On the afternoon of August 5th, 018, a Sunday, Shan’ann encouraged her husband to go see his grandmother, but without her and without the kids. In an uncharacteristically stern tone, Shan’ann told Chris Watts:

“I’m not kidding Christopher. I’m having a bad experience these last few days with my pregnancy and I’m spotting. I’m not dealing with it…” What did she mean?

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In OBLIVION I make the case that Shan’ann was suffering classic symptoms of lupus – skin rashes, inflammation etc. brought on by stress. She started feeling unwell the day Watts arrived in North Carolina. We also know she wasn’t feeling well during her trip to Phoenix, and that she was due to see the doctor first thing Monday morning.

But a Seattle-based reader recently contacted me to to stress that spotting is also a well-known symptom in the first trimester of pregnancy. According to Healthline.com:

Spotting is considered a light or trace amount of pink, red, or dark brown (rust-colored) blood. You may notice spotting when you use the restroom or see a few drops of blood on your underwear. It will be lighter than your menstrual period. There won’t be enough blood to cover a panty liner.

During pregnancy, spotting can be caused by a number of factors. Spotting is different from heavier bleeding, where you’d need a pad or tampon to stop blood from getting on your clothing. Seek emergency care if you experience heavy bleeding during pregnancy.

Given Shan’ann’s health issues with lupus, spotting would be a real concern, a real possibility of miscarriage. Was that why she had her doctor’s appointment Monday morning?