Spotting or vaginal bleeding during the ninth month may be alarming. It can be the result of normal pregnancy conditions, including labor, or it can be a sign of a pregnancy complication. Women who notice any bleeding this late in the pregnancy should contact a health care professional for guidance. Serious complications may require medical intervention if the health of the mother or the baby is at risk. In addition to bleeding, other symptoms may be associated with the condition, such as cramping and pain.
Placenta Previa
About one in 200 pregnancies are impacted by placenta previa. Placenta previa is serious and requires medical care. It occurs when the placenta rests low in the uterus and either partially or completely covers the cervix. A woman with this condition will experience bleeding without pain.
Placental Abruption
Placental abruption typically occurs during the last 12 weeks of pregnancy, including the ninth month, says the American Pregnancy Association. Abruption occurs when the placenta detaches from the uterine wall before or during labor. This condition is rare, occurring in only about 1 percent of pregnancies, says the association. In addition to bleeding there is often stomach pain.
Stillbirth
A miscarriage is considered to be late if it occurs between the 13th and 20th week of pregnancy. There may be bright red blood flow from the vagina, cramping, sharp pains in the abdomen and the passage of tissues from the vagina during a miscarriage. At some point in the late miscarriage, the deceased baby (stillborn) can be delivered from the vagina. When cramping and bleeding are present, a woman should seek medical attention immediately.
Labor
Both premature and regular labor can cause vaginal bleeding. BabyCenter.com defines preterm labor as that which occurs after the 20th week of pregnancy but before the 37th week. Labor after the 37th week may consist of several symptoms that are similar to preterm labor. In addition to bleeding, this can include an increase in mucous discharge from the vagina and contractions.
Sexual Intercourse
Sexual intercourse during the ninth month of pregnancy may lead to some vaginal bleeding. The blood will be bright or it could be brown. This is generally considered to be normal as the cervix is more sensitive and full of blood during pregnancy. Deep penetration during intercourse may increase the likelihood of vaginal bleeding. If the bleeding continues or is more than just a little spotting, seek medical attention.
