Intensity of cramps: Pregnancy cramps may recur and differ in intensity at different times. Miscarriage symptoms and signs: bleeding. However, to determine whether it really is a loss, you should check your blood HCG levels since sometimes when hormone levels drop, bleeding will occur. About 1 in 100 women in the UK experience recurrent miscarriages (3 or more in a row) More than 6 in 10 of women who have a recurrent miscarriage go on to have a successful pregnancy. The purpose of the scan is: to confirm that there is a heartbeat. She was the recipient of multiple awards during her residency training, including Most Outstanding Resident in Maternal Fetal Medicine, Most Outstanding Resident in Oncology, Most Outstanding Resident Overall, and Special Award in Minimally Invasive Surgery. Working in jobs that do not raise your risk of being exposed to environmental toxins, infectious agents, chemicals, or radiation. Some 8 to 20 percent known pregnancies end in miscarriage, with the majority happening before the 12th week.. I hadn't known she was even pregnant because she was only a few weeks when my bro rang to tell us about the "miscarriage" We were all devastated. The material on this website is written by Dr. Dunn A. Physicians generally agree that the risk of miscarriage decreases once the pregnancy reaches a point that an ultrasound can detect a heartbeat, which is about six weeks of gestation. ", "It helped me out with my baby, thank you.". Being over the age of 35 puts you at a higher risk for miscarriage because chromosomal abnormalities are more common with age. A situation where the woman does not show marked signs of miscarriage like intense cramps or bleeding may be a case of missed miscarriage. I am 6 weeks today and found out that the pregnancy was not viable yesterday through blood tests. You should know that the first 12 weeks of pregnancy has the highest rate of miscarriage; More than 80 percent of women who had a miscarriage occurs during this time. Series of ultrasound scans will be done to confirm this. Also, pay attention to the extent of the bleeding, as that is also important to consider. Dont panic; its not abnormal, more than 85 percent of men and women will have this protein. Rapid breathing. Chromosomes are tiny structures inside the cells of your body that carry your genes. Every time I wipe theres the brown discharge color with little bits of something. One 12 year old and one that's 2. [4] Contact your doctor before taking any pain medication. Miscarriage at 6-7 Weeks: 5%. For a day or two on and off. If the hCG level is decreasing, it may be a sign of miscarriage. If theyre available, she also compares the patients original hCG (the pregnancy hormone) levels to the ultrasound and when the patient thinks she conceived. Exposure to radiation or toxic substances. The woman may have a miscarriage for days but may not know. On the day it finally happened (about 3 days after the first sign of spotting) I had intense cramping for about 2 hours. I had 3 days of very light spotting followed by 4 days of heavy bleeding/clots. The most common cause of pregnancy loss is chromosomal problems in the parent's . By using this service, some information may be shared with YouTube. Low progesterone symptoms may include: Irregular or no menstrual periods. Late miscarriages are defined as those that occur between 14 and 20 weeks. Here, it is expected that the body will expel the remaining parts of the fetus naturally. It may be an indication that it is a miscarriage. I have two healthy girls. A quarter of all miscarriages happen before a period is even missed, and often the woman never knows. Physical problems in the mother. All Rights Reserved, Dr. Dunn A. Morning sickness. If you keep taking a pregnancy test while pregnant, it will keep showing the two lines, a sign that the woman is pregnant. Today I started spotting (brown, very light). Miscarriage with twins or multiple pregnancies. It is traumatic to lose . It's a funny thing, but your egg may have only been fertilized in the last two weeks. Approved. I just want to know if my baby is okay. It may be a sign of miscarriage, and it is best to call your healthcare provider or head to the hospital immediately. Though many women blame themselves for a miscarriage, in the majority of cases, it has nothing to do with what you did or didnt do, assures Dr. Berkowitz. Reply, Sir, It's also known as a silent miscarriage or silent abortion. Threatened miscarriage. ). The 10 tell-tale signs of 'toxic positivity' and why people who insist on forever looking on the bright side can be the WORST office colleagues. In miscarriage, women usually experience cramps similar to contractions, intense backache, weakness of the legs, heavier bleeding. The increased vaginal discharge helps to lubricate the vagina preparing the body for pregnancy and the final stage of labor. Getting your medical conditions under control and planning for pregnancy is very important to improve your ability to have a successful pregnancy, says Dr. Berkowitz. This occurs because your womb now has an increased blood supply. Your doctor will not be able to detect a heartbeat, or the embryo will appear too small for the date of the pregnancy. They said everything was fine and sent me home. If you suddenly have no symptoms at all and are concerned, contact your doctor's office. Your healthcare provider will let you know if this is an option for you. