Passing Tissue at 4-5 Weeks
QUESTION
Dear Midwife,
This is my first pregnancy and according to my LMP (2/13/09) I should be about 5 weeks pregnant. A couple weeks ago (3/12/09), I noticed brown discharge and assumed it was my period but it only lasted one day. After doing some reading, I realized it might have been implantation bleeding. I took two HPT's which came out positive and confirmed a positive pregnancy test at the doctor.
Yesterday morning, I noticed very little red tissue in my morning urine and red discharge when I wiped. I went to see the doctor immediately and was ordered to take a quantitative hcg yesterday and then again in 3 days. I noticed yesterday and today that my nausea and mild cramping have subsided and so has my fatigue. I have also still been passing little pieces of tissue when I urinate (but not every time) and still, when I wipe,there is red discharge on the napkin. I am not bleeding but am worried that I may be going through a miscarriage. Is there still hope that I may have a normal pregnancy?
ANSWER
Yes, but it is too soon to tell if this is a viable pregnancy. It sounds like you are getting good care; hopefully everything will work out.
-- Cynthia, CNM. PhD.
Cynthia Flynn
Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.
Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.
