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Suggest Ways To Avoid Recurrent Abortions

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Posted on Tue, 18 Aug 2015
Question: Reason for recurrent abortions , my wife had one blighted ovum and one missed abortion , can u please guide us what should be done to counter it for future , plus she was on antidepressants for past 3 years but stopped two months before her second pregnancy ? Please help and guide ...
doctor
Answered by Dr. Dr. Rakhi Tayal (25 minutes later)
Brief Answer:
Investigations can detect the cause.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
A missed abortion at less than 8 -10 weeks of pregnancy is mostly due to chromosomal abnormalities. If the pregnancy was well confirmed and no cardiac activity was detected at 6- 8 weeks then chromosomal abnormality is the most common cause. Other causes include genital infections. anti phospholipid syndrome, etc. All these can be ruled out after proper blood tests and adequate preventive measures can be taken in the next pregnancy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (12 minutes later)
Thanks Doctor for your reply , our last pregnancy was well defined and around 7 week from conception fetal node was seen but with no cardiac activity , if it is due chromosomal abnormality what we should do to prevent it from our next pregnancy as already two times it has happened .... Ist blighted ovum doc too suggested it . please help .
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Chromosomal abnormalities are difficult to prevent.

Detailed Answer:
Hello.
Thanks for writing again.
Blighted ovum is due to improper fertilization of the ovum. The missed abortion at 7 weeks - since it has happened only once, we can take a second chance and see if there is any problem next time. Genetic problems are difficult to prevent or treat. You can consult a genetecist regarding this. She can start taking low dose aspirin next time after conception after consulting her gynecologist.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (10 minutes later)
Should we go for fertility test for me and my wife , plus we never had any problem in concieveing as on date ... What best should be done by us before starting our next pregnancy .
doctor
Answered by Dr. Dr. Rakhi Tayal (5 hours later)
Brief Answer:
Fertility treatment is not needed.

Detailed Answer:
Going for fertility tests is not needed as you both do not have any problem in conception. You need to consult your gynecologist for blood tests to rule out infections and anti phospholipid syndrome. She can then start the further treatment based on the reports.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (16 minutes later)
well thank you doctor it has been great help I have a last query as you said these abortions can also be because of chromosomal abnormalities so he could we figure it out that we both are doing fine chromosonally .
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Details below.

Detailed Answer:
To find about chromosomal abnormalities the aborted fetus histopathology and chromosomal study is needed. Both of you also need to get your genome tested through a blood test.
Since the odds of having a successful pregnancy after one miscarriage are fairly high, doctors may not suggest chromosome testing unless a couple is experiencing recurrent miscarriages. The fetus chromosome is difficult to test as adequate sample is not available most of the times. Also it is not necessary that if this was a chromosomally abnormal baby then the next baby will also be abnormal. It is best to get all other factors ruled out.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14043 Questions

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Suggest Ways To Avoid Recurrent Abortions

Brief Answer: Investigations can detect the cause. Detailed Answer: Hello, Thanks for trusting us with your health concern. A missed abortion at less than 8 -10 weeks of pregnancy is mostly due to chromosomal abnormalities. If the pregnancy was well confirmed and no cardiac activity was detected at 6- 8 weeks then chromosomal abnormality is the most common cause. Other causes include genital infections. anti phospholipid syndrome, etc. All these can be ruled out after proper blood tests and adequate preventive measures can be taken in the next pregnancy. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal