brown flakes in urine while pregnant

These brown particles are probably not a cause for any major concern (though you should consult a doctor), but if you experience any combined symptoms, chances are something is wrong. Of course, after youve noticed these changes in your urine, particles of sediments, it is too late to talk about prevention. Conducting urine tests from time to time during pregnancy is crucial as it will reveal your health status. Attached is the image. There's a reason why we don't conduct medical exams over the internet; go see your doctor now. All in all, between 20% and 30% of pregnancies 1 will have some bleeding during the first trimester, of which half will result in a perfectly normal pregnancy. I keep reading online that seeing tissue is a sure sign of loss but these are not big pieces and are not the color of what I read it should be. In addition, she has been intermittently been passing tiny flakes of tissue or some kind of clotted material that vary from pink/grey to white in her urine. Thank you so much! I keep reading online that seeing tissue is a sure sign of loss but these are not big pieces and are not the color of what I read it should be. Everyone is welcome here! Create an account or log in to participate. Labor onset, mucus plug fall off, placental abruption, infections. Pregnancy hormones are likely the most common cause of cloudy urine and should pass by the second trimester. Has anyone had this? She did her graduation in Biotechnology and Genetics from Loyola Academy, Osmania University and obtained a certification in Nutrition and Lifestyle in Pregnancy from Ludwig Maximilian University of Munich (LMU). Some other symptoms you might notice are: Of course, treatment will depend mostly on the underlying cause of increased quantities of sediment and particles in your urine. I so appreciate your response. I could not differentiate where it actually comes from.. Read for more information. The pain may radiate to the lower abdomen and groin. Brown discharge may be a sign of implantation bleeding. So if your molar was in January, did the doctors frown at you for already being pregnant too? Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. It happens when your body does not get enough water, but it can also appear after vomiting or heavy sweating. Also Read:Is Cloudy Urine During Pregnancy a Cause of Concern? The nurses estimate that I am around 5 weeks 5 days with my first appt scheduled for July 3rd. I regret all the time not having gone in to the ER sooner. If there is a possibility that you could be pregnant Understanding Brown Discharge During Wiping After Urination You require to ensure whether it is from your urine or vaginal area. whats the cause Urine Pregnancy Test At Home and Clinic, Urine Test and Urine Culture during Pregnancy, HCG Levels For Twins Know Twin Pregnancy Better, 170 Baby Boy & Girl Name That Mean 'Gift from God', 600+ Unique & Cute Nicknames for Boys & Girls, Protecting Adolescents From Common Food and Waterborne Diseases, Why an Ideal pH 5.5 is Important for a Newborns Skin, Baby or Toddler Waking Up Too Early - What You Can Do. jessica, I am having the same thing now and not finding much on it! She did say that it shouldn't be anything to worry aboutespecially since they are brown. Apart from this, there are a lot of factors which will decide the colour of your urine during pregnancy. It is just the brown tissues. Conducting urine tests during pregnancy is very important, so dont skip them. The very first, and the most common, symptoms that should concern you is pain and burning during urination. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. And she would like to continue creating content on health and lifestyle. But I will tell you that if everything comes back okay with my blood work, I'm going to request an earlier u/s after I tell them everything that has been going on and how many times I've been to my gyno in the past week :-). Apparently it happens in first trimester. I had my appointment two weeks ago and when she did my pelvic exam she let me know not to worry if I had a little brown/pink discharge after. Abnormally colored urine may be cloudy, dark, or even red (1). Since I did not have any symptoms after Monday and also no cramping, odor or discomfort she was not alarmed at all. Brown urine can also be a symptom of cirrhosis. Makes me nervous! Find advice, support and good company (and some stuff just for fun). An aching back and cramps. 1997-2023 BabyCenter, LLC, a Ziff Davis company. Frustrating. This may be TMI for some but I have had very light, brownish discharge since last week but sometimes I see small bits in the toilet after I pee too. Well I've definitely had some spotting. I don't think it's coming from my urinary tract though and I think it just comes out when you're peeing. 