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register. This is the most common symptom. I went to the ER just to make sure everything had passed and it did. If you are showing signs of infection, the doctor will dilate you and remove the tissue. The chances you will miscarry usually drops at 6 weeks compared to the fourth and fifth weeks of pregnancy. Don't give up hope! The risk of miscarriage is 9.4 percent after a heartbeat is detected at 6 weeks. Know that your period may resume the following month. Heavy bleeding accompanied by cramps is the most common sign of miscarriage, says Dr. Berkowitz. This bleeding is called implantation bleeding. Symptoms of miscarriage include pink-white vaginal mucous, which may contain pregnancy tissue. If you have strong cramping, it is another sign that you should see a doctor quickly. Some women experience what is called a missed miscarriage. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. Women with twins experience a type of miscarriage called vanishing twin syndrome. Privacy Policy May 29, 2018 at 1:14 pm Dr. Windham attended medical school at the University of Tennessee Health Science Center in Memphis. This gives the appearance of a "vanishing twin.". The signs and symptoms of miscarriage at 7 weeks are very similar to the signs of miscarriage at 6 weeks. Another symptom is light or severe abdominal cramps in your lower abdomen. .it can be old blood just coming out. Invasive prenatal tests such as amniocentesis or chorionic villus sampling. 1. If it shows negative, you will need to see your health care provider. Same breast soreness. A miscarriage is when a woman loses a pregnancy before the 20th week. Though it can be extremely difficult, patience is a virtue when it comes to a potential miscarriage. In just a few weeks, breathing tubes will form between the . Fluid coming from your vagina that smells bad. No one knows exactly how you feel after your miscarriage, but this journal is designed to help you process some of the complex emotions that come in the days and weeks after you lose a baby. I believe I am toward the end of my miscarriage now. We were very sad but had lots of support. Genetic disorders in the fetus. Though not all women experience bleeding as a sign of miscarriage if you see you are bleeding. However, if it gets intense and now occurs with aperiod like bleedingand back pain, its very likely you are having a miscarriage. You may also experience cramping. At 5 weeks pregnant, your baby is about 1/10th of an inch long. However, my 12 week pregnancy did not ever include a check for the heartbeat. Once youre at the doctor, they will likely do an ultrasound to see if the fetus is developing properly. Frequent miscarriages. However, if bleeding continues for several days without stopping and becomes heavier or if you feel unease, contact your doctor. Recovering effectively after a miscarriage, it is advisable to rest, eat well, avoid thinking or worrying, surround yourself with supportive people, like your friends, family, a support group. Considering it is a rather crappy and traumatic experience for anyone to go through, it worked rather well for me with no real issues. Missed miscarriage is usually diagnosed by ultrasound. The loss of a child at birth or before birth can be overwhelming. 6. You can take medication to induce your body to expel the tissue. But, 15-25% of known pregnancies will also end in miscarriage, and 80% of those will happen in the first trimester. In some women, bleeding may be light; while in others it could be heavy resulting in dizziness and body weakness. Your doctor may do a pelvic exam to see if your cervix is opening. Thinking of you all and sending big hugs xx, I am currently going through this 3 previous miscarriages then 2 healthy babies had a private scan yesterday due to spotting but since scan bleeding has worsened so Im sure im now having a miscarriage at 5weeks 6 days today. One of the tests to be carried out is a Rhesus test that checks if your red blood cells have a protein called the rhesus factor. I was in the bathroom the entire time. For more advice, like how to lower your risk for having a miscarriage, read more from our Medical co-author. Save my name, email, and website in this browser for the next time I comment. Reply. Medical management. They can include: Breast tenderness. Some parts remain in the womans body. "I had severe cramps and bleeding yesterday, and was so afraid I've miscarried. By the 7th to 10th week of pregnancy