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Pregnancy Bliss | Reproductive Health Hub

Brownish vaginal discharge;  early pregnancy

Question:   Hi, I’m worried last night i had brown discharge but nothing this morning. I’m 9 weeks pregnant. Is it any thing to worry about? C.(UK)

Answer: it is really not possible to answer with any certainty. Have you already had a scan in this pregnancy? If you have and everything was OK, this is most probably nothing at all. If you have not, I would not ignore this, however innocuous it may have seemed. Sometimes when there is a problem with an early pregnancy, a brownish discharge can be an early sign. This is seen in situations such as anembryonic pregnancy (blighted ovum) or even in missed miscarriage.

I need to stress that this is, on balance of probabilities, nothing serious. However, if you have not had your maiden pregnancy scan to establish the status of the pregnancy, it will be impossible for anybody to give you a credible reassurance. If this is the case, please report this to your doctor and a scan at your local hospital’s early pregnancy assessment unit (EPAU) will be organised.

Group B strep and pregnancy

Question:  I was diagnosed with group b strep infection last year. I was told it can be bad in pregnancy. Should I get tested again? Im 5 weeks pregnant. S. (UK)

Answer: You don’t need to worry. Up to 1 in 5 of all women do carry this bacteria in their genital tract on and off. It is not an infection. It is true that pregnancy presents a potential problem when you are known to carry this bacteria in the vagina. However, measures that are in place are almost always adequate. There is really no problem during pregnancy itself. However, during labour you will need to have a course of intravenous antibiotics to eliminate the bacteria from the genital tract. That way, the baby cannot pick it up during vaginal delivery. A newborn is susceptible to this otherwise harmless bacteria, hence the precaution. Best wishes.

Pain in the thighs in late pregnancy

Question:  What does pain in the thighs and pelvis mean at 34 weeks? L.M (UK)

Answer: If the pain is in both thighs, it is most likely the non-specific pain and discomfort common at this late stage of pregnancy. In other words, it is quite unlikely that there is any underlying problem. If the pain was affecting only one limb the concern is usually for deep vein thrombosis (DVT). This is extremely unlikely to occur in both limbs simultaneously.

Polyhydramnios and preterm delivery

Question:  I am 23 years old . My RRH is O negative. Last month I lost my baby because of polyhydramnios problem . I was seven month pregnant . I am so afraid that it will happen again next time when i get pregnant. E. (Ethiopia)

Answer: I am so sorry to hear of the sad end to your recent pregnancy. It is true that polyhydramnios (excessive amniotic fluid) can lead to preterm labour and delivery. This is possibly what happened to you. It is very unlikely that your blood group played any role in this. It is not always possible to know why polyhydramnios develops. However, recurrence in subsequent pregnancy is not common. It is important to establish that you did not have conditions such as gestational diabetes which can be recurrent. I hope things will work out alright for you next time.

Fetal movements on one side only

Question:  I am 25 week pregnant. I feel my baby movement only on my right side or lower abdomen, very rare i feel movement on my left. Is that ok? M. (Pakistan)

Answer: This is likely to be due to the location of the placenta. The placenta which has a significant cushioning effect can sometimes effectively mask fetal movements. If the placenta is located on the left lateral side of the womb, that may be the reason why you hardly feel the movement on that side. However, as the baby grows bigger and stronger, you are likely to perceive the movements more and more.

Urine pregnancy test: Does it revert to negative?

Question:  I think i may be pregnant but unsure how far i am as my last two periods have been very lite and short.. I am taking a urine sample to the doctors will is still show positive if i am more than 4-8 weeks? C. (UK)

Answer: If you are pregnant, regardless of how far you are, the test will be positive. This test detects the pregnancy hormone called beta-hCG. The levels of this hormone remain high throughout the course of pregnancy. If you are indeed pregnant but unsure how far, the most useful test will be an ultrasound scan which will answer that question.

Prolonged periods with a contraceptive ‘coil’

Question:  What can a woman do if her period is coming for more than 3 weeks when she has a coil in? R (UK)

Answer: The intrauterine contraceptive device or ‘coil’ as it is popularly known can sometimes cause prolonged, even irregular, vaginal bleeding. This will usually occur soon after insertion but tends to settle within a couple of months or so and the periods will revert to their normal pattern. If you have had the coil inserted recently, that may very well be what is going on. However, if the coil has been in place for a long time and you have now started getting this pattern, the coil is unlikely to be responsible. If that is the case, you need to arrange to see your GP for an evaluation to find the course of the change in the pattern of your periods.