Conversation: The conversation between human and AI assistant.
[|Human|] I am 38 weeks pregnant. I lost my plug at 35 weeks. I had a leep done 4 years ago and have scar tissue. They say I am dialated to 1cm and 80% efaced. I am spotting tiny bit of blood and I am contracting but the contractions arent severe. I dont know what it is? can you help?
[|AI|]  Hi there,Since you have lost your cervical mucus plug at 35 weeks and are now getting contractions, along with 80% effacement would mean that you are in early labor. You should monitor the number, frequency and duration of the contractions, and since you are having spotting as well it is advisable for you to get into a hospital care. You should watch out for leak per vagina as that will indicate rupture of the membranes. The KEEP surgery usually should not affect your labor process, but sometimes the scar tissue can hinder dilation of the cervix, best to get into the care of an obstetrician who will monitor the labor and fetal heart immediately. Hope this helps. Regards.