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

### input:
My daughter is 6 months pregnant with her 3rd child, the youngest being born April 4th 2016. She is type o- blood type. Yesterday when she stood up she had a sharp pain in lower part of her stomach, so intense that she had to sit back down immediately and wait for the pain to stop (about 5 minutes). Just now when she went to the bathroom she had blood when she urinated. More than a spotting. Now she had blood during her last pregnancy but not this heavy. Should we head to the hospital now? Or what do you recommend?

### output:

Hi, I guess your concern is spotting, and you should go to hospital now. Visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. Firstly let us focus on your pain in lower part of stomach plus spotting followed by bleeding. These are the warning signs that there might be some problem in placenta (placenta connect the baby to the womb of the mother). Some problem of the placenta has caused this warning scenario in your daughter. For this you need to see the above said specialist as fast as possible. Secondly I would like to focus on childbirth spacing, that is if minimum gap between two babies is not adequate then this kind of scenario may happen-PRETERM Labor (not a good time to discuss in detail about it). In short, I can say that womb of the mother will not be fully ready/ has full strength to grow a new baby if proper spacing between babies or pregnancy is not there. I would like to suggest that you rush to visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. I hope the information is useful, informative and helpful to solve your daughters problems. Let me know if I can assist you further.