Pregnancy is an incredible journey filled with excitement and anticipation — but it can also bring moments of concern. One of the most alarming experiences for any expecting mother is bleeding or pain during pregnancy.
While not every instance of bleeding or cramping signals a serious problem, it’s essential to know when to seek immediate medical attention and when to consult a high-risk pregnancy doctor.
At Medfemme Women’s Clinic, Hauz Khas, our team, led by Dr. Tejashri Shrotri, provides compassionate and expert care to help expectant mothers navigate these symptoms safely and confidently.
Understanding Bleeding During Pregnancy
Bleeding during pregnancy can occur at different stages — early (first trimester), mid (second trimester), or late (third trimester). The cause and seriousness depend on timing, amount, and associated symptoms.
1. First Trimester Bleeding (0–12 Weeks)
Light bleeding or spotting in early pregnancy is fairly common and often harmless. It can occur due to:
- Implantation bleeding – when the fertilized egg attaches to the uterus lining
- Cervical changes – caused by hormonal shifts or after intercourse
- Mild infections
However, heavy bleeding, clotting, or cramping could indicate:
- Threatened miscarriage
- Ectopic pregnancy (pregnancy outside the uterus)
- Molar pregnancy
👉 When to worry: If bleeding is heavy, accompanied by severe lower abdominal pain, dizziness, or shoulder pain — visit a high-risk pregnancy specialist immediately.
2. Second Trimester Bleeding (13–27 Weeks)
Bleeding during the middle stage of pregnancy is less common and may point to:
- Cervical inflammation or polyps
- Placenta previa (placenta covering the cervix)
- Premature rupture of membranes
Even light spotting during this stage should not be ignored — it’s best to contact your gynecologist for an ultrasound and examination.
3. Third Trimester Bleeding (28 Weeks Onward)
Any bleeding in late pregnancy needs urgent medical attention.
Possible causes include:
- Placental abruption (placenta separating from uterus before birth)
- Placenta previa
- Preterm labor
These conditions can be life-threatening for both mother and baby if not managed promptly by a high-risk obstetrician.
Common Causes of Pain During Pregnancy
Mild aches and stretching sensations are normal as your body adjusts. However, sharp or persistent pain may signal complications.
1. Normal Pregnancy-Related Discomforts
- Round ligament pain: Sharp pulling sensation on one or both sides of the lower abdomen
- Gas or bloating
- Muscle cramps due to dehydration or pressure from the growing uterus
These are generally harmless and resolve with rest, hydration, and gentle movement.
2. Warning Signs Requiring Immediate Medical Attention
- Severe cramping or abdominal pain
- Pain with bleeding or clots
- Back pain and pressure before 37 weeks
- Painful urination or fever
- Sudden swelling, headaches, or vision changes (possible signs of preeclampsia)
If you experience any of these, it’s best to consult a high-risk pregnancy doctor in Delhi for an urgent evaluation.
When to Visit a High-Risk Pregnancy Doctor
A high-risk pregnancy specialist (maternal-fetal medicine expert) is trained to handle complex or potentially dangerous pregnancy conditions. You should visit one if:
- You experience heavy bleeding or severe pain
- You have a history of miscarriage, preterm birth, or ectopic pregnancy
- You have pre-existing conditions like diabetes, hypertension, thyroid disorder, or PCOS
- You are carrying twins or multiple pregnancies
- You are above 35 years of age or have an IVF-conceived pregnancy
At Medfemme Women’s Clinic, we specialize in identifying early warning signs, providing advanced ultrasound scans, and creating personalized treatment plans to ensure both mother and baby remain safe.
What to Do If You Notice Bleeding or Pain
Here’s what you should do immediately if you experience these symptoms:
- Stay calm and rest. Lie down on your left side to improve blood flow to your baby.
- Note the details. Observe the color, amount, and duration of bleeding or pain.
- Avoid self-medication or internal examinations.
- Contact your gynecologist or high-risk pregnancy doctor immediately.
- Go to the nearest hospital if bleeding is heavy or accompanied by pain, dizziness, or fainting.
Expert High-Risk Pregnancy Care at Medfemme Women’s Clinic
At Medfemme Women’s Clinic, Hauz Khas, we offer:
- Comprehensive prenatal care with regular ultrasounds and monitoring
- High-risk pregnancy management for bleeding, pain, or other complications
- 24×7 emergency guidance and hospital coordination with Apollo Cradle and Sir Ganga Ram Hospital
- Personalized care plans for women with medical or fertility-related risks
Led by Dr. Tejashri Shrotri, our clinic ensures that every woman receives timely diagnosis, compassionate support, and safe pregnancy care — no matter how complex the condition.
When to Seek Emergency Help
Call your doctor or go to the hospital immediately if you experience:
- Heavy bleeding soaking through a pad in an hour
- Severe abdominal or back pain
- Clots or tissue passing from the vagina
- Fainting, dizziness, or breathlessness
- Fever, chills, or contractions before 37 weeks
Prompt evaluation by a high-risk pregnancy specialist can make a crucial difference for both mother and baby.
Conclusion
Bleeding or pain during pregnancy can be frightening — but not every case means something is wrong. The key is to stay alert, act promptly, and consult the right doctor.
At Medfemme Women’s Clinic, South Delhi, we’re here to guide you with expert care, modern diagnostics, and compassionate support at every stage of pregnancy.
Your safety — and your baby’s health — are always our top priority.
