Q. I am expecting first child and pregnant of around 6 weeks. Noticed some bleeding while urinating
Hi doctor, I am pregnant of around 6 weeks now. This is my first pregnancy. I have noticed a few drops of bleeding while urinating twice in a week. I have consulted a doctor and she suggested to do transvaginal ultrasound and got the following report. Uterus is bulky in size. Regular well defined gestational sac is seen. Single fetal node is seen. CRL - 0.64 cm. GA - 6 weeks 3 days. Fetal cardiac activities are normally visualized. Decidual reaction is good. Peridecidual color flow is normal. No peridecidual clot or hemorrhage is seen. Yolk sac is seen. Ovaries - normal in size and echotexture. Impression - single live fetus of 6 weeks + maturity. Now I am in need of a second opinion. Is there anything serious in my case? Can I continue my normal work? Can I take Duphaston 10 mg for next 8 weeks as directed my doctor? What kind of precaution do I need to take?
Hi. You have a given a complete account of the clinical situation and it is as good as doing a real time face to face consultation. It is not uncommon for women to have spotting early in pregnancy. Most often it is what we call implantation bleeding that is a process of baby getting attached to your uterus. The fact that there is no blood clot in the uterus and the fetal heart beat is present is reassuring. The diagnosis is called threatened miscarriage. In this situation there is a good probability for the pregnancy to go on well that is more than 90%, hence it is unlikely to be serious. You can continue with your normal activities as long as it is not physically demanding. It is also advisable to avoid sexual intercourse for a few weeks. Absolute bed rest is not needed and in fact may be harmful can lead to blood clots in legs. No need to follow diet restriction. Taking Duphaston (Dihydrogesterone) is alright, but again not absolutely necessary. Just be your normal self. Repeat scan in two weeks to ensure things are fine. You will continue to have some form of discharge pink or red or brown or black for a couple of weeks. But, if the bleeding is heavy with clots or with cramping or foul smelling discharge you need to visit the hospital as soon as possible. I would like to stress that more than 90% of times, things will go on well. For further information consult an obstetrician and gynaecologist online -->