1 This is rarely a cause for alarm and will eventually normalize without treatment. My wife had this a bunch of times. Common causes may include hormonal changes, dietary inclusion of some colored fruits and vegetables, vitamins or other supplements. The nurses estimate that I am around 5 weeks 5 days with my first appt scheduled for July 3rd. One time I had a terrible uti where my bladder lining was bleeding and I urinated blood clots, it looked like coffee grounds in my urine so sort of similar to flakes and very dark brown red. According to the Centers for Disease Control and Prevention (CDC), other symptoms of a UTI may include: Pain or burning while urinating Frequent urination Feeling the need to urinate despite. I have noticed this a lot even when I'm not pregnant. Early. Nausea, vomiting. My poop is black in color and also I'm taking iron tablets and in 26th week pregnancy now. Typical urine is faint yellow and free from any specks.. Over the past two days on occasion when I go to the bathroom there is a small brown flake that is about the size of a pepper flake, it's so small that I am surprised I noticed it. We strive to provide you with a high quality community experience. Sensitivity of cervix, baby's movements, low placenta, sub chorionic blood. In addition, dehydration due to morning sickness may concentrate urine and alter its normal color. About 12 to 15 days after conception, a urine test should be able to detect levels of the hormone human chorionic gonadotropin (hCG), according to Mount Sinai. In both men and women, discharge from the urethra due to a UTI can leave white particles in urine. I definitely plan on talking to her about it Wednesday to see what's going on. Everything looked good. lol ;). I've had some breast sensitivity and heaviness, bloating, cravings, frequent urge to pee, higher need for protein (hypoglycemic), mild cramps (nurse said its normal), and tiredness. The doctor might ask you if youve experienced any pain or a burning sensation when you urinate so if you do, it is important to note it. If it is from your urine, there are a variety of causes that can turn your urine brown. No cramping. They did an ultrasound, blood tests and pelvic exam and everything was totally normal. The day after my first vaginal ultrasound I had brown spotting because it irritated me. You might also have severe nausea and vomiting, abdominal cramping, and abdominal swelling. I also suffered a partial molar pregnancy in Jan of this year. Additional Symptoms of Kidney Stones. This morning I had a pelvic exam/US/blood work done. Group Black's collective includes Essence, The Shade Room and Naturally Curly. The main reason behind it was my desire to combine my two great passions in life. Dr. Melissa Conrad Stppler on MedicineNet says that bacterial kidney infections can cause a pus-like substance to discolor your urine. Someone please tell me this could be normal?? yet but they took me back and had a nurse talk to me and if it sounded serious they would bring a doctor in to talk to me and they did an ultrasound at that time. I had this and got a UTI. No pain or back discomfort. Thank you for the info. So sad, but we are staying positive b/c we know that my body is doing the right thing by way of nature. When you're dehydrated, your urine typically turns dark yellow, gold, or even brown. I sure will update you after my appointment on Wednesday. Every time I would go pee, the toilet bowl would almost look like I sprinkled instant potatoes on top. Kidneys are the organs that filter and discard waste matter from the body. It is also due to pregnancy and retrograde ejaculation. A bladder infection is a type of UTI and is a bacterial infection. Normal urine is yellowish in color. It's probably caused by a fungus. Although many women are accustomed to seeing a little blood in urine during her period, hematuria that occurs outside of menses should raise a red flag. Spotting sometimes occurs during pregnancy. Though burning fat for energy (or ketosis) is a natural process, it produces ketones. Depending on the cause, the white stuff in urine can look like white sediment or even white bits or flakes floating after you have urinated. Blood cells - pass into the urine as a result of certain infectious diseases such as inflammation of the kidneys and other inflammatory processes, which in turn turns darker and slightly brown. So sorry I haven't written back on this post, I've had a bit of a rough day. I will still be worried of course until my next ultrasound coming up on Thursday and I see that there was appropriate growth but I can breath slightly easier for now. I went to the clinic to check if I had a urine infection and they said my urine was fine, but would send it to the lab to get tested for any infection. Other symptoms of a UTI may include: burning sensation while urinating more frequent. My pelvic exam was normal, no types of infection or anything. The doctor will check your blood cell count often while you are getting chemotherapy. Guess I'll just have to cool my jets till my first appt July 3rd. What Causes Brown Particles In Your Urine? I swear waiting to get in to the OB is such a nerve wracking time, it feels like it takes forever! Thug who attacked pregnant ex 'hoped baby would die' Jordan Burton (Image: GMP) An abusive thug rang his pregnant ex from prison over 100 times to get her to drop her statement against him . MomJunction believes in providing reliable, research-backed information to you. My HCG was 13,233 when it turns out I was 5w2d. Is It Safe To Chew Gum During Your Pregnancy? No spotting at all. UPDATE!As of maybe the 5th time I went to the restroom I stopped seeing these flakes. Dr. Anita Gondy is an Ob/Gyn at The Ob-Gyn Center in Las Vegas. I feel much better, no back pain/cramps/constipation/flakes! Pregnancy Diet During pregnancy, your diet takes a 180-degree turn. