Hello XXXXXXX

Thanks for posting query. I have gone through all reports of your wife in details.

I will try explaining the reports according to abnormal findings & your query.

1) PCV 36.9% - Pregnancy usually causes a slightly decreased PCV due to extra fluid in the blood. It is quite normal & a physiological thing.

2) Increasing TLC (10,800 cells/cumm) with slight decreasing Lymphocyte count (14%) are also normal physiological findings in pregnancy.

3) In urine analysis, Epithelial cells 4-6/ HPF & Pus cell 8-10/ HPF with presence of bacteria suggest asymptomatic bacteriuria. It may be associated with stasis of urine due to the ureters dilate from the effect of the hormone progesterone in pregnancy. It is quite a normal phenomena.

The normal pus cells in urine during pregnancy are same as compared to non pregnant states. The normal range should be from 6 to 10 pus cells per ml/ HPF. A high number than normal range indicate UTI) and the condition is known as pyuria.

Here I suggest URINE CULTURE to rule out asymptomatic UTI.

4) TSH level 11.56 uIU/ml is high enough than normal. It suggests hypothyroidism in your wife and she needs to start treatment for that at the earliest.

Certain complication may arise as miscarriages, anemia, Preterm delivery, abruptio placenta, pre-eclampsia & postpartum hemorrhage (PPH) in pregnant women with overt hypothyroidism. Congenital hypothyroidism in growing fetus is also a complication and it may hamper IQ of baby.

Levothyroxine is the treatment of choice for hypothyroidism in pregnancy. Early treatment can eliminate above complication.

5) Slight spotting is normal in early week of pregnancy. As her ultrasound is normal with fetal well being, then you should not be worried.

Do some basic things for healthy pregnancy:
1) Continue prescribed medicine. She will need Thyroid tablets also.
2) Take Healthy protein XXXXXXX diet (Milk/Meat/Fish/Pulses/Beans/Nuts/Dals etc.) with extra 350 Kcal/day than usual and eat leafy vegetables & fresh fruits.
3) Drink lots of fluid/water to stay hydrated & for better feto-placental circulation.
4) Take an adequate bed rest and preferably 8-10 hrs daily in divided schedule.
5) Maintain personal hygiene including breast & genital care with proper washing.
6) Try to avoid stress/tension/emotional upset by regular XXXXXXX breathing.
7) Certain things should be avoided like any type of sexual activity/ intercourse, long journey/stepping uneven surface and high heel shoe (risk of fall on ground with miscarriage) etc.
8) Do periodic check up as per schedule. Repeat scan is needed in later month to assess growth & development of fetus.
9) Take Iron/calcium supplements from 16 weeks onwards, Two doses of TT in the 2nd trimester and complete all necessary investigations.
10) Periodic measurement of Weight gain and blood pressure. 10-12 kg weight gain is normal in pregnancy period.

Hope I have answered your query. If you have any further questions I will be happy to help.
Wish her good health and successful motherhood.

Regards,
Dr Soumen.

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Hello XXXXXXX

You are most welcome in XXXXXXX

If you do not have any clarifications, you can close the discussion and rate the answer.

Take care of her.

Regards,
Dr Soumen

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