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Pregnancy Bliss | Reproductive Health Hub

Bleeding in early pregnancy

Question:  The time of my last period was the 17 of July and started bleeding on the 20th of Sept. Pressure went high, started bleeding still not stopped, have been admitted in hospital, doctors have done ultrasound, says its normal. What’s my chances of miscarry? R.B. (UK)

Answer: You started vaginal bleeding at around 9 weeks of gestation by your dates. As a general guide, threatened miscarriage, which this is, has a 90% chance of successful resolution. That means, there is around a 1 in 10 chance that you will miscarry.

The fact that miscarriage has not happened despite several days of bleeding is actually a good sign. It means your chances of carrying on normally are pretty good. However, whilst the bleeding is still going on, it has to be treated as a case of threatened miscarriage. Does hospital admission or bed rest have any value in this situation? No. I hope it all works out well for you.

Mobile phone use during pregnancy

Question: I’m 3 months pregnant and my friend says  that using mobile phones is dangerous for the baby. Is this true? It is my first pregnancy and truth be told I spend ages on the phone. Now im worried!! K.A. (UK)

Answer: For many years there was a general belief that the use of mobile phones during pregMobile phones and pregnancynancy was probably safe and no cause for concern. However, a study carried out in Denmark and published in late 2008 clearly established a link between the use of mobile phone during pregnancy and behavioural problems for the children.  Problems observed included hyperactivity, attention deficit, memory problems and  difficulties with general conduct. The evidence was incontrovertible leading to the advice that the use of mobile phones during pregnancy should ideally be limited. If you tend to “spend ages” on the mobile phone, it may be time to look at that again.

Weight gain in pregnancy

Question:  i am 22 week pregnant and have weight gain of 2 kg is it ok? I also want to know that is there any difference in heart beat count of baby boy and baby girl after 20 week pregnancy. M.S. (Pakistan)

Answer: I take it you mean you have gained two kg since conception. As long as you remain in good general health and your baby is doing well, the change in weight is of little if any clinical significance. Whilst many women will gain an average of 12 kg during pregnancy (range 8 - 16 kg), there are many who gain much less than this and have completely normal pregnancies and healthy babies at the end of it. Monitoring weight change is no longer regarded as an essential part of pregnancy care and has been dropped as a measurement during antenatal clinic reviews.

Your second question has already been answered and  the answer can be found on the previous page.

Anencephaly and baby’s prognosis

Question:  My wife is pregnant 19 week. After that ultrasound report shows the baby is anencephaly. Please advise about reason of this disease  and future of baby. R. (India)

Answer: I am truly sorry to hear this. It is always devastating to receive such news after all the excitement of pregnancy. Anencephaly is arguably the severest form of conditions called neural tube defects. The baby with anencephaly cannot survive. Many parents decide to terminate the pregnancy on learning the diagnosis. Of course others do not do so but even at full term the baby cannot survive. It is not always possible to identify a cause of anencephaly. In fact in the majority of cases, no risk factor can be identified. Sometimes anencephaly is associated with a chromosomal disorder such as Edward’s syndrome. To see whether your baby is so affected your doctors can do a specialised test to confirm the diagnosis. That is, if facilities are available. Recurrence of anencephaly when there is an associated chromosomal disorder can be rather high; up to 1 in 4 (25%). There is more information on anencephaly which you can reach by going to this page:

Epidural anaesthesia and asthma

Question:  I have asthma symptoms (mild). I’m 32wks pregnant for my 3rd baby. I may opt for an elective caesarian section. Does the epidural anaesthesia have any effect on  an asthmatic patient? F.O. (Kenya)

Answer: Epidural anaesthesia does not have any effect on asthma one way or another. If required, it can and should be used with confidence. I would tend to think, however, that if you are having a caesarean section and wish to stay awake (which is ideal), a spinal rather than an epidural will be employed for this. It too is safe. What’s more, it is known that a general anaesthetic involving intubation can provoke an asthmatic attack and should whenever possible be avoided.

Bleeding in early pregnancy

Question:  My partner is 3 wks gone and she is bleeding. Not heavy however it has now been 4 days and she is really worried about it. A.S. (UK)

Answer: I am not sure I understand what you mean by “ three weeks”. If you are counting from the date when you believe she conceived, that will be misleading. If you are counting from the first day of her last period (which is what you should do), then three weeks on, she would not have missed her period yet. I am therefore unsure how to advise you on this. However, if it is definitely more than 4 weeks since her last period and a pregnancy test is positive, she clearly needs the bleeding checking out. It could be any of the early pregnancy complications ranging from the various forms of miscarriage to an ectopic pregnancy. It is therefore time to contact her GP or the local hospital’s early pregnancy assessment unit. An ultrasound scan may be arranged if deemed appropriate.

Handle with care: Mobile phone use during pregnancy may not be totally  risk-free