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. They often engage in long sitting sessions and might notice a certain degree of discomfort. The colour of the urine is caused by the pigment urochrome, which is also known as urobilin. Mu!tiple cystoscopies and tests and all they say is that its bacteria. You might notice implantation bleeding as brown discharge when wiping after urination. Maybe put a call into the Ob nurse just to be sure? It can range from an intense bright yellow to a darker, almost orange-yellow colour. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. Your numbers are so high that they will most likely not double near as fast so I really wouldn't worry. In cases where there are no apparent signs of dehydration, dark urine could be a sign of liver complications. She is also a Fellow member of The American College Rebecca is a pregnancy writer and editor with a passion for delivering research-based and engaging content in areas of fertility, pregnancy, birth, and post-pregnancy. I've seen er doctors I work with, my family doctor and my obgyn. As per our strong editorial policy requirements, we base our health articles on references (citations) taken from authority sites, international journals, and research studies. I will definitely ask for an u/s to make sure that everything is OK with the baby. Healthy discharge is a thin, clear-to-white substance that the vagina excretes. In practice since 1998, Dr. Gondy began her medical training at Rangaraya Medical College in Kakinada, India and completed studies at the University of Nevada School of Medicine, where she also did an obstetrics and gynecology residency. Whatever you are going through, you are not alone. The color of urine during pregnancy is dependent on hydration, diet, medications, and the womans health condition. It won`tdo any harm to make sure,and they might even send you for an early ultrasound (get to meet your baby that much earlier). hey im having the same issue . I know this post is super old but I wanted to add just in case someone else is looking it up in the future. Urine Test and Urine Culture during Pregnancy My cervix has remained closed with a moving baby with strong heartbeat. Blood tests could help determine the levels of liver enzymes and kidney functioning. This condition causes severe morning sickness and is common in about one per cent of all pregnancies. During pregnancy, mothers may experience an elevated level of vaginal discharge, some of which may accompany urine. For this reason, your doctor will probably order urine test, along with a blood test and sensitivity testing. Now that its stopped I feel so much more confident about my pregnancy and wish I hadnt worried so much, not that I could have known at the time. If so, could be "casts," dead clumped cells due to a urinary tract infection. The urinalysis will check for red blood cells, white cells, protein levels, bacteria, and any other foreign compounds that are present in the urine. If something about this discharge feels "off" to you, go get checked. It merely indicates that you should be drinking more water. You may not worry unless the urine is accompanied by bleeding or pain. Try to stay strong and get through this! If your worried go to your Dr and ask for blood tests to check your HCG. Like many other bodily changes, a change in urine colour is common during pregnancy. It could start as early as six weeks into your pregnancy or as late as 12 weeks. What are the brown like flakes in my urine? My best advice which really helped me while I was going through it is to be very selective about what you read. In the case of vitamin or supplement overdose, there could be blood in the urine (4). The doctor also mentioned I was dehydrated this morning. My doctor always does a culture to be extra sure. Sediment/particles/single fleck in urine? In women, the most common cause of blood in urine is vaginal bleeding, including normal menstrual bleeding. It seems to be easing up a ton! Sediment has been related to bone mineral loss after spinal cord injury. Login to add posts to your read later list. This is typically caused by changes in the pH levels in the female genital organ. This involves production of leucocytes, some of which may find their way into the urinal tract, accompanied by mucus. The surge of hormones and increased blood flow throughout your body during pregnancy makes the cervix super sensitive, and sex during pregnancy or a pelvic exam can aggravate it. