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Got miscarriage post first trimester. Recommended tests?

Mar 2013
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I was 3months pregnant,but i had a miscarriage,is there anything. I need to do like get a check up?this happen 3years ago
Posted Wed, 22 May 2013 in Pregnancy
Answered by Dr. Aarti Abraham 18 minutes later
Thanks for your query.
Ideally before planning your next pregnancy, you should have a detailed evaluation.

1. Most common cause of pregnancy loss is genetic causes. There could be a chromosomally ( genetically ) abnormal fetus which did not develop normally and miscarried. For this, ideally the aborted tissue should have been sent for a genetic analysis. If that was missed, you and your partner should go for a karyotype.

2. Intrauterine infections - Get yourself checked for STDs, Rubella, toxoplasmosis, cytomegalovirus etc. Also have a Pap smear done.

3. Abnormalities of size and shape of uterus can lead to miscarriage. You should go for a pelvic transvaginal scan, and if any abnormality is indicated on the scan or on physical examination, consider a hysteroscopy or HSG ( hysterosalpingogram )

4. Autoimmune disorders - get laboratory evaluation for antiphospholipid antibody syndrome. This condition causes unexplained pregnancy loss, and is treatable with aspirin, heparin and steroids.

5. Hormonal imbalance - When hormonal levels are deranged, you fail to have normal periods, and normal ovulation. Thus the egg formed is defective and can lead to abortion. Also, when hormonal levels are inadequate, the growing embryo fails to receive proper support, leading to abortion.

6. Routine tests like complete blood count, blood group , serum homocysteine levels, liver and renal function tests etc - rare blood group incompatibility etc can be a cause.

For future conceptions, please consult a Genetic counsellor / high risk pregnancy expert first, who would give you a comprehensive check up and testing and then treat you accordingly before going for planning a pregnancy.

Take regular folic acid supplements for 3 months before planning a pregnancy, maintain an ideal BMI and stay mentally positive.

Take care, and feel free to ask further questions.
ALl the best with your pregnancy in the future.
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