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Sometimes spotting in early pregnancy causes anxiety and concerns. An urgent scan is required for confirming viability. One in four women will bleed in early pregnancy, many of whom go on to have a healthy baby.


Common abnormal causes of early bleeding are Miscarriage, Ectopic pregnancy, Molar pregnancy and need an urgent diagnosis and treatment.


Ultrasound can detect a gestational sac as early as 4 wks , however, the heart beat is usually detected at 6 wks.A vaginal ultrasound which feels much like an internal examination and is quite safe and efficient in detecting early pregnancy and if the location is in the fallopian tubes (an ectopic pregnancy) this is very serious and if found you will be treated immediately.   If a heartbeat is found it is likely that your pregnancy will continue with no further problems. and chances of miscarriage are less than one in twenty.


You may have a blood test to check your blood group and sometimes the amount of pregnancy hormone in your blood.If low , this can be followed up weekly to ensure return back to normal.This means a complete natural resolution of pregnancy and no need for intervention.


If your blood group is Rhesus (Rh) negative, you may require an injection of anti-D immunoglobulin to prevent problems with the Rh factor in future pregnancies.

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