Back
Print 

Vaginal Bleeding During Pregnancy: Care Instructions

Skip Navigation

Top of the page

Abdomen showing location of uterus, cervix, ovaries, fallopian tubes, and vagina.

Overview

It's common to have some vaginal spotting when you are pregnant. In some cases, the bleeding isn't serious. And there aren't any more problems with the pregnancy.

But sometimes bleeding is a sign of a more serious problem. This is more common if the bleeding is heavy or painful. Examples of more serious problems include miscarriage, an ectopic pregnancy, and a problem with the placenta.

You may have to see your doctor again to be sure everything is okay. You may also need more tests to find the cause of the bleeding.

Home treatment may be all you need. But it depends on what is causing the bleeding. Be sure to tell your doctor if you have any new symptoms or if your symptoms get worse.

The doctor has checked you carefully, but problems can develop later. If you notice any problems or new symptoms, get medical treatment right away.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • If your doctor prescribed medicines, take them exactly as directed. Call your doctor if you think you are having a problem with your medicine.
  • Do not have vaginal sex until your doctor says it's okay.
  • Do not put anything in your vagina until your doctor says it's okay.
  • Ask your doctor about other activities you can or can't do.
  • Get a lot of rest. Being pregnant can make you tired.
  • Do not use nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin), naproxen (Aleve), or aspirin, unless your doctor says it is okay.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You passed out (lost consciousness).
  • You have severe vaginal bleeding. This means you are soaking through a pad each hour for 2 or more hours.
  • You have sudden, severe pain in your belly or pelvis.

Call your doctor now or seek immediate medical care if:

  • You have new or worse vaginal bleeding.
  • You are dizzy or lightheaded, or you feel like you may faint.
  • You have pain in your belly, pelvis, or lower back.
  • You think that you are in labor.
  • You have a sudden release of fluid from your vagina.
  • You've been having regular contractions for an hour. This means that you've had at least 8 contractions within 1 hour or at least 4 contractions within 20 minutes, even after you change your position and drink fluids.
  • You notice that your baby has stopped moving or is moving much less than normal.

Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.

Current as of: April 30, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: April 30, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.