Brown Spots At 4 Weeks Pregnant And Calculating Gestational Age?

Illustration of Brown Spots At 4 Weeks Pregnant And Calculating Gestational Age?
Illustration: Brown Spots At 4 Weeks Pregnant And Calculating Gestational Age? Bing

at the afternoon,rnHpht I February 5 2018, March the second week I tested and was positive. On March 19, I first checked with the obstetrician and then an ultrasound through the abdomen only showed a thickening but there was no sac, it was estimated that I was 5w pregnant. Was told to come back in 2 weeks. But on March 28, I had brown discharge, so on March 29 I went to the doctor and a transvaginal ultrasound revealed that the gestational sac was 0.4 cm and the estimated pregnancy was 4w. Is my pregnancy normal? What is the correct calculation of pregnancy?

1 Answer:

Hi Ermayla,

Thanks for the question. Gestational age can be estimated by calculation based on the first day of the last menstrual period (LMP), that is, by subtracting the current date from the HPHT. On March 29 2018, based on HPHT, your gestational age is estimated to be 7 weeks. However, usually this calculation must be confirmed again by ultrasound examination by a doctor. From the ultrasound examination, the doctor will measure several structures to determine gestational age. Ultrasound examination and calculations with HPHT are often different. Ultrasound examination results will be more accurate if done in the early stages of pregnancy. It's too early to tell if your pregnancy is normal or not. But if this gestational sac later does not develop at the next examination as expected, then your pregnancy has a problem. Although calculating gestational age is one of the important things to know, you don't need to focus too much on it. Please continue to consume nutritious foods and health supplements recommended by your obstetrician.

Bleeding in the form of spots can occur in early pregnancy due to hormonal changes during pregnancy. In addition, bleeding that occurs during early pregnancy also needs to be watched out for the possibility of miscarriage if it is accompanied by abdominal pain/cramps. Please check your womb regularly according to the schedule recommended by your obstetrician.

Hope this information is useful.

Dr. Aloisia

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