Spotting with clots in early pregnancy

Light bleeding can occur when the cervix is more sensitive during pregnancy. Small clots may be old blood, but clots with increasing flow, pelvic pain, or one-sided pain need prompt assessment. Bleeding can also occur with an infection or a pregnancy that is not developing as expected; symptoms alone cannot identify the cause.

A clinician may ask when the bleeding began, how much blood you see, whether tissue has passed, and whether you have pain, dizziness, fever, or shoulder pain. They may use an examination, pregnancy hormone testing, or an ultrasound according to your stage of pregnancy and symptoms.

Contact your maternity service, obstetrician, or an urgent medical service today for personalised advice. Use a pad so you can observe the amount and appearance of bleeding, and note any clots or tissue. Avoid inserting anything into the vagina until a clinician advises you. Do not drive yourself if you feel faint or weak.

Seek emergency care now for heavy or rapidly increasing bleeding, severe or one-sided abdominal pain, fainting, marked dizziness, shoulder-tip pain, fever, or feeling very unwell. These warning signs require immediate assessment during pregnancy, regardless of whether the bleeding started as spotting.

Ask what level of bleeding should trigger a return visit, whether you need an ultrasound or repeat blood test, and which pain relief options are suitable. Tell the clinician your pregnancy dates, blood group if known, previous pregnancy history, and any medicines you take.