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Pregnancy Spotting: What’s Normal, What’s Not

Pregnancy Spotting: What’s Normal, What’s Not

Pregnancy can be a joyful time, but it can also bring about a fair amount of worry. Perhaps nothing is more worrisome during this time than experiencing bleeding. But should you really be concerned?

Why am I spotting or bleeding during early pregnancy?

There are a variety of reasons women may experience bleeding in early pregnancy. Most often there is no reason for alarm, as experts claim that as many as 25% of pregnant women experience some form of unharmful bleeding. Although less common, there are times when bleeding is indicative of a more serious condition.

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  1. One of the most common causes of spotting, and also among the earliest, is implantation. This is simply the fertilized egg “implanting” itself along the lining of your uterus.
  2. Spotting that occurs after a vaginal exam or sexual intercourse is also not uncommon. This is almost always harmless and happens as a result of changes in your cervix.
  3. Hormonal changes can bring about a variety of symptoms during pregnancy, and one of those symptoms may be light bleeding.
  4. If you have any type of cervical or vaginal infection during the first half of your pregnancy, then you can expect spotting to accompany it.
  5. Unfortunately, it is not uncommon for some women to experience pregnancy spotting very early on as a result of a chemical pregnancy. A chemical pregnancy is a result of the fertilized egg not properly implanting, and, therefore, it fails to grow.
  6. Although less common than chemical pregnancies, some women will experience a molar pregnancy. A molar pregnancy is often believed to be a result of a genetic malformation and results in an unviable growth in the uterus. Aside from bleeding, women experiencing a molar pregnancy may notice swelling in their abdomen.
  7. When pregnancy loss occurs before 20 weeks gestation, and for unknown reasons, this is a miscarriage. Regrettably, miscarriages are fairly common. Most often bleeding is accompanied by cramps.
  8. An ectopic pregnancy, or tubal pregnancy as it is sometimes called, happens when the fertilized egg implants somewhere outside of the uterus. Ectopic pregnancy almost always includes heavy bleeding and severe pain.
  9. Some women will experience pregnancy spotting as a result of a subchorionic hemorrhage. Although the cause is unknown, this happens when there is bleeding around the placenta. The good news is that most women will go on to have a healthy pregnancy if this condition is detected early.

Why am I spotting during the last half of my pregnancy?

Bleeding in late pregnancy is less common than in early pregnancy, but it is not always a reason for concern.

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  1. Just as sexual intercourse and internal exams can cause spotting in early pregnancy, the same is true for later stages of pregnancy.
  2. While the average length of a healthy pregnancy is 40 weeks, some women do experience preterm labor, labor that occurs before 37 weeks gestation. If you are experiencing spotting combined with cramping in the second half of your pregnancy, this may be a symptom of preterm labor.
  3. Two common causes of late-term bleeding during pregnancy are due to problems with the placenta. Placental abruption occurs when the placenta detaches from the uterus. This condition is quite serious, but, fortunately, it is very rare. Placenta previa is less serious and occurs when the opening of the cervix is blocked by the placenta.

When should I call my care provider?

It’s important to keep in mind that most cases of spotting and bleeding during pregnancy are not serious. However, anytime bleeding is present during pregnancy it is a good idea to check in with your healthcare professional just to be on the safe side. This is especially true if the bleeding is heavy, lasts for multiple days, or is accompanied by pain.

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Featured photo credit: http://www.freeimages.com/photographer/simmbarb-49297 via freeimages.com

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Published on January 30, 2019

How to Support a Working Mother as a Working Father

How to Support a Working Mother as a Working Father

In roughly 60 percent of two-parent households with children under the age of 18, both parents work full time. But who takes time off work when the kids are sick in your house? And if you are a manager, how do you react when a man says he needs time to take his baby to the pediatrician?

The sad truth is, the default in many companies and families is to value the man’s work over the woman’s—even when there is no significant difference in their professional obligations or compensation. This translates into stereotypes in the workplace that women are the primary caregivers, which can negatively impact women’s success on the job and their upward mobility.

According to a Pew Research Center analysis of long-term time-use data (1965–2011), fathers in dual-income couples devote significantly less time than mothers do to child care.[1] Dads are doing more than twice as much housework as they used to (from an average of about four hours per week to about 10 hours), but there is still a significant imbalance.

This is not just an issue between spouses; it’s a workplace culture issue. In many offices, it is still taboo for dads to openly express that they have family obligations that need their attention. In contrast, the assumption that moms will be on the front lines of any family crisis is one that runs deep.

