Pregnancy, Bleeding (cont.)
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Bleeding During Pregnancy Prognosis
The effects of bleeding during your pregnancy depend on many factors. The cause of the bleeding and whether it is treatable is the most important issue.
Early pregnancy bleeding
The definite rate of miscarriages after vaginal bleeding in early pregnancies are difficult to estimate as a significant percentage of pregnancies miscarriage without any specific symptoms prior to the miscarriage.
Ectopic pregnancy: For bleeding in early pregnancy caused by ectopic pregnancy, the pregnancy will not survive. If you have such a pregnancy, the possibilities of future ectopic pregnancies depend on the location, timing, and management of the condition. Most women with ectopic pregnancies who had no prior fertility issues later have successful pregnancies (about 70%).
Threatened abortion: You will have an entirely normal pregnancy and birth 50% of the time. Alternatively, you may progress to have a spontaneous abortion or miscarriage. If you have an ultrasound at the time of your evaluation, which shows a fetus with a heartbeat in the uterus, there is a 75%-90% chance of having a normal pregnancy.
Complete abortion or miscarriage: For women with recurrent miscarriages, the possibility of having a successful pregnancy is still high. Even after two or more miscarriages, your chances for delivering a child are still high.
Molar pregnancy: After having a molar pregnancy, the risk of molar pregnancy in a later conception is about 1%. In addition, the overall risk of a certain form of cancer in women who have had a prior molar pregnancy has been estimated at 1,000 times higher than that of women who have not had a molar pregnancy.
Late pregnancy bleeding
Placenta Previa: The risk of maternal death is less than 1%, but other complications, such as massive hemorrhage requiring a blood transfusion or a hysterectomy, can also occur.
Placental Abruption: The risk of maternal death is low, but major blood loss may require transfusions.
Uterine Rupture: This is a very dangerous condition for both the woman and the baby.
Congenital Bleeding Disorders: The risk of complications for the woman is quite low. The most concerning is hemorrhage. The risk to the infant is very low. The largest risk to the baby, especially if it is a male, is inheritance of the bleeding disorder.
Pictures of Ectopic and Intrauterine Pregnancies
Media type: Ultrasound
Medically reviewed by Wayne Blocker, MD; Board Certified Obstetrics and Gynecology
Medically Reviewed by a Doctor on 12/16/2015
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