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in immediate danger, even if she has an ectopic pregnancy, so the prudent approach in situations in which the pregnancy is desired is to simply wait, repeat the hCG levels periodically, every 2-3 days, and perform an ultrasound to look for...
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this could be another early pregnancy, it could be an ectopic pregnancy, or ot could be choriocarcinoma arising from your pregnancy in December. I am sorry, but it does sound like you had a very early pregnancy loss - sometimes referred to as a...
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Microdeletions of this portion of chromosome 22 are clearly associated with congenital heart defects, especially conotruncal defects, such as Tetralogy of Fallot, that have narrowing of the pulmonary artery and ductus arteriosus and...
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Recently, we had a woman diagnosed late in pregnancy with intrahepatic cholestasis of pregnancy, or obstetric cholestasis (OC) Despite reassuring fetal heart rate testing, the baby died. I just logged in and read about the "Inrahpatic Cholestasis...
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then this year on 07/2008 I had another miscarriage I was about 6wks and now I dont know if it was because of my abortion that Iam having miscarriages because I want to get pregnant again Iam very regular in my periods and as soon as I try to get...
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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...
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To begin our discussion of actual causes of recurrent early pregnancy loss, lets start with the one that is probably the most commonly touted, though still the least well-understood (and to me the MOST confusing) HORMONAL CAUSES.
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If the AFP is abnormally high, and there are no apparent abnormalities of the baby to be seen, then that "false positive" result may actually reflect an underlying placental problem (that may not manifest itself as a problem such as fetal growth...
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My secound boy was Rh Negative also so he was compatible with me no problems then I had a beautiful little girl and her blood type turned out to be positive she was born perfect but during the night developed awful probelms tryed giving her...
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Recurrent Early Pregnancy Loss - 1 - Implantation. 1) Endometriosis/adenomyosis is probably a MUCH mote common cause of recurrent early pregnancy loss than most physicians are aware of. Factors that contribute to recurrent early pregnancy loss...
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All the symptoms continued and the sickness and dizziness, hunger etc seemed to get stronger but then going back to the day after the positive pregnancy test i was told to go to hospital to see gynacologyst, when they did a urine test and a blood...
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The risk of the amniocentesis is probably only a tenth the risk of your having a baby with Down syndrome, but with the odds you quoted to me, if you did happen to lose the baby, and the loss was related to the amniocentesis, the odds are that you...
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i am 42 and currently 12w1d with twins.baby B "looks" normal.baby A has cystic hygroma.lots of fluid behind the neck, in the abdomen, and all over it's body underneath the skin.doctor said baby A has a 95% chance of dying in utero.i burst into...
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The blighted ovum was very likely to be a chromosomal abnormality as well and trisomy 16 is actuallly one of the more common chromosomal abnormalities that results in early pregnancy losses (those babies rarely get past 8-9 weeks) So, your...
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Indeed, we have found that one of the primary advantages of first trimester screening and midtrimester screening, coupled with ultrasound, is that we have found ourselves performing far fewer invasive procedures than we have done in the past...
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1.in 17th week, 2.In 25th week and 3.was a preterm birth in 24th week - the last one was a twin pregnancy I have this Prothrombin mutation and take Low Molecular Weigh Heparin during pregnancy plus baby aspirin,Progesterone, and Predisone (5mg)...
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Intrahepatic Cholestasis of Pregnancy - Outcomes and Management. If your itching has completely resolved, it is unlikely that you have true obstetric cholestasis - there are many other causes of itching (and of cholestasis) in pregnancy.
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First trimester screening for aneuploidy, or as it is commonly referred to as combined first trimester risk assessment, has gained widespread acceptance in other developed nations over the past decade, and is slowly coming into its own here in...
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Im 22yrs old and recently found out i was pregant,This will be my 4th pregnancy,my other 3 ended in miscarriages and they were 2 my ex at the time,now with this pregnancy im worried i will miscarry again,i havnt had tests as 2 why i have...
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Recurrent Early Pregnancy Loss - 7 - Immunologic and Hematologic Causes. Indeed, the triad of recurrent pregnancy losses or poor obstetrical outcomes (related to severe preeclampsia, intrauterine growth restriction; fetal deaths, and preterm...
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Management of an Rh-Isoimmunized Pregnancy. This is very interesting.I've been concern with my pregnancy (I'm 28 weeks pregnant) This is my second pregnancy and with my first pregnancy my baies blood got mixed with mine and now I'm positive with...
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I was sent home untill the tuesday when i had labour pains,i had a long difficult birth and when my son Khian came out he wasnt breathing, i had to make a desion to take him off the venterlator, the doctor said some tests came back and that i had...
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My baby girl had cystic hygromas on both sides of her neck.We went to see our fetal specialist at 17 weeks and he told us that even though the baby looked normal and the chromosome tests came back negative, that cystic hygromas are a signal or...
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from midtrimester on is mostly fetal urine, and CMV is excreted in large amounts from the kidneys following congenital infection, and often for years afterwards, even in 'asymptomatic' cases) However, unless we have confirmatory maternal...
