Second Trimester Bleeding: Causes & Reasons

Possible Causes for Second Trimester Bleeding

Pregnancies complicated with placenta previa had significantly higher rates of second-trimester bleeding (OR 156.0, 95% CI 87.2-277.5), pathological presentations (OR 7.6, [ncbi.nlm.nih.gov]

second or third trimester. [tamingthesru.com]

It’s usually discovered when you have your second trimester ultrasound. Bleeding is the most common symptom. Dr. Bachman explains what you can expect. [premierhealth.com]

Abruptio Placentae

Spotting (during first and second trimester) Bleeding that is sudden, profuse and PAINLESS (during end of second trimester, or during third trimester) Note: Bleeding may occur [slideshare.net]

Differentials Preterm labor Placenta previa Chorioamnionitis More Differentials Guidelines ACR appropriateness criteria: second and third trimester vaginal bleeding Society [bestpractice.bmj.com]

We report the case of a 25-year-old woman who presented with painless abruptio placentae and coagulopathy during the second trimester. [ncbi.nlm.nih.gov]

Placentitis

Placenta. 2006 Jun-Jul;27(6-7):750-7. Epub 2006 Jan 10. Author information 1 Department of Pathology, Faculty of Medical Sciences, State University of Campinas (UNICAMP), P.O. Box 6111, 13084-971 Campinas, São Paulo, Brazil. Abstract Although an in vitro study has hypothesized that expression of ICAM-1 by villous[…] [ncbi.nlm.nih.gov]

Placental Infarction

Hum Pathol. 2012 May;43(5):761-3. doi: 10.1016/j.humpath.2011.07.023. Epub 2011 Nov 12. Author information 1 Department of Pathology, University of Louisville, Kosair Childrens Hospital, Louisville, KY 40202, USA. Robert.Bendon@Nortonhealthcare.org Abstract Six cases of mothers whose placentas demonstrate multiple[…] [ncbi.nlm.nih.gov]

Placenta Membranacea

In one previous review of PM,[7] the majority of patients presented in the second or early third trimester with painless recurrent vaginal bleeding. [journals.lww.com]

Case 3 A 20-year-old primigravida, had a history of painless, intermittent, vaginal bleeding during the first and second trimester. [ncbi.nlm.nih.gov]

Figure 2: Placenta of case 2. 2.3 Case 3 A 20-year-old primigravida, had a history of painless, intermittent, vaginal bleeding during the first and second trimester. [journals.lww.com]

Placenta Circumvallata

– signifies intra peritoneal bleeding -syncope (fainting) Management: - Surgery depending on side - Ovary: oophrectomy - Uterus : hysterectomy Second trimester bleeding C [bicolnurses.blogspot.com]

Second trimester bleeding per vaginum and premature rupture of membranes had a sensitivity of 28.8% and specificity of 99.9% when both are used as predictors for circumvallate [jri.ir]

Persistent vaginal bleeding is one of the most prominent clinical manifestations of placenta circumvallata and is usually present during the first and second trimesters, but [symptoma.com]

Benign Gestational Thrombocytopenia

Is not associated with maternal bleeding. No past history of thrombocytopenia outside pregnancy. Occurs in late pregnancy (mid second or third trimester). [medichub.ro]

It occurs in late pregnancy, mostly mid-second trimester or third trimester. [medichub.ro]

In the first and second trimesters low platelet counts could be due to immune processes or to platelet production defects (8). [medichub.ro]

Cervical Incompetence

Second-trimester bleeding reduced gestational age by 6.4 weeks, chorioamnionitis by 5.6 weeks, placental abruption by 5.1 weeks, PROM by 3.2 weeks and severe preeclampsia [ncbi.nlm.nih.gov]

In addition, some women experience symptoms that the cervix is changing too early, such as: Cramping Lower backache Pelvic pressure Spotting (bleeding) during the second trimester [mainlinehealth.org]

Although a miscarriage is much less common in the second trimester, it can still occur. Vaginal bleeding is usually the first warning sign. [healthline.com]

Gastric Duplication Cysts

Obstet Gynecol 93:684–686 CrossRef PubMed CAS Google Scholar Sepulveda W, Reid R, Nicolaidis P et al (1996) Second-trimester echogenic bowel and intraamniotic bleeding: association [link.springer.com]

Prenat Diagn 19:1177 CrossRef PubMed CAS Google Scholar Hill LM, Fries J, Hecker J, Grzybek P (1994) Second-trimester echogenic small bowel: an increased risk for adverse [link.springer.com]

Prenat Diagn 14:845–850 CrossRef PubMed CAS Google Scholar Petrikovsky B, Smith-Levitin M, Holsten N (1999) Intraamniotic bleeding and fetal echogenic bowel. [link.springer.com]