Consider an example from my company. A few years back, one of our team members joined us for an off-site meeting soon after returning from maternity leave. Not even two hours into her trip, her husband called to say that the baby had been crying nonstop. While there was little our colleague could practically do to help with the situation, this call was clearly unsettling, and the result was that her attention was divided for the rest of an important business dinner.

This was her first night away since the baby’s birth, and I know that her spouse had already been on several business trips before this event. Yet, I doubt she called him during his conferences to ask child-care questions. Like so many moms everywhere, she was expected to figure things out on her own.

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The numbers show that this story is far from the exception. In another Pew survey, 47 percent of dual-income parents agreed that the moms take on more of the work when a child gets sick.[2] In addition, 39 percent of working mothers said they had taken a significant amount of time off from work to care for their child compared to just 24 percent of working fathers. Mothers are also more likely than fathers (27 percent to 10 percent) to say they had quit their job at some point for family reasons.

Before any amazing stay-at-home-dads post an angry rebuttal comment, I want to be very clear that I am not judging how families choose to divide and conquer their personal and professional responsibilities; that’s 100 percent their prerogative. Rather, I am taking aim at the culture of inequity that persists even when spouses have similar or identical professional responsibilities. This is an important issue for all of us because we are leaving untapped business and human potential on the table.

What’s more, I think my fellow men can do a lot about this. For those out there who still privately think that being a good dad just means helping out mom, it’s time to man up. Stop expecting working partners—who have similar professional responsibilities—to bear the majority of the child-care responsibilities as well.

Consider these ways to support your working spouse:

1. Have higher expectations for yourself as a father; you are a parent, not a babysitter.

Know who your pediatrician is and how to reach him or her. Have a back-up plan for transportation and emergency coverage.

Don’t simply expect your partner to manage all these invisible tasks on her own. Parenting takes effort and preparation for the unexpected.

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As in other areas of life, the way to build confidence is to learn by doing. Moms aren’t born knowing how to do this stuff any more than dads are.

2. Treat your partner the way you’d want to be treated.

I can’t tell you the number of times I’ve heard a man on a business trip say to his wife on a call something to the effect of, “I am in the middle of a meeting. What do you want me to do about it?”

However, when the tables are turned, men often make that same call at the first sign of trouble.

Distractions like this make it difficult to focus and engage with work, which perpetuates the stereotype that working moms aren’t sufficiently committed.

When you’re in charge of the kids, do what she would do: Figure it out.

3. When you need to take care of your kids, don’t make an excuse that revolves around your partner’s availability.

This implies that the children are her first priority and your second.

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I admit I have been guilty in the past of telling clients, “I have the kids today because my wife had something she could not move.” What I should have said was, “I’m taking care of my kids today.”

Why is it so hard for men to admit they have personal responsibilities? Remember that you are setting an example for your sons and daughters, and do the right thing.

4. As a manager, be supportive of both your male and female colleagues when unexpected situations arise at home.

No one likes or wants disruptions, but life happens, and everyone will face a day when the troubling phone call comes from his sitter, her school nurse, or even elderly parents.

Accommodating personal needs is not a sign of weakness as a leader. Employees will be more likely to do great work if they know that you care about their personal obligations and family—and show them that you care about your own.

5. Don’t keep score or track time.

At home, it’s juvenile to get into debates about who last changed a diaper or did the dishes; everyone needs to contribute, but the big picture is what matters. Is everyone healthy and getting enough sleep? Are you enjoying each other’s company?

In business, too, avoid the trap of punching a clock. The focus should be on outcomes and performance rather than effort and inputs. That’s the way to maintain momentum toward overall goals.

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The Bottom Line

To be clear, I recognize that a great many working dads are doing a terrific job both on the home front and in their professional lives. My concern is that these standouts often aren’t visible to their colleagues; they intentionally or inadvertently let their work as parents fly under the radar. Dads need to be open and honest about family responsibilities to change perceptions in the workplace.

The question “How do you balance it all?” should not be something that’s just asked of women. Frankly, no one can answer that question. Juggling a career and parental responsibilities is tough. At times, really tough.

But it’s something that more parents should be doing together, as a team. This can be a real bonus for the couple relationship as well, because nothing gets in the way of good partnership faster than feelings of inequity.

On the plus side, I can tell you that parenting skills really do get better with practice—and that’s great for people of both sexes. I think our cultural expectations that women are the “nurturers” and men are the “providers” needs to evolve. Expanding these definitions will open the doors to richer contributions from everyone, because women can and should be both—and so should men.

Featured photo credit: NeONBRAND via unsplash.com

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