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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Bleeding With Clots Normal In 3rd Trimester?

I had bleeding and passed a small clot and am in my 3rd Trimester. I went to labor and delivery they monitored me for 4 hours and the bleeding stopped and the baby had a very active heart beat. I was not dialated and was not having contractions. Is any of this just normal? Also, all that was done was that I was put on pelvic rest, does this seem right?
Tue, 8 Mar 2016
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OBGYN,  's  Response
Hi there,
Welcome to HCM,

Bleeding in the 3rd trimester is due to one of two causes Abruption, which is associated with high blood pressure and pain abdomen, trauma to abdomen, or it is due to placenta previa where the placenta is attached to the lower part of the womb and it causes painless vaginal bleeding.

An ultrasound to identify the exact location of the placenta is essential.

A physical examination to monitor your blood pressure, urine albumin and fetal heart rate pattern is also necessary.

Rest is advisable, as repeat bleeding may make delivery a necessity. Blood cross matched to your blood group should be made available and corticosteroid injection to help fetal lung maturity needs to be given.

Hope this helps.
Regards.
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Is Bleeding With Clots Normal In 3rd Trimester?

Hi there, Welcome to HCM, Bleeding in the 3rd trimester is due to one of two causes Abruption, which is associated with high blood pressure and pain abdomen, trauma to abdomen, or it is due to placenta previa where the placenta is attached to the lower part of the womb and it causes painless vaginal bleeding. An ultrasound to identify the exact location of the placenta is essential. A physical examination to monitor your blood pressure, urine albumin and fetal heart rate pattern is also necessary. Rest is advisable, as repeat bleeding may make delivery a necessity. Blood cross matched to your blood group should be made available and corticosteroid injection to help fetal lung maturity needs to be given. Hope this helps. Regards.