Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
130 Doctors are Online

Brown spotting during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Hi... I am very concerned right now... My fiance and I are having our first baby. She is 26 years old and a healthy woman that does not smoke and now of course does not drink. She is only 6 weeks pregant and the other day she had spotted bleeding and brownish spots... She lives overseas and went to the doctor and did a ultrasound. the doctor said she had 2 places where there is an abruption. she was not prescribed any medicine. the baby is still gowing and everything else seemed normal.... I need to know how serious this is, and are we high risk of losing baby?
Doctor :   Hi
User :   hello
Doctor :   let me read your query
User :   our you an obgyn?
Doctor :   yes , i am
User :   ok
Doctor :   let me read your query
User :   where are you out of?
Doctor :   this is completely normal
Doctor :   she has had spotting which occurs in pregnancy due to hormonal changes
Doctor :   during pregnancy, there are elevation of estrogen and progesterone
User :   yes, but the doctor says she sees tears in ultrasound?
User :   abruption
Doctor :   with rest the tears will heal
Doctor :   and the baby will be fine
Doctor :   the placenta has a high ability to heal itself
User :   and I have been reading this usually is in later pregnancy?
Doctor :   has the fetal heart rate been checked and is it normal ?
User :   yes heart is fine
Doctor :   abruption is a condition where the placenta separates from the uterus
Doctor :   but with rest and adequate care she will be fine
User :   what can she do and not do?
Doctor :   but if she is very mobile ,and rest is not provided, the extent of abruption increases and then the risk of losing the baby increases
Doctor :   avoid unwanted and unnecesary travelling
Doctor :   avoid unwanted streess
Doctor :   bed rest for a few days would allow healing of the abruption
Doctor :   and prevent further extension
Doctor :   the next 2 -3 weeks , she should have enough bed rest to allow adequate healing
Doctor :   also prophylactic antibiotics can help to prevent any possible infections
User :   also, I she comes in town next week... I am going to have ultrasound here in the USA.. should I go to hospital for ultrasound and get another doctors opition
Doctor :   yes,
Doctor :   a repeat ultrasound would give idea whether the abruption has healed or not
User :   so an abruption can literally heal in 1 week?
User :   with sufficient rest
Doctor :   yes healing usually takes 7-10 days
Doctor :   but she should avoid travelling places for now
Doctor :   travel puts her and her baby at risk for unseen events
User :   she is traveling on Sunday... This will give her 5 solid days of rest
Doctor :   ok
User :   why is this?
User :   altitude?
User :   air pressure
Doctor :   no
Doctor :   while she travels, she can bump into people , or fall etc
User :   ok, more of the travels
User :   how about sex?
Doctor :   this can increase the chance of non healing and further bleeding
User :   ok
Doctor :   sex, should be avoided for 2-3 weeks
User :   ok
Doctor :   as of now , to allow healing
User :   so it is not as bad as I think?
Doctor :   once the abruption has healed, and there is no further bleeding, she would be able to have sex , but with caution
User :   what % of woman get this?
Doctor :   10% women can have this
User :   and what % heals correctly
Doctor :   75% cases heal with adequate rest
User :   and have normal babies
Doctor :   but the rest can have trouble including premature deleiveries , infections during pregnancy, bleeding, etc
Doctor :   80-90% have normal babies , unless the condition worsens to cause abortion and fetal loss
User :   ok...
User :   well, thank you for your time
User :   looks like our session is about to end/.
Doctor :   you are welcome
Doctor :   hope i have cleared your doubts
Doctor :   thanks for consulting me here
Doctor :   take care and bye for now
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor