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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Advised Abortion. Conceived Again. Torch Panel Test Done. Precautions To Have Healthy Baby In Future?

Four months back, I was advised to abort my child(9 weeks pregnancy ,baby s heartbeat was stopped) and did that. two days back i conceived again and went to doctor and she advised for a Torch Panel test I had a TORCH test done, which indicated ANITBODY TO RUBELLA (IgG) 18.01 U/ML ANTIBODY TO CYTOMEGALOVIRUS (IgM)-(value-0.24 negative ANTIBODY TO CYTOMEGALOVIRUS (IgG)- (value - 53.8 U/ml Positive). The other parameters were negative. I would like to ask you whether any issues with pregnancy and what precautions we need to take to give birth to a healthy baby. Thanking u
Wed, 13 Feb 2013
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OBGYN,  's  Response
Hello
Thank you for your query.
Firstly, Ig G antibodies to rubella and cytomegalovirus only indicate a past infection, and the Ig M antibody is negative, clearly indicating that there is no active infection.
So please do not worry for that right now.
There are various other causes of a missed abortion which should be ruled out, and it should ideally be done before planning the next pregnancy.
Firstly, adequate folic acid supplementation in the pre and peri conceptional period is essential.
Commonest cause of missed abortion is due to genetic causes, so a chromosomal analysis of the fetus is necessary.
Infections, uterine anomalies, hormonal imbalance, inadequate progesterone secretion, autoimmune causes etc are other common causes.
Please ask your obstetrician to rule out these conditions by appropriate testing.
Have regular antenatal care.
Take care.
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Advised Abortion. Conceived Again. Torch Panel Test Done. Precautions To Have Healthy Baby In Future?

Hello Thank you for your query. Firstly, Ig G antibodies to rubella and cytomegalovirus only indicate a past infection, and the Ig M antibody is negative, clearly indicating that there is no active infection. So please do not worry for that right now. There are various other causes of a missed abortion which should be ruled out, and it should ideally be done before planning the next pregnancy. Firstly, adequate folic acid supplementation in the pre and peri conceptional period is essential. Commonest cause of missed abortion is due to genetic causes, so a chromosomal analysis of the fetus is necessary. Infections, uterine anomalies, hormonal imbalance, inadequate progesterone secretion, autoimmune causes etc are other common causes. Please ask your obstetrician to rule out these conditions by appropriate testing. Have regular antenatal care. Take care.