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I had bleeding a couple of weeks ago (on Tuesday, March 26th). My midwives got me in immediately for an ultrasound that day. We found out we're having a boy, and all looked great with the baby. My placenta was at the top of my uterus and my cervix looked good from an abdominal ultrasound. My DH wasn't happy with the bleeding being unexplained, so he pushed for me to ask to be seen by an OB just in case.
So I got an appointment for the next morning with an OB. He did an internal exam and saw a red spot on my cervix, which he said must be where the bleeding was coming from. He did a pap smear, and then called a few days later saying the results came back normal and that he wished me a happy and healthy pregnancy.
Then last Monday (April 1st), I had more bleeding. Both this time and the time before happened when I'd also had a BM. I have at least one BM every day, and am not constipated, but one thought is that the pushing from the BM could be irritating my cervix. But that's just a guess. Again I called the midwives and they spoke to a specialist. The specialist recommended doing monthly ultrasounds to check baby's growth, but that was pretty much it. I was also told to keep updating them if the bleeding continued.
This past Saturday evening I had bleeding again, and this time it wasn't associated with a BM. However, this time the blood when I first wiped was brown and not red like it was the first two times. I took that as a good sign, and thought that maybe it was from the BM earlier in the day and didn't say anything to my DH about it. But then an hour later when I wiped, the blood was more pink and not brown at all. I still had some slight pink discoloration in each wipe after that up until the next morning.
When I called the midwife again on Saturday, she didn't seem too concerned about it and suggested again that it could be a polyp that couldn't be seen during the OB's exam. At first this made sense, but the more I thought about it, I realized it was unlikely since the OB had actually seen a red spot and not a polyp.
My DH was again not happy with the bleeding being unexplained, so he asked me to call the OB back again this morning. I did, but since I'm not technically under the care of the OB it's not like he's my doctor. His nurse urged me to talk more in depth with the midwives and consider switching to the OB's care, but that would mean I'd be seen by a high risk doctor and I would have to give up my birth center birth.
Having a healthy pregnancy is the most important thing to me, but I can't help but wonder if this is being blown out of proportion. Every time I've had the bleeding, it's only been a few wipes of bright red (and the last time it was never "red" at all) and the remaining wipes turned pink and then brown very quickly. I'm not having any painful cramping and the baby is moving around a lot.
If you were me, would you ask to see the OB again or would you remain in the care of the midwives and just do the monthly ultrasounds? I know bleeding three times in less than two weeks is not normal, but what if it really is just me pushing too hard when I'm having a BM?
Plus, my thought is that if I do end up switching to an OB, I'd rather just switch to an office closer to where I live. The high risk OB I saw and my midwives are both about 50 minutes to an hour away, and I only go that far now because I love the birth center, and there isn't another one closer to me. If I had to be under the care of an OB, I'd rather not drive that far.
I'd love to hear your thoughts and what you think you'd do. Thanks!
Hmmmm I don't know. I've always been told that a little bleeding is normal. Especially if everything checks out okay. I experienced bleeding with BMs in both pregnancies and it always frightens me but I have to remind myself that there's probably a reason and not something bad. Are you continuously spotting or filling panty liners/pads? I'd be concerned if that was happening. I guess me personally, I'd want to stay with my midwives and birth center unless something came back alarming from my pap. Have you DTD lately that could have caused it?
Thanks for responding! We haven't DTD at all since it started for fear of making it worse. The bleeding is always fairly light with no filling of panty liners, etc. I think for my DH, the midwives and the OB I saw, it's just weird since this is the first time I've ever experienced any bleeding during a pregnancy.
How did your bleeding happen for you? Can you remember how often it happened and how much blood it was?
With my last pregnancy I bled A LOT from week 5-9, filling pads. Once that stopped I would randomly get spotting with a bowel movement. It wasn't often but it happened. This pregnancy it's happening much more often. Almost every BM I'm having some. But it only is there when I wipe so I haven't been concerned since I know for sure it's happening with my BM.
I'm sorry you are dealing with this. Pregnancy bleeding can be a stressful thing.
I guess my main question for you would be, what do you expect your care provider to do? There aren't a lot of options as far as what is in their control. An OB may not be able to do much more than the midwife. Pretty much all they will do is monitor you. Of course, if there is an emergent amount of bleeding (overflowing multiple pads in an hour), I would be hitting up the hospital here and there, but I don't think that light bleeding the way you are describing is worth leaving your care provider over unless you just don't feel they are communicating with you very well over it.
Has anyone mention the potential of the "red spot" near your cervix being old blood pooled from the initial bleed? That's what I was told after I had bleeding early on. You could see it on my US. I was also told that my body would either reabsorb it (which I did) OR I would pass it, and it could look red or brown, depending on how old it was.
I honestly wouldn't worry about it with being so little and not being accompanied by cramping (very good sign!).
Also, I don't understand how you are not the OB's patient. If he saw you and "treated" you, then you are his patient and should have the right to call and inquire on that visit and his findings.
I wouldn't worry about it. And the OB can't do anything the MWs can do really. Seeing one individual over another individual isn't going to make your cervix say, "Whoops, ok time to stop bleeding now!"
The cervix is covered with tiny veins, and pregnancy puts pressure on our vaginas so, to me, it's not abnormal at all to have a little spotting here and there. Everything is heightened/sensitive/sometimes swollen - it's just a side effect of pregnancy
Thank you all so much for your responses! I think we're all starting to feel a bit better about things now. I did make an appointment to get another opinion next week, but I'm not so stressed about everything now. I feel fine until I see the blood, then I start to freak out again, but I am comforted by the fact that it's always been small amounts of blood and nothing appearing to be more serious.
I really appreciate all your thoughts! They really helped me.
I would stick with my midwife and just keep an eye on things. The OB can only keep an eye on things anyway, and obviously the OB wasn't able to explain it either, so I don't see a benefit to switching.
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I agree - since you don't have any other symptoms, it's not a lot of blood, and your placenta looks good, I would continue with your midwife and even be as bold to say I (personally) would even opt out of the monthly u/s. To me, they only seem to cause problems, not really help anything unless there seems to be a true medical problem.
I think sometimes husband err on the side of caution because they don't like the idea of things being out of our (or their) control. It is nice that they care about us so much though, that they want to be sure everything is ok
I told the midwives that I would have the ultrasound at the end of this month, but if all looked good there, then I'd opt out of the future ones, and they agreed. I have the second-opinion appointment this afternoon, and I'm sure they'll find nothing. It's been over a week now with no bleeding, so I think the issue has taken care of itself.