Losses in the first trimester of pregnancy, how to behave

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There is no doubt: the vaginal discharge in pregnancy are one of the things that most alarms. What worries the most are the red or brownish ones, because they immediately make you think of an abortion threat, but the others also do not make you feel comfortable. What significance do they have? When should I go to the emergency room and be examined immediately?

In this article

  • transparent losses
  • white vaginal discharge
  • brown or dark red discharge
  • bright red leaks
  • it is normal to have discharge during pregnancy
  • Are losses common in early pregnancy?
  • the causes of losses in early pregnancy
  • what is a miscarriage
  • what is an ectopic pregnancy
  • losses in late pregnancy

Transparent losses

During pregnancy it is normal to have more abundant discharge, as vaginal secretion increases for hormonal reasons.

Physiological losses are

  • transparent,
  • watery or slightly filamentous,
  • odorless

and they can wet their panties for all nine months.

How to behave?

Nothing and resign yourself to change your briefs often.

No instead to panty liners, which, by preventing perspiration, could in the long run lead to infections.

In pregnancy, clear and watery discharge is completely normal

It is not necessary to wash often, nor to use specific detergents: however, it is better to avoid soapy and foaming substances that damage the lipid film that protects the skin and vulvar mucous membranes. Obviously, no internal washing.

If however the losses

  • they are denser and smelly
  • or they take on a greenish, yellowish or whitish appearance similar to cottage cheese
  • or, again, you feel burning and itching,

contact your gynecologist who, in case of doubt, will prescribe a tampon.

This type of loss could in fact be caused by a vaginal infection which must be treated promptly, to prevent pathogenic germs from rising from the vagina to the uterus, increasing the risk of premature birth for the entire duration of gestation.

You may be interested in the article How does conception happen

White vaginal discharge

In this video, Dr. Alfonso Rossetti explains what white vaginal discharge is and what it is a symptom of during pregnancy. How to distinguish physiological losses from those that signal an ongoing infection?

Brown or dark red leaks

In the first trimester it may happen to find slight spots from dark red to brown on the briefs: they can be caused by hormonal fluctuations, but also sexual intercourse or the gynecological examination itself, which could cause the breakage of some capillaries. If you suffer from constipation, the source could be a small fissure or a hemorrhoid.

Other times it could be the so-called 'false menstruation', i.e. slight losses around the days when your period should have arrived. In this case, these are usually very minor losses, lasting only a few hours or at most a day. Read also Implantation losses and the difference from the beginning of menstruation


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Bright red leaks

Unlike the case in which losses are more abundant and bright red, especially if they are accompanied by pelvic pain, because they could actually signal a threat of abortion or an incomplete adhesion of the placenta to the uterine wall. In this case, it is best to contact your doctor or the emergency room. Bearing in mind that unfortunately, if there has been a miscarriage, even a quick rush to the emergency room cannot change the outcome of the pregnancy.

In conclusion, bleeding is quite common in the first trimester of pregnancy, but they should not be neglected. It is true that when they are not associated with pain, in most cases they fortunately have no negative meaning, however the fact remains that in the first trimester the frequency of abortion is about 15% and blood loss is a symptom of this. , often late.

Read also: Blood loss in pregnancy

Is it normal to have losses in pregnancy?

Vaginal discharge during pregnancy they can have various causes. Some may have serious reasons. Others don't. They can occur both early in gestation and later. It is more common when they occur in the first trimester. In many cases they are not a problem. However, it is best to consult your gynecologist when a leak occurs.

Are losses common in early pregnancy?

Losses in the first quarter it can happen to 15-25% of pregnant women.

A slight loss can occur in the first two weeks after conception. The cervix can bleed more easily during pregnancy because it is supplied with more blood during this period. You may experience spotting or slight discharge after intercourse or for example after a Pap smear or pelvic exam. 

Read also: The signs of pregnancy

What are the causes of a pregnancy loss?

Causes of early pregnancy losses include:

  • miscarriage;
  • threat of abortion;
  • extrauterine pregnancy;
  • infections.

What is a miscarriage?

Un miscarriage occurs in the first 13 weeks of pregnancy. It occurs in about 10% of pregnancies. The first signs are:

  • losses;
  • abdominal cramps.

However, about half of the women who suffered a miscarriage did not experience anticipatory losses. If you have had a miscarriage the material may have remained in the uterus and a scraping may be needed to remove it.  

What is an ectopic pregnancy?

An ectopic (or ectopic) pregnancy occurs when the embryo nestles outside the uterus: in most cases (over 90%) the implantation occurs in one of the tubes, but it can also occur in the abdominal cavity, in the cervix or ovaries. This phenomenon occurs in 0,8-2% of total pregnancies. Sometimes leaking can be a sign of ectopic pregnancy.

What if the losses are not at the beginning of a pregnancy?

There are several problems they could cause slight losses during a pregnancy such as inflammation or growth of the cervix. Abundant losses they could be caused by the placenta: they are a more serious sign and to be taken into consideration.

Any type of loss can be a sign of preterm delivery. If you have a loss in an advanced pregnancy, consult your gynecologist or go to the hospital.  

The services of mymodernparents.com to cope well with pregnancy:

  • Calculate your pregnancy week
  • Calculate the estimated date of delivery online
  • Calculate the length of the fetus
  •  Mammenellarete blog: here you can read many stories about pregnancy


Sources for this article: sito webmd.com, Faq dell'American Congress of Obstetrician and Gynecologists.

  • disorders
  • visit gynecologist
  • threat of miscarriage
  • weeks 1-13
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