### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, my mom is pregnant and it seems like she is on her period. What is going on!?! I don t think that it is a miscarriage, because her tummy is getting bigger and bigger every day. The blood coming out of her genital seems to be dark red/black, and round. Answer ASAP, I m very worried. We can t afford to go to a doctor because of the economy, and we don t have Medicare.

### output:

Hallow Dear, Though you have not mentioned the period of gestation of your mother, from your description of the size of her abdomen, I believe she is more than 5 months or so. Please correct me if I am wrong. Any vaginal bleeding at any stage of pregnancy is a warning sign of some risk to the pregnancy. Since you have not mentioned anything about pain in her abdomen, I presume she is not having any pain in abdomen. Painless, causeless recurrent vaginal bleeding during this stage of pregnancy is a classic feature of placenta being situated in the lower part of the uterus near cervix. This is known as placenta Pravda. This is very serious condition and needs hospitalization of the pregnant woman. In this condition, any time alarming bleeding may start which requires emergency surgical intervention. However, this bleeding is usually fresh bright red bleeding. Dark bleeding is blood about to clot. It becomes brownish when it is stale blood. Both these are suggesting risk to babies life. Is her baby moving? I would advise you to get her ultrasonography done to find out:1. Where from this bleeding is coming.2. Where is the placenta situated.3. Whether the baby is viable or not. Dear Madam, bleeding during the pregnancy cannot and should not be managed at home lest the risk to the life of mother and/or baby. Please take her to the emergency room and get her admitted in the hospital. Obstetrician will decide about the further line of treatment after:1. Considering her general condition2. Considering the reports of ultrasonography3. Any other relevant factor hope this conveys you clear instructions, and you act accordingly. For any more clarification or specific advice, you may ask me Direct question with some more information I have asked for. 