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Concerns Regarding Methotrexate Therapy. The queries below should be of general interest to many women who undergo methotrexate therapy either for ectopic pregnancy or for other medical conditions, such as autoimmune or neoplastic diseases, that...
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Because of the rising incidence of ectopic pregnancy, the risk (maternal and medical-legal) of not identifying and treating an ectopic pregnancy in a timely fashion, and the widespread acceptance and success of MTX therapy as an alternative to...
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There is not a week that goes by in my practice that I do not have to address questions regarding cytomegalovirus (CMV) infections and pregnancy. Anonymous has left a new comment on your post "Cytomegalovirus (CMV):
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Women with single MTHFR polymorphisms do not need special treatment unless they have pregnancy problems that seem to be related to this. If you continue to have miscarriages, prophylactic heparin or lovenox can be started as soon as a pregnancy...
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I am not exactly sure what they found but are adhesions are a growing problem in OB because of the high rate of cesarean sections and REPEAT cesarean sections (and things are NOT going to get any better with time) It is doubtful the adhesions...
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Understanding Interpretation of First Trimester Screening Results. Based on the very large number of comments and questions I continue to receive related to the interpretation of the results of combined first trimester screening for aneuploidy.
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Trofatter, This posting is timely as I have just received back my results of the first trimester screening and received a positive with a risk of 1:33 for Down's. Many women with your risk in first trimester simply opt to have a careful...
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PAI-1 - 55 which had tapered from 141. Many women carry one dose (heterozygotes) for the MTHFR A1298C and PAI-1 4G polymorphisms and have no trouble at all with pregnancy. Lastly can we keep PAI-1 level test as the marker from 15th week for the...
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Cervical Dysplasia and Cancer in Pregnancy - 7. This concludes our series on cervical dysplasia and cancer during pregnancy. Cervical dysplasia and cancer in pregnancy. It is my understanding that both women have a very aggressive and somewhat...
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Amniotic Fluid - 4 - Consequences of Decreased Amniotic Fluid. , and in the case of placental insufficiency, decreased fetal oxygenation (ultimately the cause with its own consequences, not the effect, of decreased amniotic fluid) Normally, I...
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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...
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This is not at all unusual in early pregnancy losses, especially if a chromosomal abnormality was present, however, it can also be difficult to differentiate from a condition called "molar pregnancy. I didn't take any drugs during this pregnancy...
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Symptoms Accompanying Methotrexate Therapy for Ectopic Pregnancy. Fortunately, with early diagnosis, facilitated by rapid quantitative assays for hCG (human chorionic gonadotropin, the pregnancy hormone measured in most pregnancy tests) and...
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Most patients who have recurrent early pregnancy loss are desperate to try anything and everything to achieve a successful pregnancy. To demand an explanation to justify 'treatment' in these settings makes us out to know more than we really do...
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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.
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By the textbook, things look a little scarier, but the odds are in your favor the baby is chromosomally normal - and if you cannot live without knowing, then have an amniocentesis, but please read my response to the reader before you who lost a...
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Anticoagulation during pregnancy has become more widely used to treat, both prophylactically and therapeutically, women who have had problems with thromboembolic complications, unexplained recurrent pregnancy loss, and those who have been...
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With regard to recurrent early pregnancy loss, however, the anticoagulation properties of lovenox and aspirin may be LESS important than their roles in improving trophoblast. We are finding that thyroid conditions, especially when they are...
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In fact, if anything, since the drug is now formulated at compounding pharmacies across the nation, and is not under the scrutiny of BIG PHARMA (the product is no longer made by a pharmaceutical company just wasnt worth holding onto over the...
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In a subsequennt pregnancy I WOULD recommend a good cerclage at about 13 weeks gestation, frequent assessment for evidence of GBS urinary tract infections and aggressive treatment for the same, adequate prophylactic therapy in labor, no stripping...
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Studies show that women who gain 30 pounds vs 80 pounds during pregnancy do not have significantly different birth weights of their babies. Aim for 25 grams of protein more than pre-pregnancy and the rest of the calories can come from carbs and...
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Although terminating a pregnancy early is not associated with increased prospects for maternal survival, when late stage cancer is detected early in pregnancy, the woman might consider this option if she wants aggressive therapy but does not want...
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Indeed, about 50% of breast cancer cases found during pregnancy already have metastatic disease at the time of diagnosis Since routine mammography is not recommended during pregnancy, breast cancer is usually suspected by detection of a painless...
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Her specific question related to the possible role of plasminogen activator inhibitor 1 (PAI 1) activity and polymorphisms in recurrent pregnancy loss. I was told before my fourth loss by my hematologist that PAI 1 levels become elevated very...
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Whenever these circumstances arise, it is strongly suggested that the prescribing physician evaluate the need for continuing the drugs, the possibility of reducing doses to the least necessary to control the condition during the pregnancy, or...
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If I have had breast cancer treated before a pregnancy, will pregnancy increase the risk of recurrence? Approximately 1 out of every 3000 pregnancies is complicated by breast cancer and, as a growing number of women delay childbearing into their...
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