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Is Brown Spotting At 18 Weeks Of Pregnancy A Serious Medical Concern For The Fetus?

Posted on Mon, 18 Mar 2024

Question: Hello,
I am currently 18 weeks 3 days pregnancy. Last monday i had little brown spotting early morning and then nothing, tuesday again i had spotting this time more pinkish so i went to my gynac and did ultrasound which showed everything normal wid baby. My placenta is anterior, cervix is 3.8 cm. But since then i am spotting on and off and mostly when i wipe, though intensity increased fr first two days and then has decreased and its brownish but i am worried. I am takin duvadilan retard twice a day since tuesday as prescribed by my gynac. Also i had history of pcod about 4 years back which was treated then.

Answered by Dr. Deepti Verma (26 minutes later)

Brief Answer:
Can be idiopathic

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
I have reviewed the report.
The bleeding in second trimester of pregnancy can be due to placenta previa, bleeding in the placenta, local causes in cervix or vagina like polyp or idiopathic ( no cause found).
Since the ultrasound report is normal, placenta previa and bleeding in the placenta are ruled out.
Local causes should be ruled out by proper internal examination.
If nothing is found, then it is idiopathic bleeding and you should continue rest and medication as advised.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepti Verma (8 hours later)

Again i had spotting in evenin today which was proper red in color and later than that i had after four hours little brownish.

Answered by Dr. Deepti Verma (17 hours later)

Brief Answer:
Progesterone support

Detailed Answer:
Hi dear,

You should be given progesterone support in form of suppositories or injection to support the pregnancy.
Check with your doctor about it.

Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepti Verma (48 hours later)

My gynac tells me
I dont need progestrone. For past 3 days i dint hav any spotting but today i had little pink spotting

Answered by Dr. Deepti Verma (14 hours later)

Brief Answer:
Rest advised

Detailed Answer:
Hi dear,
Progeterone supplementation can be given in unexplained bleeding in pregnancy.
However, since your OBGYN specialist might have examined and assessed your condition in detail, she/he is a better situation to decide.
You continue rest and avoid heavy work.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Yogesh D