Lindsey is a 33yo, G5 P3013, who is currently 18 weeks 0 days as dated by a 17 week scan. She has a history of opiate abuse but is currently in a Subutex clinic on 8 mg b.i.d. This is weaned down from 2 ½ tab daily. She does want to wean slowly throughout the pregnancy. She had no PNC until one week ago when she presented to the emergency room for significant vaginal bleeding. At that time they told her she was in the process of a miscarriage. She had some bright red bleeding throughout the weekend but on Monday, earlier this week, the bleeding stopped. She has had a little spotting today but no significant bleeding. There was a mention on her scan in the clinic that there could have been a twin pregnancy.
On ultrasound there is a live
On ultrasound there is a live