Venous Lake placenta, blood when used BR

Patient : Venous lake in placenta, blood in pee and when i wipe. 19 weeks pregnant
Symptoms:  Was in the ER last week for contractions. Was told I have a venous lake blood clot in my placenta and today I was having the same contraction pains as last week. I went to the bathroom and there was blood in the toilet and when i wiped. Nothing on my underwear though. Should i go back into the ER?
i am high risk due to high BP, 19 weeks pregnant, 22 years old, 2nd child
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