Hi doctor,
I am 36 years old female, who is 6 weeks and 4 days pregnant. I take Gestofit 300 once daily and Fertigyn 5000 twice a week. I am on complete bed rest. I get a slight amount of brown discharge occasionally. Should I panic about miscarriage? I am afraid because I had two miscarriages, one at 7 weeks and the other at 11 weeks last year. Please help.
Hi,
Welcome to icliniq.com.
At 6 weeks 4 days, you can have a scan, if it is still not done, to confirm the fetal heartbeat, as the baby's heartbeat only can confirm the health of the baby and to see the decidual reaction.
Brown discharge only means that it is old blood and implantation bleeding. When the embryo bores into the decidual lining of the uterus, it causes few drops of blood to come out. This blood comes out of uterus a few days later as brown discharge. It is normal and nothing to worry.
Do not worry about the history of miscarriages, the chances of repeated miscarriages are only 3 %, which means 97 % chances of healthy pregnancy.
For your information, bed rest is not needed. No matter what history you had, the baby does not get attached to uterus mechanically, rather by chemical attachment. So, whatever you do, the baby will stay attached to the uterus. Pregnancy is not an illness, so enjoy every moment of pregnancy with good health and lots of prayers. Baby will do fine.
Medicines are fine, Gestofit (Progesterone) makes the uterus relaxed and reduces the likelihood of bleeding from the decidual layer. The best method would be to insert the capsule Gestofit 200 mg or 300 mg vaginally twice a day, as the dose reaching the uterus will be the highest with no side effects of the hormone.
Injection Fertigyn (Human chorionic gonadotropin) improves the decidual implantation of the embryo.
If you already had a scan and health of pregnancy has been confirmed, I suggest you try Proluton depot (Hydroxyprogesterone caproate) 500 mg injection, intramuscularly once in every two weeks until 12 weeks of gestation. It will not allow any further bleeding from the uterus. Consult your specialist doctor, discuss with him or her and take medicine with their consent.
Hope I have clarified your doubt, do write back if you have any more queries. All the best.
For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist
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