<s>[INST] HELLO MY NAME IS MARTHA. I JUST FOUND OUT ABOUT TWO WEEKS AGO THAT I WAS PREGNANT. THE DUE DATE GIVIN TO ME AT THE WOMENS CONNECTION CENTER WAS NOVEMBER FIRST. I DONT THINK IM THAT FAR ALONG YET I WAS ON THE DEPO FOR TWO YEARS I GOT OFF IT DECEMBER OF 08 AND DIDNT GET A PERIOD TILL OCTOBER OF 09. MY QUESTION IS I WENT TO THE REST ROOM A FEW HOURS AGO AND HAD A BROWNISH DISCHARGE, SHOULD I GO TO THE ER OR WAIT? [/INST] Hallow Dear Martha, Brown bleeding during any stage of pregnancy should be taken seriously as it suggests the possibility of the non-viable baby. The decaying discharge from the non-viable baby and/or the old bleeding from the placental tissue causes such brown bleeding. When the baby is non-viable and still the miscarriage has not taken place, it is called as Missed abortion. Brown bleeding is a classic symptom of Missed abortion. For correct diagnosis ultrasonography is the best investigation. If it shows that there are no fetal heart activities, the sac is not healthy or absent, the Missed abortion can be diagnosed. If the baby has been non-viable for more than 10 days, the pregnancy test may become negative. Missed abortion should be terminated immediately lest the risk of alarming heavy bleeding due to clotting disorders (DIC), infection, etc. Please report to the Obstetrician ASAP. Following tests may be carried on your blood to rule out DIC:1. Bleeding time & Clotting time2. Platelet count3. Prothrombin time4. Fibrinogen degradation products ultrasonography reveals that the baby is viable, and it was slight bleeding from chorionic tissue, you will be put to bed and some Progesterone preparation may be given to you stabilize the pregnancy. However, let this decision be taken by an Obstetrician. So please do not delay the treatment.  </s>