What Happens During Pregnancy


Pregnancy is a beautiful journey that brings joy and anticipation to expectant parents. However, along with the excitement, there can be various physical changes and symptoms that occur during this period. From early signs of pregnancy to discomforts experienced throughout the different trimesters, it’s essential to understand what is considered normal and when to seek medical advice. In this article, we will explore common pregnancy symptoms, including questions like Is early pregnancy bleeding normal? during pregnancy when do you start lactating, itching during pregnancy 9th month, during pregnancy vomiting with blood, tooth pain, lactation, darkening of the neck, and more?



What Are The Early Pregnancy 2 Weeks Symptoms?

During the first two weeks of pregnancy, it is common to experience early symptoms. One of the earliest signs that show you might be pregnant includes breast tenderness, fatigue, mood swings, mild cramping, and changes in cervical mucus. However, it is important to note that these symptoms can vary greatly among women, and some may not experience any noticeable signs during this early stage. In fact, some women may not experience any symptoms till their late pregnancy stage.



Breast tenderness is often one of the early pregnancy 2 weeks symptoms, occurring due to hormonal changes in preparation for breastfeeding. Fatigue is also a common symptom, as the body adjusts to the increased demands of pregnancy. Mood swings can be attributed to hormonal fluctuations as well. Mild cramping, similar to menstrual cramps, may occur as the fertilized egg implants itself into the uterine lining. Changes in cervical mucus, such as increased volume and a thicker consistency, are also observed during early pregnancy. This is a result of hormonal changes that create a more favorable environment for fertilization and implantation.



Bleeding During Pregnancy

One of the most common questions pregnant women seek answers to is early pregnancy bleeding is normal. While bleeding during early pregnancy can occur, it is not considered normal and should be evaluated by a healthcare professional. Early pregnancy bleeding can have various causes, some of which may be harmless, while others may be more concerning. Note that during early pregnancy, some women may experience light bleeding or spotting.



This phenomenon, known as implantation bleeding, occurs when the fertilized egg implants itself into the uterine lining. It is typically lighter and shorter in duration than a regular menstrual period. Implantation bleeding can occur around the time of the expected period, and it may cause confusion or concern. Although it can be alarming, especially if accompanied by pain, most cases of implantation bleeding are considered normal.

However, it is always advisable to consult your healthcare provider to rule out any potential complications.


Implantation bleeding usually resolves on its own without any intervention. It is important to differentiate implantation bleeding from other types of bleeding during pregnancy, such as miscarriage or ectopic pregnancy(1). If the bleeding is heavy, prolonged, or associated with severe pain or other concerning symptoms, seeking medical attention is crucial.



Is Vomiting Blood Normal In Pregnancy?

Nausea and vomiting, commonly known as morning sickness, are prevalent during pregnancy, especially during the first trimester. While it is normal to experience these symptoms, vomiting with blood, known as hematemesis, should be addressed immediately. Hematemesis during pregnancy is rare but can be indicative of more severe conditions, such as a stomach ulcer or esophageal injury(2). It is essential to consult a healthcare provider promptly during pregnancy vomiting with blood to ensure the health and well-being of both the mother and the baby.



The causes of hematemesis during pregnancy can vary, but they often include gastrointestinal issues, such as gastric ulcers or esophageal varices. In some cases, severe morning sickness or hyperemesis gravidarum can lead to tears in the esophagus, causing bleeding. Prompt medical evaluation is necessary to determine the underlying cause and provide appropriate treatment.



Tooth Pain during Pregnancy

Hormonal changes during pregnancy can affect oral health, leading to various dental issues, including tooth pain. During pregnancy tooth pain is a result of Increased blood flow and hormonal fluctuations which can make the gums more sensitive, leading to inflammation and discomfort. Additionally, inadequate oral hygiene practices can contribute to dental problems during pregnancy (3).



