Pregnancy, Bleeding (cont.)
IN THIS ARTICLE
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
If a normal appearing pregnancy with a normal beating heart is seen by ultrasound inside the uterus and you are younger than 40 years, the pregnancy has a less than 3% chance of being a miscarriage. If you are older than 40 years, then there is an 8% chance of a miscarriage. If there is not a definite pregnancy seen within the uterus, then the likelihood of a miscarriage is really unknown but could be up to 50%.
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. About 50% of women with ectopic pregnancies later have successful pregnancies.
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
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: TThe 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
Pamela Dyne, MD
Pregnancy and Parenting Resources
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