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Concern about future conception post spontaneous abortion - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Abortion and Stillbirth
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1775 Questions
Doctor :   hi
User :   hi
Doctor :   how can i help you?
Doctor :   hi
Doctor :   how can i help you
Doctor :   r u there
User :   recently i had an abortion and my histopath report says
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No
User :   age 32
User :   female
User :xxxxx
Doctor :   k
User :   hydrotropic degeneration of stoma in a few chronic villi unassociated with trophoblastic proliferation
Doctor :   ok
Doctor :   what is ur current complains
Doctor :   this is histopath report of aborted fetus isit
User :   and chromosome analysis says that fetus had an abnormal cytogenetic profile with monosomy of chromeme no 18
User :   yes
Doctor :   ok
User :   so tell me what is it and can i concieve a normal baby
Doctor :   this must be a spontaneous abortion
User :   what is spontaneous abortion/
User :   fetus was 10 week
Doctor :   A miscarriage is the spontaneous loss of a fetus before the 20th week of pregnancy
Doctor :   this is also called spontaneous abortion
Doctor :   do u have any other medical problems
User :   no
Doctor :   other than this
User :   no
Doctor :   Monosomy 18p is usually caused by spontaneous (de novo) errors very early in the development of the embryo that appear to occur randomly for unknown reasons (sporadically).
Doctor :   it is genetic error
Doctor :   which has occured in the foetus
Doctor :   reason is not known
Doctor :   r u able to follow
Doctor :   if any doubt u please ask
User :   yes
Doctor :   u can conceive normally
User :   can i concieve a normal baby next time
Doctor :   yes u can
Doctor :   u cannot have fetus which develops genetic abnormality everytime
Doctor :   so also any women can have this problem
Doctor :   u need not worry
User :   is it because me or my husband has any genetic problem
User :   or it happens?
Doctor :   this chromosomal abnormalities cause is unknown
Doctor :   so it is difficult to say what exactly is the problem
User :   not because of us i hope so
Doctor :   dont worry
Doctor :   it was loss of chromosome material has a more severe effect on the growth of a baby than does the addition of chromosome material.
Doctor :   do u smoke?
User :   how much time should i wait to concieve
User :   no
Doctor :   u can conceieve
Doctor :   anytime there is not fixed time frame
Doctor :   since u had abortion recently
Doctor :   u start taking iron and folic acid tablets
Doctor :   and recover
User :   yes in the month ofspontaneous abortion
Doctor :   dont worry or think of what happened
Doctor :   in the past
Doctor :   u will have healthy baby in future
Doctor :   cheer up
User :   thanks
Doctor :   stay healthy
Doctor :   exercise
User :   yes
Doctor :   there is nothing to worried about
Doctor :   it can happen to any women
Doctor :   try to concieve earlier
Doctor :   this is more often seen in mothers above 35
User :   what is the frecuency of having monosomy 18
User :   bout i am not 35
Doctor :   it is extremely rare
Doctor :   u need worry
Doctor :   u need not worry
Doctor :   sorry
User :   ok
Doctor :   Please fill this feed back form that i send, and do inform me when done. By then i shall type out the necessary Medical information for you.
Doctor :   cause is yet to made out
Doctor :   some journals say it is due to smoking
Doctor :   but yet to confirm same
Doctor :   did i clear all ur doubts?
Doctor :   only cause so far known is spontaneous errors very early during embryonic development that occur for unknown reasons (sporadically).
User :   even my husband ..he is non smoker
Doctor :   u need not worry
User :   ok
Doctor :   i just told smoking might be the cause of
User :   yes
Doctor :   it is not yet proved
Doctor :   still research is going on
User :   ok
Doctor :   not able to know the exact cause
User :   thanks for the help doctor
Doctor :   so far
Doctor :   ur welcome
Doctor :   anything else u would like to know about
User :   just how much time gap should be given between abortion and concieving a baby
User :   r u there/
Doctor :   2- 3months
User :   thanks
Doctor :   depends on how well
Doctor :   u can cope
Doctor :   and recover
User :   ok
User :   monosomy is not a serious problem ?
Doctor :   no
Doctor :   its not
Doctor :   it happens rarely
Doctor :   u need not worry
Doctor :   ok
User :   ok
Doctor :   anything else u want to know about
User :   no thanku
Doctor :   ur welcome
Doctor :   have a nice day
Doctor :   keep smiling
Doctor :   bye for now
Doctor :   hi
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