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English name will do, No!, I want a local name. Okay, what if we combine both names. It sounds good. This among others is what happen to expectant parents most especially first time to be parents. Their spirits and hopes are raised up high. Looking forward to a marvelous and unique gift.
A healthy, active baby to complete the family . But the unexpected happens and their cheeks don’t part laughter again, if they don’t deal with it. DANGERS IN PREGNANCY is the culprit. There are a list of them, that bring pregnancy to ruin, lets focus on VAGINAL BLEEDING IN PREGNANCY for now precisely during the first trimester.

Bleeding no matter how small the flow is can be an indication of a variety of complications. Bleeding at each stage of pregnancy determines the severity of it. Pregnancy is divided into three stages: First Trimester, the first three months of pregnancy. Second Trimester, is the next three months and the Third Trimester is the last three months of pregnancy.

FIRST TRIMESTER
Is the crucial and risky stage of pregnancy. Some women have conflicting feelings about the pregnancy during this stage. Bleeding at this stage is more common than you might think. Some women will have one incidence of bleeding while a small group will bleed throughout their pregnancies. More often than not, the pregnancy will progress totally normal. In this stage bleeding present itself in the form of

Implantation bleeding which occurs four weeks into the pregnancy as the fertilized egg attaches to the wall of the womb. It is a light pink or brown in color not bright red as in menstural flow and it doesn’t soak a sanitary pad and usually last for a day or two and occurs when menstrual period would have been due.

Breakthrough bleeding during pregnancy, hormones ( a chemical substance secreted into the blood stream and exerting an effect on some part of the body from the brain ) prevent the menstrual period from occurring during pregnancy. Sometimes if the hormones are not high enough to stop the menstrual flow, bleeding will occur the twelve ( 12 )week of pregnancy and last for about three ( 3 )months. It is often accompanied by the feeling of having a normal period like cramps and feeling bloated.

Bleeding after sex or internal pelvic examination. When pregnant the cervix ( neck of the womb ) becomes tender and engorge with more blood supply which is normal, any kind of minor bumping like thrusting of the penis during sexual intercourse or during vaginal examination can sometimes irritate the cervix and cause slight bleeding. Although this bleeding is not serious reporting it to the midwife or doctor is important. Cessation of sexual intercourse may not be necessary as the baby is safe above the vagina but being gentle with every act of sex is important.

Ectopic pregnancy occurs when a fertilized egg implant outside the womb and found most especially in the Fallopian tube. Is an emergency suitation and can rupture the Fallopian tube leading to bleeding, damage of the Fallopian tube and maternal collapse. It presents with severe pains at the lower abdomine at one side, generalised pain which doubles all over you, feeling nauseated and fainting attacks, pains disappear suddenly if the Fallopian tube ruptures but it will come back within hours or days. The Fallopian tubes and the pregnancy might have to be removed but it doesn’t mean that future pregnancy is impossible provided the other Fallopian tube is healthy.

Miscarriage is the expulsion of the fetus ( baby) prior to 24 weeks of pregnancy. Many early miscarriages occurs before 14 weeks of pregnancy and cannot be prevented in most cases as is the body’s own way to get rid of unhealthy pregnancy that isn’t developing. There can be other cases of miscarriage such as: hormonal problems, blood clotting problems. The bleeding is accompanied by lower abdominal pains stronger than menstural pains. Tissue passing through the vagina. Having a miscarriage doesn’t mean pregnancy is impossible again depending how healthy you are.

Rhesus incompatibility is when the expectant mother develops antibodies to fight the pregnancy in the case of her Rhesus factor been negative (-) and that of baby positive(+). Rhesus factor is the negative or positive sign attached to blood groups, example is A-,O+ etc. A positive rhesus blood is more dominate than negative rhesus blood. Mostly, first pregnancies are not affected but the subsequent ones if the babies rhesus are positive but if negative there is no course to worry. Bear in mind there are solutions to the problem.

By Ophelia Kamason
Midwife

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