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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Abortion During A Pregnancy?

My wife is 27. On 30.12.2010 she had a miscarriage. She was 10 weeks pregnant. In the 9-th week the baby even had a heart reaction, but when we wen`t to see a doctor in the 10-th week the the baby was dead.
The doctor told us that she needs to have an abortion-missed miscarriage, so on 31.12.2010 we went to a hospital and she had an abortion. She was bleeding for 1-2 days and then it stopped. The doctor prescribed her antibiotics and some drops called Methylergomethrin. We went to see a doctor again on 03.01.2011 and he saw her on ultrasound and told us that there is a piece of the placenta that stayed in the uterus-womb (16 mm) and that she needs another abortion (revision) - incomplete miscarriage. On 05.01.2011 we went to a hospital again and she had revision - abortion. She was bleeding again for 1-2 days and that was all.The doctor again prescribed her antibiotics and the same drops. After few days we went in for a check and on ultrasound the doctor told us that there is a piece of blood-lump that stayed inside of uterus and prescribed her injection Methylergomethrin (one in the morning-one in the evening) for 4 days so that she can get that blood lump out. She didn't bleed at all all of this time. On 13.01.2011 we went to see a doctor again and he told us that the blood is still there and that she will need another revision - abortion to take it out. We couldn't believe what we are hearing. We went to a private clinic and a doctor saw us on the ultrasound and saw the lump. He said to come back on 19.01.2011 to check it out again and if is still there we will have another revision or hysteroscopy - we will see then.
We don't know what to do. Did anyone had this kind of experience?
Please tell us what to do. We really want to have a baby - but we are afraid that the doctors may harm her uterus-womb. Thanks
Mon, 25 Jul 2016
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OBGYN 's  Response
Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern . I will suggest you the best possible treatment options.

1 ) First of all do not panic.

2 ) It is sad to hear about your previous pregnancy loss. Also, I can under the stress that you are going through due to the treatment.

3 ) Considering all your history, I will suggest you to get blood beta HCG test done. Also, if USG is showing something inside the uterus then I would suggest you to get hysteroscopy done- to look inside the uterine cavity directly with a scope with magnified view.

4 ) This will help to finish the dilemma of what is seen in the uterine cavity. And it will also finalise the treatment.

5 ) As far as next pregnancy is concerned, a gap of 3 months is advisable. I will suggest that she should indulge in a healthy diet and regular exercise regimen. Start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan your next pregnancy. This will help to minimise or prevent many a problem with pregnancy.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
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What Causes An Abortion During A Pregnancy?

Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern . I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) It is sad to hear about your previous pregnancy loss. Also, I can under the stress that you are going through due to the treatment. 3 ) Considering all your history, I will suggest you to get blood beta HCG test done. Also, if USG is showing something inside the uterus then I would suggest you to get hysteroscopy done- to look inside the uterine cavity directly with a scope with magnified view. 4 ) This will help to finish the dilemma of what is seen in the uterine cavity. And it will also finalise the treatment. 5 ) As far as next pregnancy is concerned, a gap of 3 months is advisable. I will suggest that she should indulge in a healthy diet and regular exercise regimen. Start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan your next pregnancy. This will help to minimise or prevent many a problem with pregnancy. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar