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Does previous miscarriage affect my pregnancy? - Online Doctor Chats

Date : 02-Jan-2014
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1540 Questions
User:Hello doctor
Doctor:please proceed with your query
User:this is regarding an opinion related to my wife's medical issue
User:I have an report to share with you
User:how can I do it?
Doctor:mail it to me
Doctor:address is here
User:email id?
Doctor:put my name in subject line
Doctor:all right?
Doctor:would you like to come back on chat again later, after sending the report?
User:I have sent the report
Doctor:let me look for it
Doctor:would you like to wait for a while
User:yes I am waiting
Doctor:please wait while I check for it
User:patient name is XXXX
Doctor:I have just got the mail
Doctor:let me look into the report
User:no problem
Doctor:is your wife pregnant now?
Doctor:are you there?
User:she is
User:she had an miscarriage in May during her 6th week of pregnancy
Doctor:congratulations on the pregnancy :)
User:this is her 2nd pregnancy
Doctor:now, please ask me your queries
Doctor:I would be glad to suggest you
Doctor:I have gone through the report
User:but we are very worried because of her last miscarriage
Doctor:oh no
Doctor:please be relaxed
User:we are getting nervous and fear fo reverything
Doctor:the previous miscarriage has nothing to do with her present pregnancy
Doctor:it will not have any effects on her
Doctor:be relaxed, calm and happy
Doctor:nothing to be feared about
User:we are trying to be calm and happy
Doctor:that is good
Doctor:do you have any specific query that you would like to discuss?
User:her TSH level is high
User:and what does the current report say about other tests?
Doctor:let me discuss her report in detail now?
User:she is taking thyronorm 12.5 mcg at empty stomach
Doctor:her TSH is 4.43
User:yes right
Doctor:it is high
User:it was 3.7 last week
Doctor:I do not think 12.5 mcg would be sufficient
User:this week it XXXXXXX to 4.43
Doctor:ideally 25 mcg would be fine
Doctor:You can discuss with her doctor to increase the dose
Doctor:shall I proceed to the next test reports?
User:is her thyroid an worrysome factor for her current pregnancy
User:yes sure
Doctor:it is subclinical hypothyroidism
Doctor:nothing to be worried about
Doctor:she must continue to take the medicine however
User:can it be brought under control
User:sure she will continue
Doctor:yes, with medication
Doctor:she will have to take it throughout her pregnancy and after that too
Doctor:after the delivery, we can repeat the test and see if she still requires it
Doctor:regarding Rubella test
Doctor:she is immune to rubella
Doctor:there is no active rubella infection
Doctor:nothing concerning here
Doctor:free T4 is normal
User:good to know
Doctor:even then,in view of high TSH, she must take the medicine
Doctor:her complete blood count panel is normal
Doctor:nothing worrying
Doctor:how may weeks is she pregnant?
User:her per period date was 11-Nov-2013
User:so almost in her 6th week by now
User:sorry 5th week just got completed today
Doctor:have you done a ultrasound scan?
User:we are doing it on 31st dec
Doctor:you must do that first
Doctor:please get a scan done at the earliest to confirm the pregnancy
User:doctor has advised after completion of 6 weeks
Doctor:no problem
Doctor:you can wiat
Doctor:not harm in it
User:it this the right time or may be by next week
Doctor:her glucose tolerance test is normal
Doctor:you can get it done next week
Doctor:no problem
Doctor:she has no diabetes
User:good to hear this
Doctor:according to the glucose tolerance test
Doctor:urine routine is normal
Doctor:beta HCG is suggesting pregnancy
Doctor:this needs to be confirmed through scan
Doctor:I think that is all the reports you have for now, isnt it?
Doctor:hope it is all clear to you
Doctor:let me know if you have any doubts at all
Doctor:I would be glad to help you
User:one min
User:she has given her blood sample today morning to find out if her BHCG level is doubling after 48 Hrs
Doctor:that is good
User:tomorrow morning we are consulting the doctor to review the current report and tomorrows report as well
Doctor:go ahead with it
User:apart from this does she need to take any precautions bcoz of her earlier miscarriage
Doctor:is she taking folic acid tablets?
User:she is taking one daily at night
Doctor:let she continue it throughout her pregnancy
Doctor:no other medication is required now
User:and she was complaining of abdominal pain during entire last week
Doctor:please ask her to rest well
User:and she used to feel hungry every 2 hrs
Doctor:as much as possible
Doctor:hunger will be there in pregnancy
Doctor:that is a good sign
User:so doctor gave her pentac for acidity
Doctor:Also, she must eat every 2 hours
User:she is an working lady
Doctor:please give her more fruits, vegetables and spinach
User:so few days she is working from home and travelling to office
Doctor:please ask her to carry good amount of food and fruits along with her to work
User:is travelling fine of any issues?
Doctor:how far does she travel?
Doctor:what is the mode of travel?
User:up and down 15kms
User:either drop her in 2 wheeler or by Volvo bus
User:sometimes she does not get a place to sit in bus
Doctor:a four wheeler would be better
Doctor:2 wheeler is risky
Doctor:average distance
Doctor:15 kms is ok
User:we don't have an four wheeler
Doctor:just make sure she is comfortable
Doctor:Then she can travel by volvo
Doctor:only thing is she should feel comfortable
Doctor:that is important
Doctor:do you have any more queries?
User:she travelled by bus now standing and now she is getting slight pain in stomach
Doctor:in such a case, it is better to avoid the bus journey
Doctor:please ask her to work from home in such a case
Doctor:again, it is her comfort level
Doctor:if she is in pain, it is better for her to rest at home
User:she will try either to work from home or look for some other alternative
User:regarding food nothing is restricted right?
Doctor:she should not take raw papaya
Doctor:in fact no papaya at all
Doctor:rest of all things she can take
User:in fruit bread there is papaya is that allowed?
Doctor:is that all for now?
Doctor:that is allowed
User:yes almost over
User:how do I contact you tomorrow once I have consulted with the doctor tomorrow with the reports?
Doctor:Please ask for my name in the beginning of your chat
Doctor:Can I chat with doctor
Doctor:it is simple
Doctor:I will be able to take your chat
User:she will make note of this
Doctor:wish you good luck
User:thank you doctor for your valuable guidance
Doctor:and wish your wife a happy pregnancy
Doctor:thank you too
Doctor:my pleasure
Doctor:take care
Doctor:Talk to you tomorrow
Doctor:good day
Doctor:bye for now
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