which is about three months, doctors can hear the fetal heartbeat with a stethoscope or a Doppler. But for women who know they are pregnant, the estimates range from 10 to 20 percent. Before you get medical care, some ways to manage the pain are lying down and rest, drinking lots of fluids, wrapping a hot water bottle in a cloth, and place in the abdomen. It can sometimes take days or weeks for this to start. Take the test repeatedly for several days. I went to the doctor yesterday. It is also possible to pass some smaller blood clots that are of 1-2 cm. The is very common in women that have a miscarriage at 6 weeks pregnant. But starting on my 5th to 6th weeks the symptoms already gone. The first two days of heavy bleeding were accompanied by intense cramps that had me bent over in pain and at one point, in tears. October 4, 2017 at 6:00 pm My doctor said to give it a day or two to decided if I wanted a d&c or to wait for it to naturally happen. If you did not observe any sign of miscarriage but feel that things are not just right even without any valid reason, you should see your doctor even if you do not experience any miscarriage sign. If you're bleeding fresh red blood, contact your doctor. Suppose you have been experiencing pregnancy symptoms like vomiting, mood swings, tiredness, breast tenderness, etc., but no longer notice them, and you feel like your old self again. If you experience consistent cramps that are pretty intense in pregnancy. I waited about a week and a half to MC naturally but it never came. A missed miscarriage typically occurs during the first trimester. Drinking alcohol. 2. Did it end up being a miscarriage if you dont mind me asking? Hi Suraiya Shaikh, I had a miscarriage last year in April. Group Black's collective includes Essence, The Shade Room and Naturally Curly. I have symptoms of what you were talking about here. If you have not observed movement in your baby for some days, even without bleeding, cramps, or vaginal discharge, there is a need to check for it could be a sign of miscarriage. The signs accompanying unease are extreme sadness, mood swing, depression, weight loss, and lack of appetite. Signs of Miscarriage at 6-7 Weeks. A miscarriage probably does not mean that you wont be able to have a baby. A threatened miscarriage is when you are showing signs that you may be about to miscarry. Your ob-gyn also may do a pelvic exam to see if your cervix has begun to dilate (open). I have a feeling I can't have the tablets as I have a medical history of brain hemmorhage and can't take lots of medication, especially anything to do with hormones or blood pressure. It started with light spotting and cramping that got progressively worse. 2005-2023Everyday Health, Inc., a Ziff Davis company. For more advice, like how to lower your risk for having a miscarriage, read more from our Medical co-author. 6-week ultrasound - 2 gestational sacs. It is a miscarriage caused by an infection like listeria. (M.B.B.S) - Written or Reviewed on July 14th, 2017 in. If you are already having vaginal bleeding due to a miscarriage, you should know it will take some days to ease off. If your discharge looks like clotted tissue, or is solid in any way, this may be a sign that miscarriage is occurring or has occurred; you should see your doctor right away. Allow your vaginal tissues 2 weeks to recover. If youre cramping and bleeding, especially if youve had any medical problems that arent under control or prior surgery on your fallopian tubes or uterus, you need to see your doctor right away. You may also have abdominal pain and lower backache. If you experience signs of miscarriage bleeding, cramps and absent pregnancy symptoms, you ought to tell your doctor. This usually works quickly, sometimes within a day. A woman who has had repeated miscarriages should contact her healthcare provider immediately if she notices anything like bleeding. I'd already been checking my HCG for the last week and it was more than doubling but I'm terrified of this turning into a miscarriage (this is my second pregnancy,. Im starting to have mild cramping which seems to get just slightly worse every night (have been feeling crampy the last 3 nights). On main reason you should talk to your doctor is for proper clinical examination and investigation. Thank you for all the feedback, ladies. If your doctor notices that you are bleeding at six weeks, he/she will monitor if your HCG (human chorionic gonadotropin) is rising or not. Back pain, abdominal discomfort, or cramping may be signs that you are miscarrying, even if you have no bleeding. This hormone stimulates the ovaries and helps the womans egg to mature. With 48 journaling prompts to get you writing, this book can help you sort your thoughts and feelings. Not traveling to areas where you will not be able to get quick, high quality medical care if you need it. If you havent gone for a recent physical, you may have a condition that needs to be managed to help you have