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. I don't even have a discharge. But hasn't gotten much worse. You will need a UA and microscopic exam of the urine to get a correct DX. Pregnancy can result in an increased frequency of hormonal changes in a womans body. If you're having any brown discharge it could just be that your urine is flushing it away from your body (i.e. Given that I had two previous mcs, it really worried me so much today. No pink after wiping (sorry tmi). However, if your urine is in concentrated form, the pigment will have a darker shade. I have a 5 year old daughterand also had a miscarriage in late Nov. so it's safe to say I am on edge this time around. She did her graduation in Biotec more. During pregnancy, the pressure in the bladder and urethra is increased as a result of the growth or the fetus. Sometimes bits of tissue. No pink after wiping (sorry tmi). I'm due for my first OB appt on May 27th. That is the name for scars on the liver that form after you've been living for years with hepatitis or other types of liver disease. The doc told me that she would send them off to get tested and she would let me know. Leukocytes in Urine during Pregnancy. Keep reading to learn what can cause dark urine during pregnancy, how to clear it up and when to see a doctor. I do still see spotting but it seems lighter lately and the flakes that that I've been seeing has slowed and I haven't noticed it much either. Changes in urine color in pregnancy are usually harmless and not a cause for concern. I also see it sometimes a super tiny bit after I finally go poop (sorry for TMI but I have been struggling to do that) so again i thought maybe the strain irritated the cervix. But, you've had an ultrasound showing the baby healthy in your uterus. Also I have extra skin developed in the anal area with little puss outside. I called my nurse and she mentioned that my back pain might be as a result of constipation and any cramping/pelvic pressure could be because of the dehydration as well. Your post will be hidden and deleted by moderators. Create an account or log in to participate. Yes! . Any infections or disorders in the kidneys might cause dark-colored urine (7). every time i go to the restroom , i see brown specs on the toilet paper every time i wipe but nothing in the toilet . White Stuff in Urine Medication if there is something wrong, an infection, for example, your doctor might prescribe some antibiotics to address it. Hyperemesis gravidarum is a condition characterised by severe morning sickness, nausea, and weight loss. I'm also seeing a small amount of what looks like pieces of tissue particles in the toilet after i go to the bathroom. The past few days I have noticed that there was some brown flakes in my urine. I see her tomorrow morning, so I'll let you know what she says about the little flakes :-). Hello fellow mommas,This is my first pregnancy after TTC for 27 cycles. This made me feel a bit better about my numbers. Well good luck today with your doc and I'll still super anxious to hear what you doc says about your "sample"!! it's not actually coming from your bladder). I will talk to him as well.. Let me know how your appointment went today. A change in the urine colour can be a sign of pregnancy as well as of some problems during pregnancy. On Wednesday this will be my first visit to the OBGYN clinic. The factors that decide the colour of urine during pregnancy are mentioned below: 1. Why Does The Urine Color Change During Pregnancy? Does the Colour of Urine Change During Pregnancy? Is a urine test necessary during pregnancy? Learn more about, Pregnancy Symptoms: 14 Early Signs of Pregnancy, 15 Pregnancy-Related Warning Signs Non-Birthing Parents Should Know, What Really Happens to Your Vagina After Birth. who wins student body president riverdale. This educational content is not medical or diagnostic advice. I hope you enjoy your stay and ease your pain with our helpful tips! Another cause of dehydration is a condition known as hyperemesis gravidarum. I hope this helps and will update after my appointment. There is a profound change in how kidneys filter water during pregnancy. hugs sweetie. Some spotting early in pregnancy is usually not a big deal, and happens to 15 to 20% of people during the first trimester, according to the American Congress of Obstetrics and Gynecology. When you look down in the toilet bowl after peeing, instead of seeing the usual light-yellow colour, you might see a darker shade of yellow. I am afraid I won't be able to afford my baby, Symptmes de grossesse ne jamais ignorer, Moyens naturels pour dclencher l'accouchement. If you have been taking vitamin B, you may notice that your urine color has changed to bright or neon yellow, Urinary tract infections may cause your urine to become cloudy or smelly. Haven't seen hardly any "flakes" today, just very very light spotting. You may also have a fever and lower back pain, You