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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Vaginal Bleeding During Third Trimester Of Pregnancy?

My daughter had an exam today at 35 weeks and 5 days - she is clotting and bleeding still - not spotting! She has Factor V Leiden - one gene ... Should we be concerned? The hospital said baby sounded fine after 20 minutes of monitoring...? I am still concerned -
Thu, 2 Jan 2020
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General Surgeon,  's  Response
Hi,

I suggest you to rule out the most common cause by getting done physical examination, thyroid profile to rule out thyroid abnormalities, ultrasound to know the pregnancy status. Nothing to worry.Once the cause is treated it will subside. Early pregnancy bleeding is mostly due to deficiency of hormone progesterone which supports maintenance /development of fetus. About 20-25% of women have vaginal bleeding in early pregnancy. Half of them continue their pregnancy and deliver normally. Since the pain has reduced now in all probability you will continue with the pregnancy. Consult obstetrician and take progesterone to support pregnancy. Don't think about miscarriage. If the pain / bleeding increases you need to go to the ER. If you were to have a D&C, if it is done gently it will not complicate your incompetent cervix. It does not lessen your chances of successfully trying again.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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What Causes Persistent Vaginal Bleeding During Third Trimester Of Pregnancy?

Hi, I suggest you to rule out the most common cause by getting done physical examination, thyroid profile to rule out thyroid abnormalities, ultrasound to know the pregnancy status. Nothing to worry.Once the cause is treated it will subside. Early pregnancy bleeding is mostly due to deficiency of hormone progesterone which supports maintenance /development of fetus. About 20-25% of women have vaginal bleeding in early pregnancy. Half of them continue their pregnancy and deliver normally. Since the pain has reduced now in all probability you will continue with the pregnancy. Consult obstetrician and take progesterone to support pregnancy. Don t think about miscarriage. If the pain / bleeding increases you need to go to the ER. If you were to have a D&C, if it is done gently it will not complicate your incompetent cervix. It does not lessen your chances of successfully trying again. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon