Does previous miscarriage affect my pregnancy? - Online Doctor Chats
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this is regarding an opinion related to my wife's medical issue
I have an report to share with you
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patient name is XXXX
I have just got the mail
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is your wife pregnant now?
are you there?
congratulations on the pregnancy :)
this is her 2nd pregnancy
now, please ask me your queries
I would be glad to suggest you
I have gone through the report
but we are very worried because of her last miscarriage
please be relaxed
we are getting nervous and fear fo reverything
the previous miscarriage has nothing to do with her present pregnancy
it will not have any effects on her
be relaxed, calm and happy
nothing to be feared about
we are trying to be calm and happy
that is good
do you have any specific query that you would like to discuss?
and what does the current report say about other tests?
let me discuss her report in detail now?
her TSH is 4.43
it is high
it was 3.7 last week
I do not think 12.5 mcg would be sufficient
this week it XXXXXXX to 4.43
ideally 25 mcg would be fine
You can discuss with her doctor to increase the dose
shall I proceed to the next test reports?
it is subclinical hypothyroidism
nothing to be worried about
she must continue to take the medicine however
can it be brought under control
sure she will continue
yes, with medication
she will have to take it throughout her pregnancy and after that too
after the delivery, we can repeat the test and see if she still requires it
she is immune to rubella
there is no active rubella infection
nothing concerning here
free T4 is normal
good to know
even then,in view of high TSH, she must take the medicine
how may weeks is she pregnant?
her per period date was 11-Nov-2013
so almost in her 6th week by now
sorry 5th week just got completed today
we are doing it on 31st dec
you must do that first
please get a scan done at the earliest to confirm the pregnancy
doctor has advised after completion of 6 weeks
you can wiat
not harm in it
it this the right time or may be by next week
you can get it done next week
she has no diabetes
good to hear this
according to the glucose tolerance test
urine routine is normal
this needs to be confirmed through scan
I think that is all the reports you have for now, isnt it?
hope it is all clear to you
let me know if you have any doubts at all
I would be glad to help you
she has given her blood sample today morning to find out if her BHCG level is doubling after 48 Hrs
that is good
tomorrow morning we are consulting the doctor to review the current report and tomorrows report as well
go ahead with it
apart from this does she need to take any precautions bcoz of her earlier miscarriage
she is taking one daily at night
let she continue it throughout her pregnancy
no other medication is required now
please ask her to rest well
and she used to feel hungry every 2 hrs
as much as possible
hunger will be there in pregnancy
that is a good sign
so doctor gave her pentac for acidity
Also, she must eat every 2 hours
she is an working lady
please give her more fruits, vegetables and spinach
so few days she is working from home and travelling to office
please ask her to carry good amount of food and fruits along with her to work
is travelling fine of any issues?
how far does she travel?
what is the mode of travel?
up and down 15kms
either drop her in 2 wheeler or by Volvo bus
sometimes she does not get a place to sit in bus
a four wheeler would be better
2 wheeler is risky
15 kms is ok
we don't have an four wheeler
just make sure she is comfortable
Then she can travel by volvo
only thing is she should feel comfortable
that is important
do you have any more queries?
she travelled by bus now standing and now she is getting slight pain in stomach
in such a case, it is better to avoid the bus journey
please ask her to work from home in such a case
again, it is her comfort level
if she is in pain, it is better for her to rest at home
she will try either to work from home or look for some other alternative
regarding food nothing is restricted right?
she should not take raw papaya
in fact no papaya at all
rest of all things she can take
in fruit bread there is papaya is that allowed?
is that all for now?
that is allowed
yes almost over
how do I contact you tomorrow once I have consulted with the doctor tomorrow with the reports?
Please ask for my name in the beginning of your chat
Can I chat with doctor
it is simple
I will be able to take your chat
she will make note of this
wish you good luck
thank you doctor for your valuable guidance
and wish your wife a happy pregnancy
thank you too
Talk to you tomorrow
bye for now
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