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Missed abortion - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Abortion and Stillbirth
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   hello doctor
User :   My wife had a missed abourtion in the 8 week
User :   the sac seen embryo not seen
Doctor :   Ok

User :   we had a d&c after that
User :   what may be reason for that? how to avoid that
User :   over
User :   hello
Doctor :   Yes
Doctor :  
I am there
Doctor :  
The reason for missed abortion, I will explain you
Doctor :   It can be due to genetic cause

Doctor :  
congenital malformations
User :   how to avoid that? whether i have to any tests?
Doctor :   Regular follow ups

Doctor :  
and scans
Doctor :  
Thats it
Doctor :  
along with the tests prescribed by doctor
User :   for male or female
Doctor :  
Should not do strenous work
Doctor :  
For the mother
Doctor :  
After conception
User :   gentic means father also
Doctor :  
everything is with mother only
Doctor :  
Genetic in the sense some congenital issues I meant
Doctor :  
Genes cannot be changed
Doctor :   And you need not worry about that now
User :   how long gap should be mentioned after missed abourtion
Doctor :   Ideally for 12 months

Doctor :   in line with mother's health
User :   doctor adviced for folic acid for her
Doctor :  
Not to put much strain on her
Doctor :  
Yes
User :   ok
Doctor :  
folic acid is advised during pregnancy
Doctor :  
and also later
User :   can ve avoid for 2nd pregnec
Doctor :  
Karthick are you typing something?
User :   or yes
User :   over
User :   doctor is there
Doctor :   Yes
User :   can ve avoid
Doctor :  
Yes
Doctor :  
You can follow the regular follow ups, blood tests
Doctor :  
and avoid strenous activities
Doctor :  
Those are the initiatives which can be done at your end
User :   any tests to be done
User :   right now
Doctor :  
Not required
Doctor :  
Have they mentioned any particular cause for missed abortion?
User :   no
Doctor :   Ok

User :   it is my first pregency
Doctor :   Then there is no particular cause for it
Doctor :  
So, no particular tests as such
Doctor :  
Avoid pregnancy for a year now
Doctor :  
That is quite sufficient
User :   any specific reason to avoid
User :   or only to give a rest
User :   over
Doctor :   Rest is quite important in first trimester

User :   ok
Doctor :   So, that is the most important part

Doctor :  
as the fetus will be still developing
User :   i little nervous about next pregency?
Doctor :   No need to be
Doctor :  
Try to diagnose it sooner
Doctor :  
and carry on with regular visits
Doctor :  
Also intercourse is also not recommended in first trimester
Doctor :  
Should pay attention to that as well
Doctor :   Are you getting it?

User :   ok
Doctor :   Is there any thing else I can help you with?



User :   i am afraid of whether i will contniue
User :   or she can give a healthy pregent
Doctor :   You should not be afraid
Doctor :  
Incidence is more in first pregnancy
Doctor :  
I can understand your situation
User :   what incidence
Doctor :  
But you need not be too anxious about it
Doctor :  
Incidence is it is seen more in first pregnancy
Doctor :   So, you need not worry
User :   doctors said it might be chrormonse problem or some problem in the sperms
Doctor :  
Yes, that is what I meant by genetic
Doctor :  
when the sperm is of lesser quality
Doctor :  
Nature expels it out
Doctor :  
That is the funda behind it
Doctor :  
Because out of millions of sperms
Doctor :  
the best should be selected
Doctor :  
if a faulty one is selected then
Doctor :  
such abnormalities are seen
User :   what should be done from my side
Doctor :  
One important thing
User :   whether i have to take some medices
Doctor :  
Not to loose hope
User :   ok
Doctor :  
and do positive thinking
User :   ok
Doctor :  
Thats it
Doctor :   There are many cases
Doctor :  
which have resulted in successful pregnancy
Doctor :  
after missed abortion
Doctor :  
So Do not worry
User :   somebody told to have sex one afer ther other day
User :   so lot of sperms will devlop
Doctor :   It is a myth

User :   ok
Doctor :  
Do not give ear to such suggestions
Doctor :  
It is good as it will improve conception chances
Doctor :  
meaning pregnancy chances
User :   docter adviced to have 6 months gap now her age is 27
Doctor :   Ok

Doctor :  
It is not an issue
User :   ok
Doctor :  
She can conceive even after years
User :   there is any hcg test to be done now or any chromosonal tests
User :   we will give gap for 6 months
Doctor :   It is not required now

Doctor :  
You can get a Genetic mapping of you and your wife once
User :   now she is not carring
Doctor :  
Talk to your gynecologist about that
User :   how much they charge
Doctor :  
I know
Doctor :  
Just a genetic mapping
Doctor :  
it is a costly test
User :   how much
User :   it will be
Doctor :  
Upto 25 thousand
User :   ok
User :   what is genetic mapping
Doctor :   It is done to study the genes meaning chromosomes in you and your wife

Doctor :   It is quite complicated and is difficult to understand for a layman
Doctor :  
Not the test
Doctor :  
But the methodology of test
Doctor :   Other than that I would like you and your wife to undergo certain other tests

Doctor :  
which are not that expensive
Doctor :   Like Thyroid profile, Blood sugars, Lipid profile, Blood grouping
Doctor :  
Are you with me?
User :   yes
Doctor :   These are general tests

Doctor :  
and Genetic mapping is not a necessity now
User :   my blood is O postive and her is b postive
Doctor :   That is fine
Doctor :  
So other tests you can get it done
Doctor :  
and come back to me report
Doctor :  
Genetic mapping not now, advice from my side
User :   doctors are saying mis abourtion is normal 20 percenget
Doctor :   Yes

Doctor :   That was I meant when I mentioned about incidence during first pregnancy
User :   but one doctor who confirmed us as postive for pregency she told it is weely positve
User :   in the 32 day
Doctor :   Ok

Doctor :  
I cannot comment on that now
Doctor :  
The test which is done to assess it is
Doctor :  
Ultrasound
Doctor :  
and Serum HCG
Doctor :  
Serum HCG concentration should double in every 48 hours
Doctor :  
That is the normal result
User :   i am talking about inital stage of prgency
User :   by urine test she told it is weekly postive on 32 day
User :   what is meant by weekly postive
Doctor :  
Urine test cannot determine the extent
User :   on 32 day
Doctor :  
It just shows positive or negative
Doctor :  
Serum HCG is done for confirmation
User :   ok
User :   thanks for your answers
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Doctor :  
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