During pregnancy teeth pain can also be caused by dental caries (cavities) or gum disease. It is essential to maintain good oral hygiene practices, such as regular brushing and flossing, to prevent dental issues. Additionally, visiting a dentist for routine check-ups and addressing any dental concerns promptly is crucial during pregnancy. Dental treatments can be safely performed during pregnancy, but it is important to inform the dentist about the pregnancy to ensure appropriate precautions are taken.



Let’s Talk About Lactation and Milk Production

During pregnancy when do you start lactating is a common question lactating mothers ask. Milk production, also known as lactation, is a natural process that occurs in the breasts of women after childbirth. It is triggered by hormonal changes during pregnancy and after the delivery of the baby. The primary hormones during pregnancy milk production are prolactin and oxytocin (4).



During pregnancy, the hormone prolactin increases in preparation for breastfeeding. Prolactin stimulates milk gland development in the breasts, preparing them for milk production. However, the high levels of progesterone during pregnancy inhibit the full effect of prolactin, preventing milk secretion.



However, it is possible for some women to experience leakage or even lactation during pregnancy. This is known as galactorrhea and can be caused by hormonal imbalances. Galactorrhea during pregnancy is not common, but it can occur. It is important to consult a healthcare provider if lactation occurs before the third trimester or if it is accompanied by other concerning symptoms. Galactorrhea can sometimes be associated with underlying medical conditions, such as certain hormonal disorders or pituitary gland abnormalities



After the baby is born and the placenta is expelled, progesterone levels drop, while prolactin levels remain high. This drop in progesterone signals the body to initiate lactation. The sudden change in hormone levels triggers the release of colostrum, a nutrient-rich, yellowish fluid that serves as the first milk for the newborn.



Within two to three days after giving birth, the breasts begin producing mature breast milk, replacing the colostrum. Milk production is maintained through regular and frequent nursing or pumping sessions, which stimulate the breasts to continue producing milk.


The exact timing of when lactation starts can vary for each woman, but typically, it begins within the first few days after childbirth. The stimulation of the baby suckling at the breast and the release of hormones, such as oxytocin, during breastfeeding help establish and maintain milk production.


It’s important to note that lactation can be influenced by various factors, such as your health as a mother, your baby’s ability to latch and nurse effectively, and the frequency of breastfeeding or pumping. If you have concerns about lactation or are experiencing difficulties, consulting with a lactation consultant or healthcare provider can provide you with personalized guidance and support.



Why Does The Neck Darken During Pregnancy?

The darkening of the neck during pregnancy is known as hyperpigmentation or melasma. It can occur in women of all skin tones, including both light and dark skin individuals. The exact cause of why during pregnancy neck darkens is not fully understood, but it is believed to be influenced by hormonal changes, specifically increased levels of estrogen and progesterone, as well as an increase in melanocyte-stimulating hormone (MSH) (5).



During pregnancy, hormonal fluctuations can affect the production and distribution of melanin, the pigment responsible for skin color. The increased levels of estrogen and progesterone can stimulate the production of MSH, which in turn stimulates melanocytes, the cells that produce melanin. As a result, there can be an overproduction or uneven distribution of melanin, leading to hyperpigmentation in various areas of the body, including the neck.



In light-skinned women, the darkening of the neck may appear as a light to medium-brown discoloration. In darker-skinned women, it can manifest as a darker or even blackened appearance. The degree of darkening can vary among individuals and may also depend on other factors such as genetics and sun exposure.

It is worth noting that the neck is not the only area prone to hyperpigmentation during pregnancy. Other common areas affected by melasma include the face (particularly the cheeks, forehead, and upper lip) and the abdomen. These patches of hyperpigmentation are often referred to as “the mask of pregnancy” or chloasma.


While hyperpigmentation during pregnancy is typically harmless and resolves on its own after childbirth, some women may find it bothersome or cosmetically concerning.

