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Precautions to avoid a miscarriage - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   Iam.Dr.XXXXX
Doctor :   Can i help you?
User :   hi, i'm XXXXX, 29 years of age, married female, weight is 47 kgs, height 5.5". I'd a miscarriage 3 months ago
Doctor :   ok
User :   it was within 2 months of pregnancy that it started with heavy bleeding and finally it got cleared in that bleeding only
Doctor :   ok
Doctor :   So it was a first trimester abortion
User :   yes
Doctor :   that you had
User :   also i've signs of Polysist ovaries
Doctor :   Are you having any thyroid disease?
User :   no
Doctor :   OK
Doctor :   Did you do an ultrasound examination then?
Doctor :   Is the uterus normanl?
User :   yes i'd done it
Doctor :   Is there cysts in both the ovaries?
User :   yes, my gynac said that it is normal
Doctor :   ok good
User :   i'm not sure, but guess it is in right ovary
User :   is that the reason for abortion?? and what precaution should i take going forward
Doctor :   Did you undergo any hormonal study?
Doctor :   yes first the cause should be identified
User :   ok
Doctor :   it can be uterine abnormalities,hormonal imbalance
User :   I'd undergone Beta HCG when i was pregnant but nothing after that
Doctor :   congenital malformations in fetus
Doctor :   ok
Doctor :   was it sudden that you had bleeding then?
User :   my gynac said that sometimes body doesnot support 1st pregnancy
Doctor :   was it threatened before?
Doctor :   ok
User :   ya, bleeding started suddenly. actually i have to travel a bit to my workplace
Doctor :   some of the other causes of abortion includes advanced age, extremes of age, feeling stressed, and advanced paternal age
Doctor :   ok was it a two wheeler travel
User :   no, bus and train and sometimes rickshaw
Doctor :   About 80% of miscarriages occur within the first trimester. The frequency of miscarriage decreases with increasing gestational age.
User :   what suggestion do you have for me?
Doctor :   anyway you need to get all investigations done like
Doctor :   Complete blood count (CBC) with differential, beta-hCG, blood type and screen (possible crossmatch), possible DIC profile, and urinalysis
Doctor :   what is your blood group?
Doctor :   what is your husbands blood group?
User :   we both are B+ve
Doctor :   ok thats good
Doctor :   so no problem with rh incompatability
User :   but my husband suffers from hemophiliac
Doctor :   the prognosis for early pregnancy loss is excellent
Doctor :   hemphilia?
User :   yes
Doctor :   ntinuclear antibody, anticardiolipin antibody, VDRL, RPR, and lupus anticoagulant are some of the blood tests used to diagnose autoimmune diseases that can cause recurrent miscarriage
Doctor :   that will not affect your pregnancy
Doctor :   as long as he can produce good count
Doctor :   Blood testing can be ordered to identify chromosomal abnormalities in the couple that could be transmitted to the fetus
Doctor :   he use of progesterone to increase the blood levels of this hormone is sometimes used for patients with recurrent pregnancy loss
Doctor :   Since you are free from an anatomical defect to the uterus
Doctor :   you may be investigated by blood tests
User :   actually this is my first time, so should i undergo these test or can we try for 2nd one
Doctor :   BU since it is the first loss
Doctor :   you dont need to worry
Doctor :   as only repeated loss are investigated in detail
Doctor :   by blood and usg examinations
Doctor :   But i would advise you to check your
Doctor :   Thyroid status and blood sugar levels too
Doctor :   as these are one of the common causes of early loss
Doctor :   Also remember In the first trimester, fetal causes of spontaneous abortion are the predominant etiology and account for 80-90% of miscarriages
Doctor :   your ovarian cysts too can be a cause
User :   i'd done my thyroid test around 8-9 months back and everything was normal
Doctor :   since it affects hormonal imbalance
Doctor :   ok good
User :   is there anything that i shoudl include in my diet?
User :   what other precaution should i take as i'm underweight also
Doctor :   ok you need to take good protein diet
Doctor :   with eggs and lots of green leafy vege and fruits
Doctor :   other
Doctor :   good protein foods
Doctor :   and also
Doctor :   take plenty of iron rich food items too
User :   i'd actually started taking boiled egg everyday, but it got to heaty, i started getting boil on my face, and mouth ulcer
Doctor :   'ok
Doctor :   what you can do is take only the egg white after boiling
Doctor :   vit c rich foods are good to prevent abortion
User :   ok
User :   any other suggestion?
Doctor :   some yoga asanas are also very beneficial
User :   such as??
Doctor :   sarvanganasana
Doctor :   bhujangasana
Doctor :   etc
Doctor :   you may do it unde
Doctor :   a good trainer
User :   ok, thanks a lot doctor for your time
Doctor :   Thanks for consulting...
Doctor :   ANy help you need you can come back anytime
Doctor :   Thanks for consulting
Doctor :   Bye for now...
Doctor :   Take care....
User :   ya sure, tnx once again
User :   bye & take care
Doctor :   bye...
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