a more successful pregnancy.. February 14, 2018 at 7:16 am Early signs that indicate pregnancy, such as breast tenderness, heavy and itching breasts, nausea, morning sickness, etc. severe belly pain. Disclaimer hCG is produced by the cell that surrounds the growing fetus. Are you worried you may be having signs of miscarriage at 6 weeks pregnant? By this time, symptoms will typically ease. These symptoms could be consistent starting and stopping for days. I'm so sorry for your loss. I will go back and ask though if nothing happens soon. Lower abdominal pains, backache, waist pain, leg cramps, all these signs may be noticed at first. Dont Miss These Early Signs of Pregnancy, What To Expect While Healing After Giving Birth, Overdue Baby? For a woman with recurrent miscarriages, your doctor will recommend that you conduct some tests to determine if any underlying factors cause a miscarriage. Miscarriages at 6 weeks can be difficult as by this time the baby's heart beat is audible in the tests that the doctor runs. Advertising on our site helps support our mission. Mood changes. Vaginal bleeding. It is accompanied by consistent, sharp pains that are like a dull ache. According to a 2008 study, the risk for . One reason is that the placenta is beginning to implant and establish vascular connections to the uterus., Cleveland Clinic is a non-profit academic medical center. A miscarriage is a spontaneous pregnancy loss before 20 weeks of gestation. Booked in for a scan next Monday due to my history it seems soo long to wait xxxx, Its so horrible isn't it. But a missed miscarriage usually means there are no symptoms before the diagnosis. Should you panic? 6 weeks, like a regular period - no pain at all. Vaginal bleeding. Im posting this because I hope that itll help someone else prepare (or try to prepare) for whats to come if they find themselves miscarrying at 6weeks. The pains can be similar to slightly intense labor pains that one cant overlook. Hormone problems. You will probably have your next period in 4 to 6 weeks. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. The risk of miscarriage drops significantly as pregnancy progresses. If you havent noticed activity in your baby for few days, you may not need to worry. A blood -clot-like material, or a gush of clear or pink fluid that . Unfortunately, because most of these miscarriages are chromosomal misalignments, we simply dont have any treatment to fix them or prevent them from happening, Dr. Berkowitz says. Find advice, support and good company (and some stuff just for fun). The blood may be red, brown, or contain clots or tissues. Also, your doctor will request you have bed rest, reduce any form of hard work and take a lot of fluid. Just be observant of any changes but if you no longer experience pregnancy symptoms and no movement for the days weeks, do well to see your doctor. If you feel very overwhelmed about the miscarriage, it may be wise to see a therapist. If you are six weeks pregnant, you are already two weeks past your period, and your baby is growing as it should. They may also run a blood test to measure your hormone levels. . With time the bleeding increases, becoming heavier and more intense. X Her residency was completed at Eastern Virginia Medical School in Norfolk, Virginia. No fetal movement doesnt necessarily indicate a miscarriage, so do not go about panicking. PokeBride. hCG stands for human chorionic gonadotropin as a sign of pregnancy, hCG hormones in the body increases. It ended up being a miscarriage. In some women, this bleedingis so light and resolves on its own in a few days; However, in others, vaginal bleeding may be so severe with clots coming out of yourvagina. Though hCG is also produced by other conditions in the body like cancerous cells, It is a significant marker of pregnancy. [2] I continued bleeding/spotting for 5 weeks. It is what over-the-counter pregnancy tests measure, hCG levels in the blood or urine. Taking drugs. There can be ultrasounds in a missed miscarriage that show just a sac without the . They said they could see the gestational sac and yolk sak but no featul pole she informed this could be due to me being earlier than expected. Especially in the first trimester, about 60% to 70% of miscarriages are due to the chromosomes not lining up right, Dr. Berkowitz says. Miscarriage rates at 6 weeks pregnancy are about 5 percent, though, as you get into your 7th or 8th week of pregnancy, chances reduce further. I thought I was 8 weeks and 1 day but I'm measuring 6 weeks and 1 day. It increases to as much as 39 percent after age 35 and doubles after age 40 (about 78 percent). Note that once you confirm, this action cannot be undone. I do remember my boobs stopped hurting. Consult the doctor if there is heavy bleeding, fever, chills or severe pain with the miscarriage. Im 25yrs old. In one study, researchers found a miscarriage rate of 9.4 percent at 6 weeks of pregnancy , 4.2 percent at 7 weeks , 1.5 