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Is it normal to have mild spotting during early weeks of pregnancy?

Mar 2016
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Answered by

Practicing since : 2011
Answered : 4047 Questions
Hello Doctor, My wife is pregnant with 6 week and 6 days, today she had blood spots doctor done ultrasound and told that she has not seen the heart beats and advised to tale duphaston 10 mg 2 tabs morning and evening for 3 days. I am confused please help us
Posted Tue, 11 Feb 2014 in Pregnancy
Answered by Dr. S Patra 48 minutes later
Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us on healthcare magic. Followings are my comments: 1) Abdominal ultrasound scan can detect fetal pole and heart beat around 7 to 8 weeks. However, Trans Vaginal Ultrasound (TVS) reveals Fetal Heart Beat around 5 to 6 weeks of gestational age. Here, I suggest her to repeat the ultrasound scan (TVS) after 7 to 10 days for confirmation. Sometimes, late conception may be the cause of late detection of fetal heart beat. If it is not detected on next ultrasound scan, then possibility of pregnancy loss or MISCARRIAGE is quite high with above clinical picture. 2) Mild spotting is quite common during early weeks of pregnancy. DUPHASTON contains Dydrogesterone as active ingredient (progesterone supplement) which supports her pregnancy and prevents natural miscarriage or pregnancy loss. It is not harmful to growing fetus also. Therefore, she can take this as per her doctor's recommendation. In addition, she must avoid heavy work, long journey, lifting heavy objects and take complete bed rest. Take healthy protein rich diet with vitamin & Folic acid. Hope, I have answered your query. Kindly, close the discussion if you don't have any other query. Wish her good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through WWW.WWWW.WW
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Follow-up: Is it normal to have mild spotting during early weeks of pregnancy? 2 days later
Dear Doctor, Today we have decided to go for another doctor opinion and visit another doctor, She told that there is a fibroid presence and she was was surprised that not a single doctor or hospital has told about us that during our first child. 1st child born of ceasrean. and I am surprised that the doctor to whom we visited for the second pregnancy even she did not find it. Today the new doctor does Lower abdomen Ultrasound and the report says: 1. Gravid Uterus shows presence of a single gestation sac. 2. Thin decidual reaction is seen around the sac. 3. 1.0 x 0.4 cm subchroinic bleed seen anteriorly. 4. 10.7 x 9.1 cm posterior wall intramural fibroid seen. 5. CRL= 7.9mm = 6 weeks 6 days. 6. Internal os is closed. 7. Fetal nodes & yolk sac are well visualised. 8. Cardiac activity is present. 9. Both ovaries are normal. 10. No adnexal mass seen on either side. IMP.: Single live intrauterine gestation 6 weeks 6 days Maturity. Fibroid Uterus Thin decidual reaction Subchroinic bleed Kindly advise us as we are very much confused.
Answered by Dr. S Patra 11 hours later
Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for follow up query with detailed scan report. Recent Ultrasound report is quite good with POSITIVE fetal cardiac activity. However, I want to comment on two things - intramural fibroid and subchorionic bleeding and its relation to current pregnancy. 1) Intramural (within uterine muscle) is the most common type uterine fibroid. But, chance of miscarriage or pregnancy loss is quite LOW. Periodic follow up with ultrasound scan is mandatory. 2) Subchorionic bleeding or hematoma (SCH) is seen in some percentage of early pregnancies. It is located between chorion & endometrium (on gestational sac). It can cause vaginal bleeding or brown discharge occasionally. However, most patients remain asymptomatic with small or mild hematoma and few are present with threatened miscarriage. Most of them regress naturally. Current statistics shows that chance of pregnancy loss or miscarriage is near about 1-3% with SCH after 12 weeks & mostly associated with large hematoma. Most of them resolve within 20 weeks of gestational age without any further complication. But few percentage has greater risk of development of placental abruption in later months. In such case, urgent medical attention is required. There is NO useful treatment for SCH pregnancies. Wait and watch with serial ultrasound scan and avoiding strenuous activity are the key element in such case. Here, she would need to take all prescribed medication by her doctor. It helps to support pregnancy and prevents possible miscarriage. Kindly, proceed follow-up visit to your OBGYN in periodic manner and do next scan after 4 weeks for assessment of pregnancy status. 3) In addition, she must follow these advice strictly: a) Avoid heavy work/ long journey/ lifting heavy objects/ too much bending/ high heal shoe/ walking on uneven surface/ more ups & downs etc. b) Take complete bed rest till the problem is resolved. Non-prescribed medication should be avoided. c) Take healthy protein rich diet and drink more water for better feto-placental circulation. Maintain genital hygiene properly. Hope, it helps for your information. Kindly, close the discussion. All the best and good luck. Regards, Dr Soumen
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