PREGNANCY-BIRTH Messages for July, 2000: Re: Habitual Abortion/Miscarriage

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Re: Habitual Abortion/Miscarriage

From: anonymous@obgyn.net
Tue, 25 Jul 2000 13:22:37 -0500 (CDT)

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At Tue, 25 Jul 2000, ADL wrote: >
>I recently miscarried my third pregnancy and I was about 6 weeks a long.
>My past two pregnancies also ended at the same time about two years ago.
>I haven't been successful at carrying pass 6 weeks. Each time there was
>only a sac and no fetus. I was tested positive for Lupus Anticoagulant
>and during the third pregnancy I started taking a low dose Apsirin with
>prednisone. It didn't work. I read a lot about Heparin and I think
>that might be the next step. How successful is this? Is there a
>possibility that something else could be wrong and not so much the LAC.
>Every other tests have been negative. Possibly Chromosonal? I am very
>frustrated and would like to hear other experiences that are similar. I
>am afraid to attempt my fourth pregnancy not knowing what the outcome
>will be. Thanks.
>ADL

We have a very poor track record in diagnosing the cause for recurrent miscarriage, but chromosomes should be a part of that evaluation. Heparin is associated with some improvement for some people, but I have not had much luck with it in my own practice. There is no way for anyone to know what is going to happen with your next pregnancy. There is going to be a substantial risk no matter what you do.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
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