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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Sonography Normal. Igm Increased. Previously Had Abortion. Suggest

Hello Doctor,
Last year I have to do obortion after 5 month pregnency, at that time my IGm was 2.75 and again in November 2012 I got pregnant at that time my Rubela Igm was 1.01 and Igg was 163. But after my 5 month pregnency I have done my sonography and Rubela Igg and Igm test, my Sonography is normal but My Igm is increased to 1.29 and Igg is 111.
Please advice.
Wed, 24 Apr 2013
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OBGYN 's  Response
Hello
Thanks for your query.
Ig G against rubella is non specific and indicates past infection and immunity against the disease.
THe IgM indicates active infection.
Your IgM levels are quite low.
I think you need not worry about Rubella as far as your abortions are concerned.
You are already immune to it.
There is no scope for vaccination or antibiotics.
There could be various causes of abortion such as genetic causes, autoimmune disorders, abnormalities in uterine shape and size, other infections etc.
You need to have a complete analysis of the fetus and the placenta to know the exact cause.
Meanwhile consult a High Risk pregnancy specialist, have complete evaluation done, and take regular folic acid supplements for 3 months before planning a pregnancy.
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Pregnant. Sonography Normal. Igm Increased. Previously Had Abortion. Suggest

Hello Thanks for your query. Ig G against rubella is non specific and indicates past infection and immunity against the disease. THe IgM indicates active infection. Your IgM levels are quite low. I think you need not worry about Rubella as far as your abortions are concerned. You are already immune to it. There is no scope for vaccination or antibiotics. There could be various causes of abortion such as genetic causes, autoimmune disorders, abnormalities in uterine shape and size, other infections etc. You need to have a complete analysis of the fetus and the placenta to know the exact cause. Meanwhile consult a High Risk pregnancy specialist, have complete evaluation done, and take regular folic acid supplements for 3 months before planning a pregnancy.