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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Death Of Babies During Birth?

I am 35 years old I had a stillbirth on 9 march, 2011. I was taking low dose aspirin and at 34 weeks I experienced sever bleeding on the morning of 9 march, I was told that my placenta abrupted. My baby was checked for a heartbeat but they found none. I was induced and delivered my son. I have four other losses with no children alive. One of my babies was at 22 weeks pregnant and the other were ranging between 8 weeks to 3.5 months. Please assist. I live in Trinidad and they are a bit backward with helping me find an answer to my recurrent problem
Mon, 12 Oct 2015
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OBGYN 's  Response
Hello, and I hope I can help you today.

I am a physician from the US, and I am very suspicious that you may have a disease called a thrombophilia, which is a tendency for your blood to clot too easily while you are pregnant. Some inherited clotting disorders, as well as some autoimmune diseases can cause this problem. This can be diagnosed with a series of blood tests, which may not be available in your country. but . The fact that your doctor treated you with aspirin during your pregnancy also leans to the diagnosis, however you may need injectable blood thinners to achieve a level that would be high enough to prevent clots in the placenta that can cause abruption and fetal death.

Unfortunately, with your history, without treatment your risk of fetal complications is still extremely high. You really should be managed by a high risk specialist and have regular ultrasound monitoring of your placenta and the baby's growth, and possible early delivery. You likely would need an injectable blood thinner that is stronger than aspirin, or possibly high-dose folic acid treatment, or both. If you have a thrombophilia, you yourself are at risk of blood clots in your legs or even lungs that can put your own health at risk.

If you are able to see a doctor who specialized in problems of the blood (a hematologist) they may be able to do the tests. If you were my patient, I would test you for Protein C and S deficiency, Antiphospholipid and Anticardiolipin antibodies, Factor 5 Leyden deficiency, MTHFR mutation, Antithrombin 3 deficiency as well as a platelet count. There are other conditions that can cause these diseases as well that are rarer but these tests are a start.

I sincerely hope you are able to get access to the proper evaluation of your condition and that you find a doctor who can properly care for you in this very high risk pregnancy situation.

Sincerely, Dr. Brown
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What Causes Death Of Babies During Birth?

Hello, and I hope I can help you today. I am a physician from the US, and I am very suspicious that you may have a disease called a thrombophilia, which is a tendency for your blood to clot too easily while you are pregnant. Some inherited clotting disorders, as well as some autoimmune diseases can cause this problem. This can be diagnosed with a series of blood tests, which may not be available in your country. but . The fact that your doctor treated you with aspirin during your pregnancy also leans to the diagnosis, however you may need injectable blood thinners to achieve a level that would be high enough to prevent clots in the placenta that can cause abruption and fetal death. Unfortunately, with your history, without treatment your risk of fetal complications is still extremely high. You really should be managed by a high risk specialist and have regular ultrasound monitoring of your placenta and the baby s growth, and possible early delivery. You likely would need an injectable blood thinner that is stronger than aspirin, or possibly high-dose folic acid treatment, or both. If you have a thrombophilia, you yourself are at risk of blood clots in your legs or even lungs that can put your own health at risk. If you are able to see a doctor who specialized in problems of the blood (a hematologist) they may be able to do the tests. If you were my patient, I would test you for Protein C and S deficiency, Antiphospholipid and Anticardiolipin antibodies, Factor 5 Leyden deficiency, MTHFR mutation, Antithrombin 3 deficiency as well as a platelet count. There are other conditions that can cause these diseases as well that are rarer but these tests are a start. I sincerely hope you are able to get access to the proper evaluation of your condition and that you find a doctor who can properly care for you in this very high risk pregnancy situation. Sincerely, Dr. Brown