Conversation: The conversation between human and AI assistant.
[|Human|] good day dr, today im in day day 8 of 3days embryo transfer. 11 days po. i got a positive pregnancy test , my beta is 21. i start having very light brown discharge with tiny black piece of blood. since an hour im feeling a very sharp pain in the uterus which is on and off but its still there. is that pain normal during early pregnancy or something to warry about.
[|AI|]  Hallow Dear, At 8+ weeks of pregnancy, light brown discharge with pain in uterus is not a good sign. Brown discharge at any stage of pregnancy indicates the risk to the life of baby - most of the time non-viable baby. Moreover, pain in uterus is due to the efforts of the uterus to expel such non-viable baby out of the uterus. Hence, such in condition with pain in uterus, it is almost not possible to save such pregnancy. To confirm the status of baby, the best option is to undergo ultrasonography. It will reveal following important information:1. Whether heart activity of the baby is visualized; i.e. whether the baby is viable2. Where from the bleeding is coming - from the chorionic tissue attachment site or elsewhere. Pregnancy test of urine may not be conclusive since it requires about a week or more for the pregnancy test to become negative after the baby has become non-viable. If bleeding is from the base of the chorionic tissue, it indicates impending danger to the baby. If baby heart activity is seen with chorionic bleeding, then you will have to take strict bed rest. Injection Chat Doctor or Progesterone preparations with Folic acid may be prescribed to you. Progesterone or Chat Doctor help stabilizing the pregnancy while Folic acid will help the regeneration of the damaged tissue. However, if the babies heart activity is not visualized, it means the baby is non-viable. This is known as missed abortion. Brown bleeding is always stale old bleeding. Hence, the chances of missed abortion seem to be very high. If it is missed abortion, and you do not abort naturally, you will have to undergo termination of pregnancy without delay lest the risk of alarming bleeding due to clotting disorders (DIC), infection, kidney failure, etc. So please report to your Gynecologist ASAP for further action. I hope this gives you required message.