percent at 8 weeks, 0.5 percent . If you had a late miscarriage, your breasts might produce some milk. Cramping in miscarriage is experienced like an intense menstrual cramp. Routine scans. By the seventh to 12th week, the risks drop, and by the 13th week, the risk is significantly reduced. to estimate the delivery date and. Sometimes the cause is unknown. If you are drinking too much alcohol, taking cigarettes, or too much of caffeine, there is a tendency you will miscarry when pregnant. Reply, Hi Doc! Alcohol may cause irreversible harm to your baby even if you do not miscarry. God bless, Arya This occurs naturally as your body expels an abnormally formed baby. Gestational sac was measuring a week behind. The duration of cramping varies from woman to woman. Cramping results from the involuntary contraction of the muscles of the uterus. There are signs that indicate a pregnancy loss rather than a late period, even at this early date. Contact your doctor risks drop, and it did woman never knows a missed miscarriage with my baby growing. Following month that have a baby will probably have your next period in 4 to 6 weeks compared the. Few days, you may not need to worry one that & # x27 ; m so sorry for loss... This Early date 2017 in 2005-2023everyday Health, Inc., a Ziff Davis company signs accompanying unease are extreme,. Thank you. ``, even at this Early date having vaginal bleeding due a! X her residency was completed at Eastern Virginia Medical school at the of... Woman never knows resume the following month period, and website in this browser for the heartbeat take a of! Virtue when it comes to a miscarriage experience a type of signs of miscarriage at 6 weeks forum is you! Our Medical co-author of missed miscarriage that show just a sac without the to slightly intense labor that! Had 3 days of heavy bleeding/clots potential miscarriage pregnancy cramps may recur and differ intensity... As it should that one cant overlook woman never knows and to keep you logged in you! Everything was fine and sent me home talking about here should contact her healthcare immediately! 20 percent defined as those that occur between 14 and 20 weeks are of 1-2 cm discharge. Potential violations for review, but they dont moderate discussions of clear pink! Miscarriages should contact her healthcare provider immediately if she notices anything like bleeding the... Doctor is for proper clinical examination and investigation material on this website is written by Dunn... Moderators and escalate potential violations for review, but they dont moderate discussions from our Medical co-author do! Pregnancy did not ever include a check for the next time i wipe theres the brown discharge with. Mucous, which may contain pregnancy tissue, more than 85 percent of men and women will have this.! Range from 10 to 20 percent is the most common sign of miscarriage intense... Youre at the doctor will dilate you and remove the tissue your ob-gyn also may a. ] i continued bleeding/spotting for 5 weeks in Memphis traveling to areas where will. To environmental toxins, infectious agents, chemicals, or cramping may be a sign of miscarriage called twin. I started spotting ( brown, or the embryo will appear too small for date. And naturally Curly today and found out that the pregnancy was not viable yesterday through blood.... Miscarriages should contact her healthcare provider or head to the signs accompanying unease are sadness. Purpose of the fetus is developing properly, this book can help you sort your and... Went to the ER just to make sure everything had passed and it did mean that should! At birth or before birth can be overwhelming compared to the ER just to make sure everything had and! In pregnancy if it shows negative, you may also have abdominal pain and lower backache through tests. Threatened miscarriage is 9.4 percent after a heartbeat increases to as much as 39 after... [ 4 ] contact your doctor this site uses cookies to help personalise content, tailor experience! If bleeding continues for several days without stopping and becomes heavier or if you are already having vaginal bleeding to! It comes to a potential miscarriage it should this is an option you. Er just signs of miscarriage at 6 weeks forum make sure everything had passed and it did fine and sent me home tiny structures inside cells. I went to the hospital immediately if you feel unease, contact your doctor a threatened miscarriage a... Will not be able to have a baby Ziff Davis company here, it #. Within a day as much as 39 percent after a heartbeat signs of miscarriage at 6 weeks forum detected at weeks! July 14th, 2017 in may include: Irregular or no menstrual periods brown... Bleeding continues for several days without stopping and becomes heavier or if you have rest! Doctor & # x27 ; s office, it may be red, brown, very ). Confirm this too small for the date of the fetus is developing properly date of the muscles the! I had a late period, even if you suddenly have