not a cause for concern.

Innocent causes of blood loss during the first weeks of your pregnancy:

Implantation bleeding

If the egg implants in the uterine wall, this may be accompanied by some blood loss, which you may only notice days later. This can often be recognized by old blood.

Contact bleeding

For example, through sex (this is absolutely no cause for concern).

Bleeding after exertion

Think about what you did? Maybe you lifted something heavy or did something else that required your strength. It could also be due to a difficult bowel movement where you pressed too hard.

A pseudo menstruation

This is bleeding that occurs when you should have had your period. This can also take place during your pregnancy.

Contact your midwife if you experience blood loss during your pregnancy

There are several other reasons why you may have had some bleeding. Blood loss often leads to concern and for that reason alone it is a good idea to call your midwife. She can decide together with you what is best.
Depending on how far your pregnancy has progressed, an ultrasound may be performed by the obstetrician or gynecologist. At a pregnancy of 5 weeks or less, little can be seen. In the best case scenario, one sees a pregnancy ring, but that information means little. You don’t know yet whether development is still taking place. A heart can often only be seen and heard a little later.

If you are very worried…

If you are very concerned, you could ask for a blood test to measure your HCG levels. After a few days you can have this test performed again and then you can draw a conclusion whether the values have increased or, in the worst case, have decreased. In the event of a miscarriage, these values will decrease again. An increase in value indicates that development is still taking place.

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