What Does My Biopsy Report Indicate?

Posted on Fri, 20 Jan 2017

Question: My spouse ,31, suddenly felt restlessness and vaginal blleding after 13 weeks of gestation on 22-Dec-16. I suddenly
admitted to her a local hospital.
USG diagnosis confirms intrauterine fetal demise at 13 weeks gestation. And she immediately underwent suction evacuation
under GA. Discharged on the same day. There were biopsy and some other tests conducted. I will attach he reports. After 12 days
now, she is feeling better and vaginal bleeding(although scanty) stopped almost after 8-9 days.

Please check the biopsy report and let me know what to do. I am out of the town and can't make a followup with the same doctor. when does she expect her next period?
can she be conceive again in future?

Answered by Dr. Deepti Verma (20 minutes later)

Brief Answer:
Histopathology report normal

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
I have reviewed the reports and the discharge summary.
The histopathological report is suggestive of products of conception, which is normal and no abnormalities are found.
So, nothing needs to be done as of now.
However, second trimester miscarriage can be due to many causes like antiphospholipid antibody syndrome, diabetes, hypothyroidism and autoimmune diseases. So, she should be investigated for these conditions 6 weeks after the termination of pregnancy.
Her next periods are likely to come 4-6 weeks after evacuation.
Yes, she can definitely conceive again.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Deepti Verma (14 minutes later)

Thanks a lot for your reply, Dr.

May I know which clinical/pathological tests we should perform after 6 weeks of evacuation? So that I can get back to you after I perform the tests in due time.

Answered by Dr. Deepti Verma (26 minutes later)

Brief Answer:
Tests mentioned

Detailed Answer:
Hi dear,
She should get the following tests:
1. Fasting and post prandial blood sugar levels
2. Thyroid hormone levels
3. Anticardiolipin antibody levels
4. Lupus anticoagulant
5. Beta 2 glycoprotein levels
6. APTT
7.ANA levels
You can get back to me with these reports and any other queries by asking a direct question to me on the health care magic portal.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Remy Koshy