Bleeding Gums in Pregnancy

bleeding gums in pregnancyBleeding gums in pregnancy is a common complaint of pregnant moms. The reason bleeding gums in pregnancy is common is because more than likely your gums are swollen and more sensitive. Once you are pregnant hormones will cause your blood volume to increase by approximately 50%. This increased blood volume plays in part in why your gums are swollen and more sensitive.

Normal inflammation of the gums is called gingivitis. Swollen and bleeding gums in pregnancy is called pregnancy gingivitis. This will cause your gums to be more sensitive and irritable and thus more susceptible to bleeding.

The hormonal changes also hinder the body’s normal response to the bacteria which causes periodontal infections. This makes it easier for plaque to build up on your teeth and makes you more susceptible to gingivitis. The severity of pregnancy gingivitis usually increases in the second trimester.

How can you manage bleeding gums in pregnancy?

Good dental care is essential during pregnancy. Brushing your teeth two or three times a day along with flossing is helpful. You may find that a softer toothbrush brings less irritation to your gums. You should also keep your scheduled professional cleanings and discuss any problems with your dentist.

If gingivitis is left unchecked it may lead to a more serious form of gum disease called periodontitis. Periodontitis during pregnancy increases the chance of preterm birth. The good news is that with good oral hygiene and routine professional cleanings, there should be nothing for you to worry about.

Here are a few things that you can do to manage swollen gums and have healthier oral hygiene:

  • Have at least one oral checkup with your dentist during pregnancy
  • Use a daily or periodic warm salt water rinse (1 teaspoon to 1 cup)
  • Brush your teeth twice per day, especially after vomiting from morning sickness
  • Practice good nutrition

Your gums usually return to normal following the delivery of your baby. The bleeding and sensitivity should diminish. If swelling and irritation continue after delivery or get worse during your pregnancy, contact your dentist.

Last Updated: 10/2012

Compiled using information from the following source:

Mayo Clinic Guide To A Healthy Pregnancy Harms, Roger W., M.D., et al, Part 3.

American Pregnancy Association,

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