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Postpartum Cycle & Early Pregnancy Signs: What to Expect After a Loss


Question
I gave birth to my daughter who was stillborn on the 2nd june 07 she was 26 weeks gest.  I wanted to ttc again straight away.  My lochia lasted a week and half, no more spotting from then.   On the 27th june i got sharp twinges in my side, which I thought may have been ovulation pains so i checked my cervix which was wide open.  yesterday (5dpo) i had some spotting or brown disharge - could this have been implantation bleeding?  This morning i did a hpt (10miu) and there was a faint positive.  Last week i did 3 hpts and they were negative.  Do you think I will have ovulated so soon after giving birth and that I am now pregnant again??  I never had spotting with my last pregnancy.  Thank you

Answer
Your cervix may have still open because you were still less than 6 weeks away from the birth.  Even for a 26-week delivery, it takes a full 6 weeks for the body to completely recover.  Also, you should note that if this was your first delivery, your cervix may take on a more permanently open shape.  You will still be able to detect ovulation by monitoring it, but you will need to monitor daily so that you can feel the new difference.

The pain and spotting may have been a continuation of your lochia.  It is very normal for lochia to stop and then start again.  Lochia is very responsive to your activity level, tending to fade or disappear when you are resting and increase again when you become too active.  Even if you are pregnant again already, getting pregnant while your uterus is still recovering from the previous birth could account for the spotting you experienced.

While normally I would say that "a positive is a positive" for pregnancy tests, the fact that you are still in the postpartum period could affect the tests, making them unreliable.  You may want to see your doctor and get a blood test.  Your doctor may want to do two blood tests a couple of days apart, to see if your hormone levels are rising and to rule out the possibility of a false positive.