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Re: (Dr.) Immune Problem With Preg. Losses? Your thoughts...From: Kelly Shanahan, MD (anonymous@obgyn.net)Fri, 28 Apr 2000 15:38:46 -0500 (CDT)
At Thu, 27 Apr 2000, SHSL wrote: > >I am the patient who has CREST syndrome and 3 pregnancy losses (posted >on 4/25/00). > >I have been told (not by my doctors but by another medical professional >via the internet - I know you can't believe everything) that I may have >an immunology issue. I do have a high ANA count due to CREST but had >always been told not worry about that. > >Does this sound possible? Yes. Women with Lupus also have high ANAs and increased risk of miscarriage, predominantly due to micro clots in hte endometrium and placenta -- the tiny clots prevent normal implantation and supply of oxygen and nutrients.
If so, what do I need to know? What are the
>chances that ANA caused termination? Does this require another
Your RE should be able to direct a work up for antiphospholipid
syndrome. Treatment in pregnancy usually consists of aspirin and
heparin injections to prevent these micro clots. I had 2 miscarriages
before being diagnosed with antiphospholipid syndrome and -- with the
help of Pergonal, progesterone, aspirin and heparin shots twice a day
from ovulation until 37 weeks -- I now have a wonderful, beautiful 17
month old daughter.It is not always the answer, but it is sure worth
looking into
>
-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA
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