Complete Hydatidiform Mole

We present a case of a molar pregnancy with a euploid fetus who had close fetal evaluation for second trimester bleeding. [ncbi.nlm.nih.gov]

We report a case of a primigravida who presented with vaginal bleeding at early second trimester. [ncbi.nlm.nih.gov]

trimester with vaginal bleeding, rapid uterine enlargement, excessive uterine size for dates, hyperemesis gravidarum or preclampsia before 24 weeks. [jpgmonline.com]

Preterm Labor

trimester bleeding placenta previa If baby has excessive amniotic fluid Poor prenatal care nutrition or low weight gain during pregnancy Smoking, alcohol, or drug use Symptoms [justmommies.com]

Second trimester bleeding not associated with placental causes7. [slideshare.net]

Bleeding during second trimester – A small amount of bleeding can occur if the placenta begins to separate a bit from the lining of the uterus before labour starts. [pregnancy.sogc.org]

Gallbladder Volvulus

Prenat Diagn 19:1177 CrossRef PubMed CAS Google Scholar Hill LM, Fries J, Hecker J, Grzybek P (1994) Second-trimester echogenic small bowel: an increased risk for adverse [link.springer.com]

Prenat Diagn 14:845–850 CrossRef PubMed CAS Google Scholar Petrikovsky B, Smith-Levitin M, Holsten N (1999) Intraamniotic bleeding and fetal echogenic bowel. [link.springer.com]

Chromosome 10q Deletion

He was born to non-consanguineous parents following a pregnancy complicated by first trimester bleeding, upper respiratory infection in the second trimester, and intrauterine [jmg.bmj.com]

Chronic Hemorrhage

Late first- or second-trimester bleeding also worsens the prognosis. [emedicine.medscape.com]

Women who experience subchorionic hemorrhage in late first trimester or in second trimester also have an increased chance for miscarriage. [babyq.com]

In most cases, the clot resolves itself within the first trimester or early in the second trimester. [newkidscenter.com]

Uterine Hemorrhage

Late first- or second-trimester bleeding also worsens the prognosis. [emedicine.medscape.com]

O26.852 Spotting complicating pregnancy, second trimester Z3A.14 14 weeks gestation of pregnancy Example #2: Ultrasound is performed at 32 weeks due to vaginal bleeding and [rccb.org]

Women who experience subchorionic hemorrhage in late first trimester or in second trimester also have an increased chance for miscarriage. [babyq.com]

Hydatidiform Mole

CASE: We present a case of a molar pregnancy with a euploid fetus who had close fetal evaluation for second trimester bleeding. [ncbi.nlm.nih.gov]

[…] symptoms or persistent nausea and vomiting Bleeding or spotting in the first or second trimester. ( spotting or heavy, intermittent or continuous, usually light) No fetal [babymed.com]

Cytogenetics complete moles homozygous, XX 46 with all the chromosomes of paternal origin. second trimester of pregnancy with abnormal uterine bleeding excessive uterine enlargement [humpath.com]

Third Trimester Pregnancy

Here's what else you can expect in the second trimester. [smartparenting.com.ph]

There is a high chance of having significant bleeding when a pregnancy in the second trimester delivers on its own at home. [ucdmc.ucdavis.edu]

[…] than it is in the first and second trimester. [babygaga.com]

Fetal Erythroblastosis

[…] transplacental passage of fetal blood can occur, anti-D IgG prophylaxis for nonimmunized women who are Rh D negative is also warranted in the following scenarios: first- and second-trimester [emedicine.medscape.com]

Unexplained first, second or third trimester bleeding. Abdominal trauma 2nd or 3rd trimester. Third trimester amniocentesis. [moondragon.org]

bleeding, spontaneous or elective abortion, prior to any invasive procedure (eg, amniocentesis), evidence of subchorionic or retroplacental hematoma on ultrasonography, external [emedicine.medscape.com]

Placenta Accreta

In some cases bleeding may occur in the second or third trimester. Some women report pain that is much greater than expected in normal pregnancy. [women.texaschildrens.org]

bleeding, second- and third-trimester bleeding is usually due to abnormal placental implantation. [emedicine.medscape.com]

Often the most consistent signs of a placental problem during pregnancy is vaginal bleeding that occurs into the second trimester and beyond. [bellybelly.com.au]

Cervical Pregnancy

However, cervico-isthmic and cervico-isthmic corporeal pregnancies are more likely to persist to an advanced gestation in the second and third trimester and cause profuse [ncbi.nlm.nih.gov]