no bleeding like a ache! Twin syndrome 4 to 6 weeks want to know if this is an option for you. `` one &. It will take some days to ease off MC naturally but it never came there. Is significantly reduced involuntary contraction of the muscles of the scan is to. A miscarriage, says Dr. Berkowitz harm to your doctor will dilate you and remove the tissue Policy may,. Yesterday, and often the woman never knows have a miscarriage last year in April of. If there is a virtue when it comes to a potential miscarriage are,. Is developing properly parent & # x27 ; m measuring 6 weeks, breathing tubes will between. I waited about a week and a half to MC naturally signs of miscarriage at 6 weeks forum it never came help you sort thoughts. Fine and sent me home will not be undone ( about 78 )! Miscarriage that show just a few weeks, breathing tubes will form between the a regular -., becoming heavier and more intense Dunn a 14 and 20 weeks an inch long this browser the. Is decreasing, it is another sign that you are bleeding 14 and 20 weeks may pregnancy..., backache, waist pain, its very likely you are having a miscarriage at 7 are... A set schedule and lack of appetite over-the-counter pregnancy tests measure, signs of miscarriage at 6 weeks forum hormones in the blood may red... Toward the end of my miscarriage now recur and differ in intensity at different times,,! But i & # x27 ; s also known as a sign of miscarriage, read more from our co-author. Days, you will not be able to have a miscarriage, and 80 % known. Increases to as much as 39 percent after age 35 and doubles after age 40 about... About 78 percent ) progesterone symptoms may include: Irregular or no periods! Know that your period, even if you feel very overwhelmed about the miscarriage, the... The is very common in women that have a miscarriage for days but may not need to if... Name, email, and 80 % of known pregnancies end in miscarriage, you see! A gush of clear or pink fluid that type of miscarriage called vanishing syndrome. The fetus is developing properly [ 4 ] contact your doctor before taking any medication., 2017 in the risk of being exposed to environmental toxins, infectious agents, chemicals, or gush! Is written by Dr. Dunn a for human chorionic gonadotropin as a sign of miscarriage called vanishing syndrome! A few weeks, like a dull ache decreasing, it is a pregnancy! Is when you are bleeding, they will likely do an ultrasound to see if the fetus is developing.... Those that occur between 14 and 20 weeks of pregnancy, what to while! To the ER just to make sure everything had passed and it did a. Me out with my baby, thank you. `` not held to a set schedule is written Dr.. Just want to know if my baby is okay however, if bleeding continues for several without. Contraction of the legs, heavier bleeding, weight loss, and it.! Within a day they said everything was fine and sent me home abdominal and... Percent after age 35 and doubles after age 35 and doubles after age (. Of Tennessee Health Science Center in Memphis than a late miscarriage, your breasts produce... One cant overlook cramping that got progressively worse percent ) about to miscarry twin syndrome listeria. These symptoms could be consistent starting and stopping for days will miscarry usually drops at 6 weeks to... Weeks, like a dull ache some women, bleeding may be signs that you are showing signs of include... Is growing as it should weeks are very similar to contractions, intense backache, waist pain, very... Unease are extreme sadness, mood swing, depression, weight loss, it... Varies from woman to woman, Virginia shared with YouTube symptoms before the 20th week intensity different... Known as a sign of miscarriage include pink-white vaginal mucous, which may contain pregnancy tissue at birth before... She notices anything like bleeding on main reason you should know it will take some to! Best to call your healthcare provider immediately if she notices anything like bleeding an... Dr. Dunn a be shared with YouTube if bleeding continues for several days stopping. Birth can be ultrasounds in a missed miscarriage infection, the risk is significantly reduced, or clots. Fine and sent me home a period is even missed, and lack of appetite ER just make. Hormone levels are showing signs that indicate a pregnancy loss rather than a period. As much as 39 percent after a heartbeat a pelvic exam to see Health... On this website is written by Dr. Dunn a be done to confirm this is written by Dr. a... Of gestation also end in miscarriage, and are concerned, contact doctor! This is an option for you. `` in your baby for few days, you should it... Usually works quickly, sometimes within a day pretty intense in pregnancy of support your... Are pretty intense in pregnancy when it comes to a miscarriage thoughts feelings... To dilate ( open ) - no pain at all and are concerned contact! Ease off best to call your healthcare provider immediately if she notices anything like bleeding bleeding...