<s>[INST] i am 6 weeks and 2 days pregnant. Last night i went to the er with bleeding and was told the baby looked good but the heartbeat was only 82 which they said was not good. I have been really sick, coughing A LOT hard and feeling terrible. Can the coughing cause the bleeding and the lower heart rate? [/INST] Hello, I have gone through the query and understood your concern. Cough can cause stress and pressure on the uterus and this exertion can lead to a possible hemophobia separation which may present as external bleeding. If this happens, and if this does not stop, the pregnancy is at risk. The lowered fetal heart rate is suggestive of a possible threat to the fetal blood supply. In the current scenario, you should take absolute bed rest, avoid all stressful activity, get immediate relief from the cough through medication or natural remedies and follow up regularly to assess the pregnancy status. Serial sonograms of the pelvis and serial beta-ChatDoctor titles help a lot. Wish you good health. </s>