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What Do The Following Blood Test Results Indicate?
Question: sir,
my wife is 32 years old and we had to face two traumatic miscarriages, the last one at march this year. my wife has a slight hint of PCOS in the right ovary. the doctor we consult advised us a no. of tests with all being normal except lupus anticoagulant value of 54 and lipo protein(a) of 59.51. the doctor has prescribed us with tab ovacet, folbite 5 mg and cetapin xr1000. we are really tensed and would like two know the values I mentioned above could cause any further problems in future.
my wife is 32 years old and we had to face two traumatic miscarriages, the last one at march this year. my wife has a slight hint of PCOS in the right ovary. the doctor we consult advised us a no. of tests with all being normal except lupus anticoagulant value of 54 and lipo protein(a) of 59.51. the doctor has prescribed us with tab ovacet, folbite 5 mg and cetapin xr1000. we are really tensed and would like two know the values I mentioned above could cause any further problems in future.
Brief Answer:
APLA
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Recurrent miscarriages with increased levels of lupus anticoagulant are suggestive of antiphospholipid antibody syndrome.
In this scenario, chances of recurrent miscarriages, intrauterine growth restriction of fetus and sudden intrauterine death are increased.
In order to rectify it, the pregnant women is given injection low molecular weight heparin daily once she the cardiac activity appears in fetus on ultrasound.
So, she should consult a high risk pregnancy specialist once she conceives so that proper treatment can be given timely.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
APLA
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Recurrent miscarriages with increased levels of lupus anticoagulant are suggestive of antiphospholipid antibody syndrome.
In this scenario, chances of recurrent miscarriages, intrauterine growth restriction of fetus and sudden intrauterine death are increased.
In order to rectify it, the pregnant women is given injection low molecular weight heparin daily once she the cardiac activity appears in fetus on ultrasound.
So, she should consult a high risk pregnancy specialist once she conceives so that proper treatment can be given timely.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ok thank you mam.....but at what time since conception should we start this injection or rather at what time should we go for the USG to feel the heart beat and start the injection?
Brief Answer:
6 weeks
Detailed Answer:
Hi dear, ultrasound to detect fetal cardiac activity should be done at 6 weeks of gestation, and if present, then the injection should be started.
Regards
Dr Deepti Verma
6 weeks
Detailed Answer:
Hi dear, ultrasound to detect fetal cardiac activity should be done at 6 weeks of gestation, and if present, then the injection should be started.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ok mam.....thank you a lot so after three months can we straightway plan for pregnancy or wait for some more time?
Brief Answer:
Yes
Detailed Answer:
Hi dear, you both can plan pregnancy after 3 months.
Regards
Dr Deepti Verma
Yes
Detailed Answer:
Hi dear, you both can plan pregnancy after 3 months.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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