Conversation: The conversation between human and AI assistant.
[|Human|] I am 30 weeks pregnant and am at risk for placenta previa. I have been coughing all day and my stomach muscles hurt when I cough. I am worried because I just started lightly spotting bright red blood when I went to the bathroom right now. Its just small spotting when I wipe. Should I be concerned and go to the hospital or wait to call my ob in the morning?
[|AI|]  Hi, Cramps in the abdomen could be due to coughing; however, fresh spotting to bleeding with placenta Pravda is not a good sign. Usually, the first bouts of placenta Pravda bleeding are very light in amount, only to land in furious bleeding subsequently. The bleeding of placenta Pravda is typically described as painless, causeless and recurrent type of bleeding. Please rush to the hospital ASAP, get examined from your Obstetrician and also get ultrasonography done for evaluation. You may have to be in the hospital for prolonged period. I hope this gives you appropriate message. Let me know if I can assist you further.