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 foetal 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 time
2. Platelet count
3. Prothrombin time
4. Fibrinogen degradation products
If 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.
Dr. Nishikant Shrotri