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Miscarriage
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| Q: My wife is her seventh week of pregnancy. She went for her weekly check up. After the ultrasound, the doctor told us that the feotus has stopped growing and she is going to have a miscarraige. When we asked her what the problem was, she asked us to wait for the test reults. I have heard that miscarraiges are generally due to genetic problems. Do you think that my wife will be able to conceive again and have a normal baby. I am really worried. Please advice. Vaibhav (Chandigar, India) |
| A: I suggest you wait for the results of the test because there could be many causes. If your wife has a miscarraige, it does not mean that she will not be able to conceiev again. A miscarraige is nature's way of rejecting something that is defective. Although, hard to accept, I am sure you will agree to have a miscarraige, than not have a normal baby. One in three pregnancies end in a miscarraige but this happens often before the mother is even aware of it. Don't loose heart. Your wife has not gone through something very uncommon. |
| Q: My sister-in-law is in her second month of pregnancy. As she has already had one miscarraige in the past, what precautions should she take this time? Can they have sex? Samaya (Atlana, USA) |
| A: Ideally she should try and take as much rest as possible. She should avoid running around or lifting heavy weights. They should avoid sex as of now. Once she has crossed the 3rd month of pregnancy and has had a sonography done to check that everything is normal, and that she does not have a low lying placenta, they can resume their sex life in consultation with their gynaecologist. |
| Q: I had a miscarraige in the fifth week of my pregnancy. We had intercourse during this period. Is this the reason for miscarraige. Please advice, so that I can be careful next time. Amrita (Goa, India) |
| A: Sex is not advised during the first and the last trimester of any pregnancy--i.e. the first 12 weeks and the last 12 weeks of gestation because these are the most vulnerable periods in pregnancy. It is in the first three months that the implantation and beginning of foetal development occurs so this is the most vulnerable stage. However we can not attribute the miscarriage entirely to having had intercourse till we know more about the events and the details of the type of miscarriage. |
| Q: Both me and my husband, have different blood groups. One is B positive and the other is A negative. I have had three miscarraiges earlier. Is the reason for repeated miscarraige related to the differnt blood group? Sarika (Sharjah, UAE) |
| A: Your husband and you have RH INCOMPATABILITY. Your RH types are different. This may or may not be the cause of spontaneous abortions. We can not label this as the cause until your husband and you have been thoroughly investigated to rule out all other causes of repeated miscarriages. I would like to know whether the foetal blood typing was done and whether you received ANTID injections following the abortions. Was a D&C done following the abortions? If so, was the material sent for histopathological examination? I would be in a better position to help you if you could answer the above questions for us. |
| Q: I had four miscarraiges in a period two years. I am a hypothroid patient. Is this the reason for for repeated miscarraiges? Due to hypothyroidism, do I have to take any special precautions next time. Also I had an intercouse with my partner during that period. Can one have sex during pregnancy? Please advise. Sandra (London, U.K) |
| A: Yes, it is true that patients with hypothyroidism have to take special precautions in pregnancy both for maternal and foetal benefit. Please let us know your latest thyroid profile so that we are in a better position to assist you. Without a look into your medical history we would be unable the gauge the reason for your miscarriages. Avoid sex in the initial and latter stages of your pregnancy. You could opt for oral sex instead of intercourse. |
| Q: My wife had a miscarraige last year. She is now pregnant again. As a precaution the doctor has advised a test called "Blood Test for natural killer cells". What is this test? The doctor says this will provide her with the exact cause as to why she miscarried the last time. Arjun (Nanded, India) |
| A: The reasons for spontaneous abortion are many. Among them, the major ones are viral infections, hormonal insufficiency, negative blood group of the mother, antibodies to cardiolipin factor, improper attachment of the pregnancy and opening of the mouth of the uterus in early pregnancy. The tests are mainly of blood and sonography of the uterus. |
| Q: I lost my baby in the seventh month of pregnancy. The bag bursted suddenly and I was rushed to the hospital. The doctor said that it was a lung distress. I was operated a few hours later. Could it be possible that the baby died to due to a delay in the operation? Why did the bag burst? I masturbated and had an orgasm. Narlina (Chicago, USA) |
| A: Lung distress is due to the prematurity and not due to delay. It is possible that the bag burst due to sudden increase in intra abdominal pressure during orgasm. Next time be careful to avoid sexual activity in the last trimester of pregnancy. |
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