Bleeding & Pregnancy: What's normal? When should I be concerned?

Bleeding in pregnancy can be incredibly stressful and lead to those dreaded mental/anxiety spirals--but, it’s not always a sign that something is wrong.

Here’s a quick guide to help you understand what’s common—and when to reach out for care.

**I’m a doula, not a medical professional. This information is for educational purposes only and is not a substitute for medical advice, diagnosis, or treatment. Always reach out to your healthcare provider with any concerns.

Light Bleeding or Spotting: Often Normal

Light spotting (pink, red, or brown) is common in early pregnancy—especially around the time your period would have started.

It may happen after:

• Implantation (when the embryo attaches to the uterus)

• Sex or a pelvic exam (your cervix is more sensitive during pregnancy)

• Hormonal changes

If spotting is light, short-lived, and not accompanied by pain, it’s usually not cause for concern.

When Bleeding May Be a Sign of a Problem

Heavier or ongoing bleeding—especially later in pregnancy—should always be checked by a healthcare provider.

Possible causes include:

• Miscarriage or ectopic pregnancy (early pregnancy)

• Placenta previa or abruption (later pregnancy)

• Preterm labor

Call Your Provider or Seek Care If You Have:

• Bleeding heavier than spotting or soaking a pad

• Bleeding lasting more than a few hours

• Cramping or abdominal pain

• Dizziness or fainting

• Fever, chills, or foul-smelling discharge

• Passing clots or tissue

• Bleeding with contractions or fluid leakage

If your provider’s office is closed, go to the emergency department or labor & delivery unit.

Reminders

Many people experience light bleeding and go on to have healthy pregnancies.

If you've been experiencing bleeding and are waiting to hear back from a provider:

• Rest and avoid strenuous activity

• Avoid sex, tampons, or douching

• Stay hydrated

• Track how much you’re bleeding and any other symptoms

When in doubt, call your provider—you never have to wait or wonder alone.