Overview

It's common to have some vaginal bleeding in the first trimester (3 months) when you are pregnant. In some cases, the bleeding isn't serious if there aren't any more problems with the pregnancy.

But sometimes heavy or painful bleeding in the first trimester is a sign of more serious problems including miscarriage and ectopic pregnancy.

You may have to see your healthcare provider or midwife more often to be sure everything is okay. You may also need more tests to find the cause of the bleeding.

Home treatment may be all you need. But it depends on what is causing the bleeding. Be sure to tell your healthcare provider or midwife about all your concerns.

If you have any new symptoms or your symptoms get worse, get medical treatment right away.

How can you care for yourself at home?

• Watch for bleeding and signs of preterm labour.
• If your healthcare provider or midwife prescribed medicines, take them exactly as directed. Call your healthcare provider, midwife, or nurse advice line if you think you are having a problem with your medicine.
• Do not have sexual intercourse unless your healthcare provider or midwife says it's okay.
• Do not put anything in your vagina until your healthcare provider or midwife says it's okay.
• In your third trimester, follow your healthcare provider’s instructions about how often to count your baby’s movements. For information on counting your baby’s movements, go to: Fetal Movement Count Chart (albertahealthservices.ca).
• Talk to your healthcare provider about when you can go back to your routine activity or light exercise.
• Take time every day to relax, rest, and get enough sleep. Nap if you need to.
• Eat a healthy and well-balanced diet that includes peas, beans, and leafy green vegetables. Talk to a dietitian if you need help planning your diet.
• Do not use tobacco or tobacco-like products, including cannabis, and other substances. They can harm your health. They can also affect your baby’s growth, health, and the development of their brain and lungs. If you need help to use less or quit, talk to your healthcare provider, or go to the Alberta Quits website.
• Do not drink alcohol. Alcohol affects everyone differently and may be a risk to your health. Alcohol passes through the placenta to your baby and can cause problems with your baby’s growth, health, and development.
Pregnancy can be an emotional and unpredictable time. When you have complications in your pregnancy you may have more stress. This can lead to other concerns for you and your family. Talk to your healthcare provider about how you’re feeling and any other concerns you have.