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FAMILY ILLNESS
Abnormal vaginal bleeding
Vaginal bleeding is considered abnormal if it occurs outside the normal menstrual cycle, during pregnancy, or after menopause. Although there is often a simple explanation, you should always see your doctor if you have any abnormal vaginal bleeding. If you are pregnant and you notice bleeding, you should consult your doctor immediately.
START
Are you pregnant?
More than 14 weeks pregnant
Less than 14 weeks pregnant
Not pregnant
ACTION
CALL YOUR DOCTOR IMMEDIATELY Bleeding at this stage of pregnancy could be due to a problem with the placenta( see box above right).
• Rest in bed until you receive medical advice.
! Bleeding in pregnancy
If you have any vaginal bleeding during pregnancy, you should contact your doctor immediately. If the bleeding is heavy, dial 911 or call EMS. Although some causes of bleeding are not serious, it is important to rule out miscarriage or problems such as a low-lying placenta or partial separation of the placenta from the wall of the uterus.
Is the bleeding similar to that of a normal period?
Do you have unusual pain in the lower back or abdomen?
Lower back pain
ACTION
CALL YOUR DOCTOR IMMEDIATELY You may be having a miscarriage or you could have an ectopic pregnancy.
• Rest in bed until you receive medical advice.
Like a period
Different
Abdominal pain
Neither
ACTION
CALL YOUR DOCTOR IMMEDIATELY Bleeding at this stage of pregnancy could be the first sign of a threatened miscarriage.
• Rest in bed until you receive medical advice.
How long has it been since your last menstrual period?
Less than 6 months
More than 6 months