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Pregnancy Bliss | Reproductive Health Hub

Threatened miscarriage

Question:   Good Morning. Earlier on this morning,at around 1 am, I discovered that I was bleeding. At first, I thought, that my anus was bleeding, because sometimes, when I pass stools,it bleeds. However I realised that the blood came from out of my vagina. I am bleeding as though I am on my period. Should I go to the hospital or should I go to my GP? By the way I am at least four weeks pregnant. Also I am at home with my two small children. Can you advise? J.L. (UK)


Answer: This is threatened miscarriage. Seeing as it is so early in pregnancy, it is a safe bet that you have not had an ultrasound scan yet. That is the first thing that needs to be done.

I am not sure what you mean by “4 weeks pregnant”. Are you counting from your last period or from the time when you think you conceived? If it is from your last period then the bleed could conceivably be a normal period, if it is indeed happening four weeks after your last one. That will mean you are not pregnant. If you are counting from your perceived point of conception, that is technically at least six weeks gestation and therefore a scan should be able to clarify the picture of what is going on. That will tell you whether you are indeed pregnant, the location of the pregnancy (in case it is an ectopic), the number of fetuses and crucially, viability. My best wishes.



Low lying placenta and long train journey

Question:  I have a low laying and six months and 15 days. Can I journey by train around 500 km?  I am in India. T. (India)


Answer: I take it you mean a low lying placenta. At 6½ months gestation, you are already in the third trimester. Depending on how low this placenta is, it is probably a risky undertaking that you are proposing. Bleeding in placenta praevia (which is what you seem to have) can be quite unpredictable and torrential, endangering both mother and baby. Any chance of this happening where you don’t have immediate recourse to medical attention should be avoided. It is my view that, unless this journey is absolutely necessary, you should cancel it.




Pain in the ‘bum’ during pregnancy

Question:  I’m about 9 weeks pregnant, if I sat for a while there is this pain i feel each time I get up around my bombom. Please what could it possibly be? Thanks. N.C.F. (UK)


Answer: I don’t think I have anywhere near enough details of your symptoms here to give a credible advice. It would appear that whatever is causing you this discomfort/pain is not pregnancy related. In any case, if it is something that is persisting, you should bring it to the attention of your doctor.



Pre-eclampsia or underlying kidney disease?

Question:  I developed anasmea with protein losing from my urine 4+ at 24th week of my pregnancy & BP varied from 140/90 to 160/100. Pregnancy was terminated at 27.5 weeks due to IUGR as weight has increased from 45 to 70 kg. I lost my baby and even after 6 months of my pregnancy terminated my reports are showing that i m losing protein at 0.48gm/24 hours. What should i do and will i be able to have a normal pregnancy and when? Please do reply me as soon as possible as i m eager to start my family. P.J. (India)


Answer: I don’t really know what you mean by ‘anasmea’. It is not a term I am familiar with. However, what you have described sounds like pre-eclampsia. Whilst your blood pressure was not severely raised, you clearly had quite marked loss of protein in your urine (proteinuria). There was also the growth restriction (IUGR) of your baby leading to a very preterm delivery and the tragic loss of your baby. Going forward, what concerns me is the persistent loss of protein in your urine. With pure pre-eclampsia, the urine protein loss resolves swiftly after delivery. You will not be expected to have any proteinuria after 3 - 6 weeks. Six months on, the persisting proteinuria would suggest possible underlying kidney disease.  You have not said whether your blood pressure has settled or whether you are on medication. In any case, you need to have the persistent proteinuria actively investigated.  If you embark upon a pregnancy with that unresolved, chances are that you will have another case of superimposed pre-eclampsia, quite possibly starting very early in pregnancy just like last time. The outcome of such a pregnancy is unlikely to be good. I hope this is resolved soon for you. Best wishes for the future.



‘Delay’ in getting a positive pregnancy test

Question:  Why when i become pregnant i have to wait a month before the pregnancy test shows positive? L. (USA)   


Answer: A urine pregnancy test can realistically be expected to turn positive about two weeks after the actual conception. For most women that will be around 4 weeks after the last period. You need to remember that there is a journey taking almost a week for the fertilized egg to travel through the fallopian tube into the womb. The embryo then needs to implant and it is the tissue that anchors the embryo onto the wall of the uterus that produces the pregnancy hormone hCG. It is this pregnancy hormone that is responsible for the positive test. It needs to reach a certain level before it can appear in the urine.



Chances of conception immediately after a period

Question:     Hi. I want to know if a girl has intercourse the very next day as her period ends; i mean at 6th or 7th day of her periods, can she become pregnant? I mean, is it impossible or possible? Plz reply. Thanx. D. (Norway)


Answer: it is quite possible. The chances of conception will depend on how her normal cycle is usually. If she has a short cycle, lets say 21 or 22 days, the 7th and 8th day of her cycle is actually her most fertile time as ovulation always takes place 14 days before the next period. Regardless of whether her period has completely finished, ovulation can still take place. If her cycle is 28 days or more, chances of conception following sexual intercourse at such an early part of the cycle are much less. In other words, the longer the cycle, the less likely it is to conceive following sex in that early part of the cycle. However, it is never impossible


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