WebMD Medical Team
Because vaginal bleeding in any trimester can be a sign of a problem, call your doctor. Wear a pad so that you can keep track of how much you're bleeding, and record the type of blood (for example, pink, brown, or red; smooth or full of clots). Bring any tissue that passes through the vagina to your doctor for testing. Don't use a tampon or have sex while you are still bleeding.
You should expect to receive an ultrasound to identify what the underlying cause of your bleeding may be. Vaginal and abdominal ultrasounds are often performed together as part of a full evaluation.
Go to the emergency room or call 911 right away if you are experiencing any of the following symptoms, which could be signs of a miscarriage or other serious problem:
• Severe pain or intense cramps low in the abdomen
• Severe bleeding, whether or not there is pain
• Discharge from the vagina that contains tissue
• Dizziness or fainting
• A fever of more than 100.4 or more degrees Fahrenheit and/or chills