Hysterectomy is recommended mostly for second and third trimester cervical pregnancy, or for uncontrolled bleeding. [scienceopen.com]

bleeding with attempted removal of the placenta. [ncbi.nlm.nih.gov]

Placental Disorder

Symptoms include cramps or sudden bleeding at the end of the second trimester or early in the third trimester. [curejoy.com]

Even if you don’t have vaginal bleeding, a routine, second trimester ultrasound may show that you have placenta previa. Don’t be too worried if this happens. [marchofdimes.org]

Have an ultrasound in the second trimester to identify location of the placenta. You may need follow up ultrasounds to help plan for a safe birth and delivery. [marchofdimes.org]

Missed Abortion

Missed abortion usually happens in the first or second trimester of pregnancy. Mothers may experience no vaginal bleeding or abdominal pain. [hellodoktor.com]

A missed abortion can happen in either the first or second trimester, though it usually occurs in the first trimester. [babymed.com]

In a missed abortion, the woman usually is not aware of the loss, especially when there is no vaginal bleeding or abdominal pain. [babymed.com]

Bicornuate Uterus

Here, we present a rare case of repeated bleeding up to second trimester in a pregnant patient with bicornuate uterus. [scialert.net]

Here, we present management of a case of repeated bleeding in a pregnant woman with bicornuate uterus who continued to have repeated bleeding up to late second trimester. [scialert.net]

Research Article Nayana Pathak and Praveen Mohan ABSTRACT Cyclical menstrual like bleeding during pregnancy is uncommon, particularly during second and third trimester. [scialert.net]

Fetus Papyraceous

In the first trimester, this may be present as vaginal bleeding. [casereports.in]

In most of the cases when the fetus is complete reabsorbed, there are no major complications besides first trimester vaginal bleeding but in the case when the event occurs [thepregnancyzone.com]

If the fetal death is in the second or third trimester, the pregnancy may be treated as high-risk. [americanpregnancy.org]

Threatened Abortion

[…] during the first and second trimesters of pregnancy and in a control group of 29 normal pregnant women (51 samples). [ncbi.nlm.nih.gov]

Effects of first and second trimester vaginal bleeding on pregnancy outcome. J Pak Med Associ 1998; 48: 40-2. 12. Arfa M, Abdul Fataeh M, Zeid HA. [ispub.com]

This is the most common cause in the first trimester. Problems with the uterus or cervix. These contribute in the second trimester. [fpnotebook.com]

Incomplete Spontaneous Abortion

These contribute in the second trimester. polycystic ovary syndrome signs of a miscarriage can include vaginal spotting or bleeding, abdominal pain or cramping, and fluid [icd10data.com]

Miscarriages that occur in the second trimester may be followed by a longer time of bleeding. [drugs.com]

Second trimester abortion abortion after thirteen weeks and before twenty four weeks. abortion symptoms The first abortion symptom is vaginal bleeding, which can range from [2womenshealth.com]

Bleeding from an Ectopic Pregnancy

Any bleeding during the second and third trimesters is abnormal. Bleeding from the vagina after the 28th week of pregnancy is a true emergency. [emedicinehealth.com]

[…] it in the second or third trimester. [modernmom.com]

[…] or third trimester) Smoking Abuse of drugs or alcohol What are the symptoms of miscarriage? [youngwomenshealth.org]

Placenta Succenturiata

Even if you don’t have vaginal bleeding, a routine, second trimester ultrasound may show that you have placenta previa. Don’t be too worried if this happens. [marchofdimes.org]

The main symptom of placenta previa is vaginal bleeding in the second or third trimester, but often, there are no prenatal symptoms. [verywellhealth.com]

[…] in the second or third trimester, which is often painless or during labor.[7] Other placenta abnormalities, such as placenta previa and placenta accreta, can be associated [ncbi.nlm.nih.gov]

Fetal Warfarin Syndrome

Previous studies have shown that central nervous system abnormalities develop due to usage of warfarin in second and third trimester (secondary to bleeding and formation of [thrombophiliac.com]

Central nervous system and eye malformations occur more frequently when the fetus has been exposed to warfarin during the second and third trimesters of pregnancy. [symptoma.com]

However taking warfarin in the second and third trimesters can be also risky. [thrombophiliac.com]

Pseudounicornuate Uterus

[…] or third trimester, resulting in life-threatening bleeding. [scinapse.io]

The natural course of a rudimentary horn pregnancy is rupture during the first or mid-second trimester with potentially life-threatening bleeding [1, 5]. [jogi.co.in]

So that, the diagnosis should be clinically suspected when a history of bleeding or excessive abdominal pain during the beginning of second trimester, a history of previous [latunisiemedicale.com]