Bleeding

Bleeding in the first trimester occurs in up to 50% of all pregnancies. It can be associated with a normal on-going pregnancy, or can be the first sign of a miscarriage. Heavy bleeding and cramping will often be associated with miscarriage. If the location of the pregnancy has not yet been determined, one must also be concerned about ectopic (tubal) pregnancy, especially if there is also pain. The situation is typically assessed with a pelvic examination and an ultrasound.