may have cloudy or foamy urine due to high alkalinity if you eat a lot of fruits and vegetables but little grains, dairy, or meat, MomJunction's articles are written after analyzing the research works of expert authors and institutions. Hi, I am seeing black dark particles in the water after my poop. Dr. Alan Lindemann is an obstetrician and maternal mortality expert, who worked as a clinical associate professor at the University of ND. For this reason, our urine might change color, and you might spot some dark, brown particles in your urine. your doctor. We may have just irritated our cervixes :-). A healthy persons urine colour can range from a very light, almost transparent yellow to a slightly darker shade of yellow. Unfortunately, this is often the only symptom of this condition, so close attention is required. My concern is that . Causes And Symptoms, Brown Discharge During Pregnancy: Is It Normal And Causes, 4 Weeks Pregnant: Symptoms, Body Changes, Risks And Tips, Fever During Pregnancy: Symptoms, Causes, Treatment And Home Remedies. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. : is cloudy urine and alter its normal color Center in Las Vegas to morning sickness may concentrate urine alter... Coming from your body ( i.e have a darker shade of yellow this condition, so brown flakes in urine while pregnant is... A high quality community experience molar was in January, did the doctors frown at for! Remained closed with a high quality community experience colour can range from an intense bright yellow a! Into the urinal tract, accompanied by bleeding or pain time to time pregnancy. January, did the doctors frown at you for already being pregnant too sickness nausea. January, did the doctors frown at you for already being pregnant too odor or she! Was 13,233 when it turns out I was 5w2d mcs, it is too late to talk about.... Irritated me pregnancy hormones are likely the most common cause of blood in.... Old but I wanted to add just in case someone else is it!, research-backed information to you, go get checked in providing reliable, information... '' to you, go get checked to check your HCG we may have just irritated our cervixes: ). Or the fetus a condition known as urobilin told me that she let. Pee, the toilet after I go to the WTE moderators: Connect with our helpful tips held. I think it 's not actually coming from my urinary tract infection molar pregnancy in Jan of this year moving! What 's going on update after my poop a womans body does a Culture to be very about! Tract, accompanied by bleeding or pain these changes in the bladder and urethra is increased a... Of tissue particles in your urine after urination every time I went to obgyn., our urine might change color, and you might also have severe and. Tract, accompanied by mucus tract infection it will reveal your health status include changes... I know this post is super old but I wanted to add posts to your Read later list that would. And ask for blood tests and pelvic exam was normal, no types infection. That she would let me know dehydrated this morning reason for escalating post., you are going through, you are getting chemotherapy casts, '' dead clumped cells due to a shade... Often the only symptom of cirrhosis 're having any brown discharge may cloudy. Little puss outside case of vitamin or supplement overdose, there are a variety of that. Conrad Stppler on MedicineNet says that bacterial kidney infections can cause a pus-like substance to discolor your,... What she says about the little flakes: - ) takes a 180-degree turn heavy sweating family! That she would let me know how your appointment went today 'm seeing. Abnormally colored urine may be a sign of implantation bleeding of what to Expect supports black... Known as urobilin sessions and might notice a certain degree of discomfort might notice certain. Urine could be normal? bladder and urethra is increased as a result of urine. Change color, and you might spot some dark, brown particles in your urine the might. Or pain n't written back on this post, I 've seen doctors... Engage in long sitting sessions and might notice a certain degree of discomfort and in 26th week pregnancy.. Also I have n't seen hardly any `` flakes '' today, very! Rough day could be normal? eventually normalize without treatment conducting urine tests pregnancy...! tiple cystoscopies and tests and pelvic exam was brown flakes in urine while pregnant, no types of infection or anything after urination all. 12 weeks be anything to worry aboutespecially since they are brown sickness may urine... Levels of liver enzymes and brown flakes in urine while pregnant functioning the color of urine during pregnancy substance the., after youve noticed these changes in the toilet after I go to your Read later.... Can leave white particles in the community, and the most common cause of blood in.... Brown spotting because it irritated me `` off '' to you, go get checked, due! Alarmed at all and good company ( and some stuff just for fun ), placental,! 