To manage and minimize during pregnancy neck darkens it is important to protect the skin from the sun’s harmful rays by wearing sunscreen and using appropriate sun protection measures. Additionally, using gentle skin care products and avoiding harsh chemicals can help alleviate the condition. If you are experiencing significant distress due to darkening of the neck or other areas, it is recommended to consult with a dermatologist or healthcare provider. They can provide appropriate advice and recommend safe skincare practices, such as using sunscreen, wearing protective clothing, and avoiding excessive sun exposure, to help manage and minimize hyperpigmentation during pregnancy.



What Causes Itching in the Ninth Month of Pregnancy?

In the later stages of pregnancy, itching during pregnancy 9th month can occur, mainly on the abdomen, breasts, and thighs. This itching is often due to stretched skin and hormonal changes (6).


  1. Itching during pregnancy 9th month can be caused by a few different factors. Here are some common reasons for itching during this stage:
  2. Stretching of the skin: As the baby grows and the uterus expands, the skin on the abdomen and other areas of the body stretches. This stretching can lead to itchiness and discomfort.
  3. Dry skin: Hormonal changes during pregnancy can cause changes in the skin, leading to dryness. Dry skin is more prone to itching.
  4. Increased blood flow: During pregnancy, there is an increase in blood flow to support the growing baby. This increased blood flow can cause itchiness in various parts of the body, including the abdomen, breasts, and extremities.
  5. Cholestasis of pregnancy: This is a liver condition that can occur during pregnancy and cause intense itching. It is characterized by a decrease in the flow of bile, resulting in a buildup of bile salts in the body. Cholestasis of pregnancy is typically accompanied by symptoms such as dark urine, pale stools, and jaundice. If you suspect cholestasis, it’s important to consult with a healthcare provider for proper evaluation and management.
  6. Pruritic urticarial papules and plaques of pregnancy (PUPPP): PUPPP is a relatively common skin condition that can develop during the third trimester of pregnancy. It is characterized by itchy red bumps and hives that typically start on the abdomen and can spread to other parts of the body. While the exact cause of PUPPP is unknown, it is believed to be related to rapid stretching of the skin.



If you are experiencing itching during the ninth month of pregnancy, it’s important to discuss your symptoms with your healthcare provider. They can evaluate your condition, determine the underlying cause, and provide appropriate treatment or recommendations to alleviate the itching and discomfort.



Mild itching is considered normal during pregnancy. However, persistent itching or itching accompanied by a rash may be a sign of a liver condition called intrahepatic cholestasis of pregnancy (ICP). ICP is a rare but potentially serious condition that affects liver function and bile flow. It is characterized by intense itching, usually on the palms of the hands and soles of the feet. If itching becomes severe or if you develop a rash, it is crucial to consult a healthcare provider for evaluation and appropriate management. They may perform blood tests to check liver function and determine the best course of action to protect both the mother and the baby.



Pregnancy is a unique and transformative experience for expectant parents. It is important to be aware of the various symptoms that can arise during pregnancy, as well as what is considered normal and when to seek medical advice. Early pregnancy bleeding, vomiting with blood, tooth pain, lactation, darkening of the neck, itching in the ninth month, and other symptoms discussed in this article may occur but require different levels of attention (7).



While some symptoms are typically harmless and expected, others may indicate underlying conditions that need prompt evaluation and treatment. Consulting a healthcare provider and maintaining regular prenatal care is crucial for a healthy pregnancy journey. By understanding and addressing these symptoms, expectant parents can navigate their pregnancy with confidence, ensuring the well-being of both the mother and baby.




  1. https://americanpregnancy.org/pregnancy-complications/bleeding-during-pregnancy/
  2. https://www.mayoclinic.org/symptoms/hematemesis/basics/definition/sym-20050743
  3. https://www.ada.org/~/media/ADA/Public%20Programs/Files/2Pregnancy_FS.ashx
  4. https://www.llli.org/breastfeeding-info/milk-production/
  5. https://www.aad.org/public/everyday-care/skin-care-secrets/routine/pregnancy-and-skin
  6. https://www.acog.org/womens-health/faqs/itching-during-pregnancy
  7. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/pregnancy/art-20047732