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Re: Thrombophylia and recurrent abortionsFrom: Braun, R. Daniel (rbraun@iupui.edu)Tue Jul 2 06:40:23 2002
Hang in there, Dr. Roy Dan -----Original Message----- From: Dr. Rupak Ranjan Roy [mailto:rupakroy@vsnl.com] Sent: Monday, July 01, 2002 9:13 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Thrombophylia and recurrent abortions I agree with Dr. Raymond about the cause of first trimester miscarriages. So, why this gonadotrophin and progestogen business? These are not known to be helpful. But, in our country (and I suspect Egypt is no exception) the pharmaceutical companies promote these drugs vigorously and unfortunately a majority of the doctors also prescribe them at the slightest hint of a miscarriage. This has gone so much out of hand that nowadays patients sometimes demand that she be given injections to prevent miscarriage. I now have a patient in her third pregnancy with two previous early miscarriages, who has started to bleed. The ultrasound scan has showed a viable fetus and I am just reassuring her. But she phones me every night and asks for something to be given to her (something that was prescribed to her friend with a good outcome). This way wrong concepts can take over. I personally never prescribe progestogen support or gonadotrophins. The argument I use with the patient is that if these drugs ARE helpful, then all you are doing is continuing with a chromosomally abnormal pregnancy. Dr. Rupak Ranjan Roy MRCOG
>----- Original Message -----
> Can you give evidence either in the literature or from studies you
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