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Bleeding in Early Pregnancy: When to Worry

Bleeding in early pregnancy affects up to 25% of women. Here's what you need to know about spotting, bleeding, and when to get help.

Table of Contents

  1. How Common Is Bleeding?
  2. Types of Bleeding
  3. What's Normal
  4. When to Call 111 or 999
  5. What to Expect at the EPU
  6. FAQ

How Common Is Bleeding?

Bleeding in early pregnancy is very common, affecting approximately 25% of women. In many cases, it's nothing to worry about. However, it should always be checked by a healthcare professional.

Types of Bleeding

- **Spotting**: Light pink or brown spots, barely visible on underwear - **Light bleeding**: Similar to a very light period - **Heavy bleeding**: Soaking a pad in an hour - **Bleeding with clots**: Passing blood clots - **Bleeding with pain**: Cramping alongside bleeding

What's Normal

Light spotting can be normal and may be caused by: - Implantation bleeding (around 10-14 days after conception) - Cervical changes (the cervix is more sensitive in pregnancy) - Bleeding after sex (due to sensitive cervix) - Bleeding after a vaginal exam

When to Call 111 or 999

Call 111 or go to A&E immediately if: - Bleeding is heavy (soaking a pad in an hour) - Bleeding is bright red - You have severe abdominal pain - You feel dizzy or faint - You have a fever - You pass large clots

Call 999 if:

  • You collapse
  • You're bleeding extremely heavily

What to Expect at the EPU {#epu)

The Early Pregnancy Unit (EPU) will typically:

  1. Take your history and vital signs
  2. Perform an ultrasound to check the baby
  3. Possibly do blood tests to check hCG levels
  4. Give you a diagnosis and plan

Frequently Asked Questions

### Does bleeding always mean miscarriage?

No. Up to 25% of women experience bleeding in early pregnancy, and many go on to have healthy babies. However, bleeding should always be checked by a healthcare professional.

Should I go to A&E for light spotting?

For light spotting, call your GP or midwife first. They may refer you to the EPU. For heavy bleeding, severe pain, or dizziness, go to A&E or call 999.

Is brown spotting normal in early pregnancy?

Yes, brown spotting is often old blood and can be normal. It's usually less concerning than bright red bleeding. However, all bleeding should be reported to your GP or midwife.

This article is for informational purposes only and does not constitute medical advice. Always consult your healthcare provider.

Last reviewed: June 2026

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