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Miscarriage after preterm delivery,chances of pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Abortion and Stillbirth
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   HI,I had a preterm delivery recently in Aug.. lost our baby at 26 weeks 3 days .. So should i consult her for next check up n pregnancy.. plz help
Doctor :   Hi
User :   hi doctor
Doctor :   May I know your age?
User :   This is XXXXXXXX here
User :   29
Doctor :   May I know at what weeks did you have your previous delivery?
User :   I recently had a preterm delivery at 26 weeks 3 days
User :   on aug 31st
Doctor :   Ok
Doctor :   Let me brief you.
User :   becoz of cervical incompetence i had a suture when i was in 16th week
Doctor :   Ok
Doctor :   There are many factors which are responsible for preterm delivery.
User :   k
Doctor :   Since you have history of cervical incompetance, its the most likely cause.
User :   k
Doctor :   Depending on how much severe the incompetance is you may need treatment accordingly.
User :   k
User :   a week before miscarriage i had white discharge
Doctor :   The treatment can be in the form surgery, an encirclage operation
User :   watery discharge
User :   k
Doctor :   The watery discharge is the leaking of the amniotic fluid, a condition known as PROM(premature rupture of membrane)
User :   k
Doctor :   which may have occurred due to failure of the treatment of cervical incompetance.
User :   this will continue for next pregnancy?
Doctor :   The other factors for preterm delivery are infection.
User :   k
Doctor :   Though, I do not have your previous records, my guess(based on the details that you have provided), the cause for your preterm delivery may be
Doctor :   cervical incompetance leading to PROM and with ?infection.
User :   k
Doctor :   If you want to prevent this, you need a proper gynaecological examination.
User :   k
Doctor :   As mentioned, incompetance can be treated surgically and is the most effective form of treatment.
User :   i wanted some good gyneacologist in town to consult
Doctor :   Hence, I would recommend you to consult your gynaecologist for physical examination which will recommend if the surgery is necessary.
Doctor :   May I know your location, to aid me in looking for a gynaecologist for you?
User :   i stay near marathalli
User :   mahadevpura
User :   i heard Dr AAAAAAA is a good doc
User :   is it better if i consult her?
Doctor :   I am unaware of Dr XXXXXXXX
User :   k
Doctor :   You can consult her.
Doctor :   A physical examination by a gyaecologist will predict if the surgery is necessary,
Doctor :   If surgical treatment is not needed, then
User :   any suggestions from u?
Doctor :   few measures taken during pregnancy can prevent preterm delivery.
Doctor :   Those measures include,
Doctor :   1. Proper rest
Doctor :   2. Avoiding any strenous acitivity, which can cause increase in intra abdominal pressure, such as bending down, situps, lifting heavy weights, washing clothes and so on.
User :   k
User :   i had breech presentation in scan
Doctor :   3. Ring/valve placement or cerclage can be done during pregnancy can also help.
Doctor :
Doctor :   This link contains the list of gynaecologist practising at .....
Doctor :   You can consult Dr XXXXXXXX as per your choice or any of the other gynaecologsit listed in this link based on the proximity to your location.
User :   k
Doctor :   Have you followed what I have suggested?
User :   Thank u
User :   May i Know Ur name?
User :   ya
Doctor :   Thanks for consulting me. I am Dr AAAAAAA
User :   doctor
Doctor :   Bye for now.
User :   thank u very much
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