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Two months pregnant, had three miscarriages before. Precautions to be taken?

my wife had miscarried 3 times before, first in 3 month, second 7 month and last in 2 months. last miscarrige was in 2010 may. I checked up many doctors , they told that everything is fine, such problems may ocur only 1% of the people and sometimes only. Now she is pregnegnet since last 2 month, How we can care for the healthy baby
Asked On : Sun, 30 Dec 2012
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OBGYN 's  Response
Mar 2013
Thanks for the query.
There are many causes of recurrent abortions, and you should get investigated accordingly, and treated too.
Most common cause is chromosomal anomalies - you should have the chromosomal testing of previous abortion tissue, and if not done, then get your couple karyotype.
Also, tests for immune causes - for antiphospholipid antibody syndrome - are important. They include a battery of tests such as antibodies to antiphospholipids, coagulation tests etc.
Uterine abnormalities have to be ruled out by ultrasound now, since she is pregnant, else a hysteroscopy and laparoscopy is ideal. Sometimes, the mouth of the uterus ( cervix ) is loose, hence that needs to be seen in ultrasound
ALso, some infections are implicated - such as toxoplasmosis, rubella, herpes etc, tests for those need to be done.
Basic investigations such as blood grouping, viral markers. thyroid tests, blood sugar testing, testing for thalassemia, urine tests should be done.
Appropriate pregnancy support, as prescribed by your gynecologist should be taken, particularly progesterone support, if progesterone deficiency is suspected as a cause.
Go for regular antenatal check ups, have regular scans, take all prescribed medication, have enough rest, avoid stress.
Take care.
Answered: Mon, 31 Dec 2012
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