Can the Fetus Be Saved? Early Pregnancy Concerns - Obstetrics and Gynecology

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Can the fetus be retained?


The last menstrual period was on September 14, 2023.
Emergency contraception was taken on September 26.
There was brown spotting from October 1 to 2, and then a menstrual-like flow from October 3 to 6 (uncertain if it was a true menstrual period).
Emergency contraception was taken again on November 2.
A pregnancy test on November 16 indicated approximately one month of pregnancy.
Initially, there was brown spotting and abdominal pain, but there has been no bleeding or pain since then.
Can this pregnancy be viable?

Fei, 20~29 year old female. Ask Date: 2022/11/20

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is generally not recommended to keep emergency contraceptive pills.
You may want to discuss this with your obstetrician-gynecologist.
Wishing you good health.

Reply Date: 2022/11/20

More Info


In your situation, it’s understandable to have concerns about the viability of the fetus given the history of irregular bleeding and abdominal pain. Based on the timeline you provided, it appears that you may have experienced some early pregnancy complications, but the absence of bleeding and pain at this point is a positive sign.

Firstly, it’s important to understand that early pregnancy can be accompanied by various symptoms, including spotting or light bleeding, which can sometimes be mistaken for a menstrual period. The occurrence of brownish discharge or spotting is not uncommon in early pregnancy and can be due to several benign reasons, such as implantation bleeding or hormonal changes. However, persistent bleeding or severe abdominal pain could indicate a potential miscarriage or ectopic pregnancy, which are serious conditions that require immediate medical attention.

Since you mentioned that you have not experienced any bleeding or pain recently, this is encouraging. The fact that you are now around six weeks pregnant and have not had any further complications suggests that the pregnancy may be progressing normally. However, it is crucial to have regular follow-ups with your healthcare provider to monitor the development of the fetus and ensure everything is on track.

Regarding the question of whether the fetus can be saved, it largely depends on the underlying health of the pregnancy and any complications that may arise. If the pregnancy continues without any further complications, there is a good chance that the fetus can be carried to term. However, if there are signs of complications such as heavy bleeding, severe pain, or other concerning symptoms, it is essential to seek medical care immediately.

In terms of medical advice, here are some recommendations:
1. Regular Check-ups: Schedule regular appointments with your obstetrician to monitor the health of the pregnancy. Early ultrasounds can help confirm the viability of the fetus and check for any abnormalities.

2. Healthy Lifestyle: Maintain a healthy lifestyle by eating a balanced diet, staying hydrated, and avoiding harmful substances such as tobacco and alcohol. Prenatal vitamins, particularly those containing folic acid, are essential for fetal development.

3. Rest and Stress Management: Ensure you are getting enough rest and managing stress effectively. High-stress levels can negatively impact pregnancy, so consider relaxation techniques such as yoga or meditation.

4. Watch for Symptoms: Be vigilant about any changes in your body. If you experience any new symptoms such as heavy bleeding, severe cramping, or unusual discharge, contact your healthcare provider immediately.

5. Avoid Certain Activities: It’s advisable to avoid strenuous activities or heavy lifting, especially if you have a history of complications.

In conclusion, while early pregnancy can be fraught with uncertainty, many women go on to have healthy pregnancies after experiencing initial complications. The key is to stay in close contact with your healthcare provider, follow their recommendations, and take care of your overall health. If you have any further questions or concerns, don’t hesitate to reach out to your doctor for personalized advice and support.

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