Bleeding during labour is common, but sometimes the bleeding is heavier than expected. This can happen if the placenta sits low, partially separates, if the uterus becomes tired, or if a blood vessel is injured. It’s a situation maternity staff is highly trained to manage, and you will be closely monitored at the first sign of increased bleeding.

Your midwife and doctor assess the bleeding by observing the amount, checking your pulse, blood pressure, and overall wellbeing. If the amniotic fluid becomes blood-stained, if bleeding increases suddenly, or if you feel sharp abdominal pain, an urgent evaluation is done to determine the cause. CTG is often used to monitor how the baby is coping.

Treatment depends on the reason for the bleeding. If the uterus is not contracting well, medications can help it tighten. If the placenta separates too early or the bleeding is significant, the birth may need to be completed sooner — either vaginally or by caesarean section. You may receive fluids, oxygen, and in some cases blood products.

It is completely natural to feel worried when you see blood. But you should know that the staff is prepared and trained for this every single day. Many people who experience intrapartum bleeding still give birth vaginally and recover well afterward. You will be kept informed throughout so you feel involved and safe.

Alma’s tips

• Tell us immediately if you feel dizzy, weak, or notice a change in bleeding.

• Ask what we are doing — you have the right to understand.

• Try to breathe steadily; we increase the team in the room when needed.

• Remember: this is a situation we are well-trained to handle.