Re: early fetal demise

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At Sat, 26 Feb 2000, magdy wrote: >
> i am a doctor,
>
> one of my patient who is 23 years old and married
>
> since 2 years had;(she took folic acid)
> # early fetal loss at 8 week though the
> FH beat were seen at 7 weeks
>
> #6 months later she got pregnant which
> ended at 8 weeks in ectopic prgnancy
> which was viable till the time of the
> exploration
>
> #8 months later she got pregnant which
> ended in missed abrtion at8.5 week(like
> her first one)though it was viable till
> 7 weeks
> we had done;
> *complete bl. picture,urine analysis
> *TORCH
> *random blood sugar
> *kidney function
> *anticardiolipin titre
> *rheumatoid factor
> but all are within normal range
>
> her husband is 39 years old, 180cm, 79kg, non-smoker
> he is not a relative
> all his brothers and sisters had children
> no history in his family of anomalies or similar
> condition
> healthy
>
> ## so what can we do other than KARYOTYPING
> ## what mangement you suggest;
> progesterone support
> HCG support
> low dose aspirin
>
> or what else
>
> i'll wait for your advice
>
> yours
> Dr. magdy

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