Any bleeding, at whatever stage in pregnancy, is never normal. True, very minimal bleeding or spotting tends to be innocent, and majority of pregnancies in such situations never come into any harm. Bleeding in amounts equivalent to a period, or heavier, usually signifies a more serious situation. But regardless of the amount of bleeding, a medical assessment is usually required.
The reasons for delays in the onset of periods are many, and a specific diagnosis can only be worked out after a thorough gynecological assessment. The chronology of pubertal development usually gives a clue about the potential causes. Those who appear to have all the developmental features expected with puberty usually just have a delayed onset of periods which is self-correcting. Others may have delayed pubertal development, suggesting several potential causes ranging from genetics to complex medical syndromes.
The best approach is to do some sort of self-analysis. This may at first appear to be an uphill task, but you can make it relatively easy. Selecting between the public and the private should be straightforward. The next step is to nail down on facilities that you could easily access. Once you have a short-list, you can then source for easily available information on each of the selected facilities, and make some reasoned judgment about the quality of care each of them provides.
Towards the end of pregnancy, new anxieties arise about the baby’s delivery. For the majority, the onset of labor usually leads to spontaneous delivery. Some women will however require help in delivering the baby, commonly referred to as ‘Assisted Vaginal Delivery’.