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Dear Dr.- I am 6wk 4 days pregnant and just had an ultrasound, have seen the heartbeat- however, they have told me there is hemorraging- does this mean a miscarriage is inevitable?. Is it safer to let the miscarriage happen naturally or have a d&c?.
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The"back ache" could also be uterine contractions associated with miscarriage or caused by something outside the uterus such as an ectopic pregnancy or ovarian cyst. At 7 weeks, your doctor can do a transvaginal ultrasound and should be able to co...
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Soumya has left a new comment on your post" Recurrent Early Pregnancy Loss- 6- A Special Pat...". (I have modified/revised her comment somewhat to the best of my understanding of her concerns)...
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Before I get into details regarding specific abnormalities of the maternal immune system and clotting system that appear to be related to recurrent early pregnancy loss, let me tell you a story about one of those special patients in my life who ch...
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In our last post we discussed the high frequency of early pregnancy losses in first conceptions that probably results from a naive maternal immune response to the fetal tissues; and also the high frequency of chromosomal abnormalities as the most ...
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In our last post, we reviewed several studies that would lend support to the hypothesis that women with elevated levels of plasminogen activator inhibitor-1(PAI-1), and a genetic predisposition for the same, are at increased risk for adverse pregn...
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Several recent comments on my post"MTHFR Mutations and Congenital Heart Defects" worthy of a general response for our readers: Anonymous said Sept 02, 09:30:00 PM 2007... My daughter was diagnosed with MTHFR gene mutation during a blood test befor...
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The readers who sent in the comments below related to recurrent early pregnancy loss(RPL) have what we could consider to be'borderline' indications for'treatment' and several questions related to their therapy. But, the fact remains, they have bot...
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The other day, tjtiger left a new comment on my post"MTHFR Mutations and Congenital Heart Defects". Her many questions made her comment worthy of a post of their own and the query related to the possible assocation of MTHFR polymorhisms and schizo...
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Anonymous has left a new comment on your post"Early Pregnancy Loss- 2": I found out from my OB today that I miscarried(I found out I was pregnant on 8/22, and began bleeding on 8/29, he ordered a hCG level test which went from 12 to 2 in a 48 hour...
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Back in June, a reader I.R. left a comment on my post"Recurrent Early Pregnancy Loss- 7- Immunologic a...". Her specific question related to the possible role of plasminogen activator inhibitor 1(PAI 1) activity and polymorphisms in recurrent preg...
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Below are excerpts from a comment/query that appeared recently on my post Recurrent Early Pregnancy Loss-6- A Special Patient. In this post, I recount my first experiences with a woman who had pregnancy complications(miscarriages and severe preecl...
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The last two major categories I would like to discuss related to recurrent early pregnancy loss are immunologic and hematological(thrombophilias) abnormalities. These may well be the most common causes, but they are also by far the least well unde...
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For many years now, we have placed women with recurrent early pregnancy loss on low-dose aspirin(81 mg) and heparin, or low molecular-weight heparin such as lovenox, to help them improve their prospects for pregnancy outcome. In some instances thi...
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My local hospital claims their amnio miscarriage rate is between 0.5 and 1.0 per cent. I am torn between no getting pregnant again given my age and driving myself ill with stress of not knowing for sure. many thanks anonymous.
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I have a short cervix, but what has not appeared to be IC. With my first healthy pregnancy(2 prior miscarriages in the first trimester) my cervix shortened from 35mm to 22mm between 19 and 28 weeks.
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Below is a sequence of comments between a reader and me related to the unending difficulties we encounter sorting out the cause of midtrimester pregnancy losses: Is it preterm labor, cervical incompetence, uterine infection, fetal chromosomal abno...
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I felt the comment below from a reader deserved a more thorough response than could be accommodated under the post upon which it was left and also might be of interest to other readers and providers who frequent this site. Anticoagulation during p...
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The following comment was recently received with the request to comment upon the possible association of"poor sperm quality" and recurrent pregnancy loss... Posted by Concerned_in_Canada to Fruit of the Womb at Thu Jan 31, 11:59:00 AM 2008"Early P...
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Today I received another comment to a post I wrote awhile back on aneuploidy(chromosomal abnormality) from a reader who has a first trimester baby that was found to have a cystic hygroma. With the growing acceptance of first trimester screening fo...
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One of our readers left the comments/questions below that were worthy of a post for general consumption by interested readers... Anonymous has left a new comment on your post" Recurrent Early Pregnancy Loss- 3- Chromosomal C
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