The emesis of blood during gestation, medically termed hematemesis, signifies the presence of blood in vomit during pregnancy. This symptom can range in presentation from trace amounts of blood streaking the vomit to the expulsion of larger volumes of bright red or dark, coffee-ground-like material. A common, less serious cause is irritation or minor tears in the esophagus due to forceful vomiting, often associated with morning sickness.
The occurrence of blood in vomitus during pregnancy warrants careful evaluation due to the potential implications for both maternal and fetal well-being. While mild cases might resolve spontaneously, persistent or severe hematemesis can indicate underlying medical conditions requiring prompt diagnosis and management. Historically, such presentations were often attributed solely to hyperemesis gravidarum, but modern medical practice emphasizes a thorough investigation to exclude other possible etiologies.
