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What Are The Precautions To Be Taken During 10th Week Of Pregnancy To Prevent Miscarriage?

Posted on Thu, 18 Jun 2015

Question: Respected Dr. Malapni,
I am 10th Week Pregnant now ( Post IUI) , currently on following medications-
A} Thyrox 75 Daily Empty Stomach
B} Duphaston 10 mg Daily twice, in Morning Duphaston With Folvite 1 Tab at Night Duphaston With ASA 50 mg.
C} Doxinate taking both times alongwith Duphaston.
D} Lutigen Gold 5000 IU Injections Twice a Week .

What precautions should i take for miscarriage? And How often should i check my TSH Level in pregnancy? My LMP was on 17.03.2015. USG TVS on 15.05.15. show Foetal Heart Rate 168 b/m. and average gestation period of 8 weeks & 3 days- Is it Normal? Report show healthy cervix with endo cervical canal looks collapsed- is this something to concern about?

Answered by Dr. Mahesh Koregol (23 minutes later)

Brief Answer:
Everything is fine

Detailed Answer:
Hello,

Congratulations on successful completion of 10 weeks and presence of heart beat.

There is no problem and everything is good. I suggest you make following changes:

1. Stop Lutigen gold injections and Duphaston tablets. They are no longer necessary.

2. Continue thyroid medicine and get TSH measured every 6 weeks.

3. Take doxinate only if you have vomiting. Otherwise its not necessary. Stop it.

4. Collapsed endocervical canal is normal and not a problem. Hence dont worry about it.

5. Everything looks good now and not a problem.

Let me know if you need any more help.

Regards,
Dr. Mahesh Koregol.
IVF & Infertility Specialist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

Dr,

My Gynao has adviced Duphaston till 16th Week and Lutigen Gold 5000 IU till 12th Week, is it safe to take that?

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
They wont harm if continued

Detailed Answer:
Hi XXXX,

I understand that some doctors prescribe it longer than necessary. By now your placental activity would have started and hence I dont see any necessity of these 2 medicines as of now.

You can continue them if you wish. They wont cause any harm either.

Regards,
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (3 hours later)

Dr,

Apart from TSH Testing every 6th week, How often during pregnancy period I should go for blood test of Beta HCG and USG Pregnancy TVS? Can i Take Eno XXXXXXX for Gas Problem sometimes?

Answered by Dr. Mahesh Koregol (12 minutes later)

Brief Answer:
Stop doing beta hCG blood test

Detailed Answer:
Hi,

You can take eno. No problem.

You don't need beta hCG blood test anymore.
Get NT scan at 12 weeks and anomaly scan at 20 weeks. You don't need anymore scans.

Regards,
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Mahesh Koregol (38 hours later)

Dr,
Once the placental activity starts and me able to see heart beat in TVS, is it that I am completely safe and out of danger against any untoward incident of pregnancy? Till which week I must take safe precautions like not eating outside food and avoiding traveling. Sometimes i feel very thirsty and have urge to drink soft drinks like thumps up almost thrice a week ,is it safe to take soft drinks?

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Eat, drink and travel in moderation

Detailed Answer:
Hi,

It is safe once the heart beat is seen and placenta has taken over. There are no restrictions for eating or drinking anything or even travelling. Everything in moderation is good.

Soft drinks contain sugar. It is better to avoid them. There are no restrictions but better avoided.

You are in safe zone now.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar