Spotting in Early Pregnancy: A Complete Guide
Spotting in early pregnancy is incredibly common and, in most cases, completely harmless. Up to 1 in 4 women experience some form of bleeding in the first 12 weeks, and many go on to have healthy pregnancies. This guide walks you through the most likely causes, what different colours mean, and when you should pick up the phone to your midwife.
Table of Contents
What Counts as Spotting?
Spotting is light bleeding that you might notice when wiping or as a few drops on your underwear. It is usually pink, brown, or dark red and far lighter than a period. If you need a pad or a tampon, that is heavier bleeding and warrants a call to your early pregnancy unit. Spotting often happens around the time your period would have been due, as the fertilised embryo nestles into the lining of your womb.
Common Causes in the First Trimester
Implantation bleeding is the most common cause, occurring 10 to 14 days after conception as the embryo attaches. Other causes include cervical changes - your cervix becomes softer and more vascular during pregnancy, so any friction from sex or a vaginal exam can trigger light spotting. Hormonal shifts, a sensitive cervix, or a small subchorionic haematoma can also be responsible. Most of these are benign, but bleeding should always be mentioned to your midwife so she can rule out anything more serious.
Frequently Asked Questions
How long does spotting last in early pregnancy?
Implantation spotting usually lasts a few hours to a couple of days. If it continues beyond three days or becomes heavier, contact your midwife.
Is brown spotting normal at 6 weeks?
Brown blood is old blood leaving your body, which is generally reassuring. It is very common around six weeks and often nothing to worry about, though you should still mention it at your booking appointment.
When should I go to A&E for spotting?
Go to A&E or call 999 if you have heavy bleeding that soaks a pad in an hour, severe abdominal pain, dizziness, shoulder tip pain, or fever. These could signal a miscarriage or ectopic pregnancy.
This information is for educational purposes only and does not replace professional medical advice. Always contact your midwife, GP, or early pregnancy unit if you are concerned about any symptoms in pregnancy. In an emergency, call 999.
Further reading:
Related articles: Spotting in Early Pregnancy | One-Sided Pain in Early Pregnancy | Coping While Waiting for a Scan