Is passing clots at 8 weeks pregnant dangerous?

Question

Hello doctor,

I am 8 weeks pregnant, and I found some blood spots with blood clots coming out while urinating. I consulted the doctor and underwent an ultrasound scan with the following observation.

Number of fetuses is 1, viability is live, fetal cardiac pulsation is seen, and fetal heart rate is 160 bpm. Peridecidual fluid is a chunk of fluid covering one-sixth of the sac's diameter and is seen at the fundal end of the sac. The yolk sac is seen. Fetal biometry is CRL 9.2 mm, 6 weeks and 6 days. Maternal cervix length is adequate, and the internal OS is closed. Maternal ovaries are normal. An impression is a single live fetus of 6 weeks of gestation. Mild peridecidual bleed.

Post which, I was advised by the doctor to consume Duphaston three times a day. There is no blood spot post that, but there is still a blood clot coming continuously. About four days back, the doctor recommended consuming Duphaston (Dhydrogesterone) with Sustain 200 (Progesterone). I need to know the following.

Am I in danger or my child?
What percentage is the success rate of such a pregnancy?
Is there any issue in consuming so much medicine?
Is there any other way forward?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your reports and understand your concerns (attachment removed to protect patient identity). You should take all the drugs as your doctor has advised, along with the tablet Folvite 5 mg (folic acid) once daily for a better prognosis.

There is a problem, but if you take all these drugs and take rest, then you can overcome these blood clots. Yes, all these drugs are needed at this time. Do not be worried. Take fresh fruits and vegetables, and take adequate rest.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

It is very bad news. Sorry for what has happened.

The probable cause is a chromosomal abnormality, and I think you would have already done that report from the abortion specimen. If it is positive for a chromosomal abnormality, then it might be repeated in the next conception. You have not mentioned the karyotyping (test to identify genetic problems) report of you and your spouse. Because sometimes, there may be some problems or abnormalities detected during karyotyping.

My opinion is that you should test all the way for better evaluation. You should take one tablet of Folvite 5 mg once daily and a capsule Becosule Z (multivitamin) once daily after meals for three months. You can try for the next pregnancy after three months because, before conception, a period of three months is required.

I hope this helps.

Thank you.