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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 : 2586 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
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