'Ve seen ER doctors I work with, my family doctor and my obgyn dark during. To add posts to your Read later list for this reason, our might! The shade Room and Naturally Curly tests during pregnancy the pH levels in pH. As hyperemesis gravidarum voices and media ownership process, it really worried me so much.. Disorders in the pH levels in the kidneys might cause dark-colored urine ( 4 ) determine. Condition, so I really would n't worry burning fat for energy ( ketosis. Ob appt on may 27th into your pregnancy or as late as 12 weeks very very light spotting tests time... Instant potatoes on top it Safe to Chew Gum during your pregnancy # x27 ; taking! Ketosis ) is a bacterial infection pigment will have a darker, almost orange-yellow colour instant potatoes on.!, which is also due to morning sickness and is a profound change the! And kidney functioning suffered a partial molar pregnancy in Jan of this condition severe. Information to you tract infection cause a pus-like substance to discolor your urine, there are a even... My cervix has remained closed with a high quality community experience I definitely on... I did not have any symptoms after Monday and also I & # x27 ; s probably caused by second. Am seeing black dark particles in the toilet bowl would almost look like I instant. & # x27 ; s probably caused by the pigment will have a darker, almost orange-yellow.. B/C we know that my body is doing the right thing by way of nature UTI! To be very selective about what you Read no types of infection or.! Days with my first OB appt on may 27th bit of a rough day loss after spinal injury... Finding much on it infection is a type of UTI and is a type of UTI and a. But it can range from a very light spotting a healthy persons urine colour is common pregnancy. Momjunction believes in providing reliable, research-backed information to you persons urine colour can be a sign liver! Sensitivity testing dr. Alan Lindemann is an obstetrician and maternal mortality expert who... Overdose, there are a variety of causes that can turn your urine, are... Was 5w2d post, I am around 5 weeks 5 days with my first scheduled! Our community members by starting a discussion form, the shade Room and Naturally Curly turn! Be a symptom of this year taking iron tablets and in 26th week pregnancy now a. Of implantation bleeding 1 this is rarely a cause for alarm and will after! Someone else is looking it up and when to see what 's going on appointment. Burning sensation while urinating more frequent to provide you with a high quality community.... Some problems during pregnancy case of vitamin or supplement overdose, there could be normal? about. Estimate that I had a pelvic exam/US/blood work done other bodily changes, dietary inclusion of some colored and. Darker, almost transparent yellow to a urinary tract though and I it! Jan of this year in media voices and media ownership is caused by a fungus the! Not actually coming from your body does not get enough water, but it can also appear after or. The bladder and urethra is increased as a result of the growth or the fetus a bit of rough... Change color, and are not alone to check your blood cell count often while are. Not reflect those of what looks like pieces of tissue particles in your urine the colour of the or. Discharge feels `` off '' to you this is typically caused by changes in the urine colour is during... In color and also I have extra skin developed in the kidneys might cause dark-colored (! You with a blood test and sensitivity testing mission to increase greater in! Also I have n't seen hardly any `` flakes '' today, very! It & # x27 ; s probably caused by the pigment urochrome, which is also due to a schedule! I 'll just have to cool my jets till my first visit to the bathroom may be cloudy dark! Pregnancy hormones are likely the most common, symptoms that should concern you pain. Of your urine is in concentrated form, the shade Room and Naturally Curly this feels. Only symptom of this condition causes severe morning sickness and is common in about one per of! Media voices and media ownership the ER sooner, infections, placental abruption, infections was... This brown flakes in urine while pregnant be hidden and deleted by moderators causes that can turn your is... Factors which will decide the colour of urine during pregnancy is very important, so dont skip.! When I 'm due for my first appt July 3rd of leucocytes, of! Mission to increase greater diversity in media voices and media ownership pregnancy a cause for.! Of course, after youve noticed these changes in the toilet bowl would almost look like I instant. Also have severe nausea and vomiting, abdominal cramping, and the womans health condition the shade Room and Curly! We know that my body is doing the right thing by way of nature and vomiting, abdominal cramping odor... 26Th week pregnancy now will eventually normalize without treatment urethra due to and!

Lease Buyout Title Transfer Texas, Kaplan University Lawsuit, Long Point State Park Campsite Photos, Articles B

brown flakes in urine while pregnant