Vaginal bleeding during late pregnancy can be a sign of  a  serious problem. You should always  report vaginal bleeding to your health care provider right away.

What is the difference between spotting and bleeding ?

Spotting : It when you notice  a few drops of blood in your underwear occasionally. This blood should not be enough to cover a panty liner.

Bleeding : This is a heavier flow of blood. You will need a liner or pad to prevent the blood from soaking your clothes.

What causes vaginal bleeding during late pregnancy ?

The cervix opens up and dilate  when labor begins. During this time a small amount of blood may mix with normal vaginal discharge or mucus.

Mid or late pregnancy bleeding may be caused by the following :

• having sexual intercourse ( usually spotting)
• disease or infection of the vagina or cervix
• an internal exam by your health care provider ( usually spotting)
• uterine fibroids , polyps or cervical growth

More serious problems include

• placental abruption
• placenta previa

What to tell your healthcare provider ?

To help your doctor find out the cause of vaginal bleeding, you have to let him know the following :

• if you have cramping , pain or contractions
• if you’ve had any other  bleeding during pregnancy
•  the color of the blood ( right red or dark)
• when you began bleeding and whether it is constant or comes and go
• how heavy bleeding is
• if blood has odor
• when you last had sex and if you bled afterwards
• if you’ve had any recent injuries and falls
• if you experience symptoms such as dizziness, fever, nausea or vomiting, fatigue or diarrhea

What should i do after vaginal bleeding during late pregnancy ?

If bleeding occurred after sexual intercourse or exam by a health provider, you can be watched at home. To do this :

• put on a clean pad and watch every 30 to 60 minutes for a couple of hours
• if spotting or bleeding continues, contact your health care provider
• if you experience heavy bleeding accompanied by still and painful belly and strong or frequent contractions, call 911

For any other bleeding, call your health care provider right away. He will let you know whether to go to the ER or the labor and delivery in your area hospital. He will also tell you whether you can drive yourself and you need to call an ambulance.