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Question
Hello doctor,
I have a stillbirth of 12 weeks, am 6 weeks pregnant now, I have an ultrasound, I am pregnant with twins, 1 12-14mm gestational sac with yolksac, 1 5-6mm bag without yolksac and no embryo. The doctor told me that my case was at high risk of stillbirth, and I scheduled an ultrasound one week later. I went to the doctor on February 28, this morning when I went to the toilet, I had brown blood and mucus. The doctor asked me if I was 6 weeks pregnant with brown bleeding, is it stillbirth? Thanks for the advice doctor.
Le Thi Kim (1992)
Answer
Answered by Resident Doctor Nguyen Sy Quang - Obstetrics and Gynecology, Vinmec Central Park International General Hospital.
Hello,
With the question "Is it stillbirth for 6 weeks pregnant with brown bleeding? ", the doctor would like to answer as follows:
Bleeding in the first 3 months of pregnancy is very common, so it cannot be concluded that it is stillbirth, so don't worry too much. Want to check if the pregnancy is developing or not, it takes time, so you should come according to the appointment schedule to get the most accurate results.
Doctors can diagnose stillbirth based on the symptoms encountered in pregnant women such as:
With stillbirth in the early stages of pregnancy, pregnant women have vaginal bleeding, dark blood, other symptoms. Pregnancy symptoms are reduced, the abdomen is not enlarged. With stillbirth at a late stage, pregnant women have symptoms of a gradually shrinking abdomen, black vaginal bleeding, no pregnancy, and colostrum secretion. Auscultation of fetal heart with hand-held Doppler instrument: no fetal heartbeat at gestational age after 8 weeks. Fetal parts are difficult to palpate. The uterus is small for gestational age, especially if the height of the uterus decreases between measurements. Subclinical examination by ultrasound, blood test.
Fetal ultrasound: It is a highly effective, easy to perform, and fast method in diagnosing fetal heart failure to identify stillbirth. If the ultrasound does not show fetal heart activity, the fetal head is distorted, there is a phenomenon of overlapping skull joints or signs of two rings in the skull due to scalp detachment, the image of the amniotic sac is not compatible with the gestational age, the margin of the sac Irregular amniotic fluid, little or no amniotic fluid, indicates stillbirth. This test for stillbirth also helps determine if the fetus is stillborn or has been dead for a long time. HCG test: When a pregnant woman is suspected of having a stillbirth, the doctor will order a urine test or blood test to determine the stillbirth to assess the quantity of HCG. HCG (Human Chorionic Gonadotropin) is a hormone that regulates pregnancy, is secreted from the trophoblast, plays a role in activating the embryonic germ cells to develop and mature; At the same time, it stimulates the secretion of sex hormones, forming the sex of the fetus. If the second blood or urine HCG test is lower than the first time, and does not increase commensurate with gestational age, it is possible that the fetus is stillborn, miscarried, or has an ectopic pregnancy. Quantification of Fibrinogen in the blood: Used to evaluate the influence of the fetus on blood coagulation before cesarean section. Test to find the cause of stillbirth: Depending on each case, the doctor will assign couples to perform different tests. If you still have questions about the signs and diagnosis of stillbirth, you can go to a hospital of Vinmec Health System for an examination. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
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