AboutMohamed Kandeel Expertise I can answer questions about antenatal care, medical problems associated with pregnancy, labor and delivery and postpartum care.
Experience Currently I am working as a Professor of Obstetrics gynecology, Menofyia University, Egypt. Since 1987, I worked in many university and private hospitals with a high load of pregnant population averaging 7-9,000 deliveries/year. This exposed me to all problems associated with pregnancy, labor and delivery. I had my doctorate degree in Obstetrics and Gynecology in 1996 in the use of Doppler ultrasound in high risk pregnancies.
Organizations Menofyia University, Egypt
Publications -British Journal of Obstetrics and Gynecology (Kandil M)
-Egyptian Journal of Obstetrics and Gynecology (Kandil M)
-Ain Shams Journal of Medicine (Kandil M)
Education/Credentials -Master's degree in obstetrics and Gynecology 1989
-Doctorate degree in Obstetrics and Gynecology 1996
Awards and Honors Editorial advisor: Fetal monitoring section of the international website www.obgyn.net
Question Hi, I'm 19 and about 26 and a half weeks and i'm worried about this spotting that has occurred. My boyfriend and i had intercourse this morning and i went to go use the bathroom afterwords. When i was done urinating, i noticed some red tissue in the bottom of the toilet. it wasn't very large, just like little tiny bits of tissue along with a very faint pink blood. I've had a little bit of spotting before after intercourse earlier in my pregnancy and the doc said it wasn't much to worry about, but i'm concerned this time because of the whole tissue issue. Could this be anything really serious?
Answer Dear Jackie
This can be a case of placenta previa which means that the placenta is in abnorml site which is mostly in the lower part of your uterus. Normally it is high up in the uterus. When this case is diagnosed at your stage of pregnancy, 26 weeks, many cases improve spontaneously and the placenta moves up with the growth of the uterus as you approach term. In severe degrees, placenta may remains low in the uterus.
Therefore, the first thing to do is to avoid any household activities, intercourse and similar activities. The second is to seek an abdominal ultrasound examination to exactly locate your placenta. Further management would depend on the sonographic findings.