Re: current missed miscarriages

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Nancy-

First of all, I'm sorry that you have had to go through two miscarriages. It is very abnormal to have second-trimester miscarriages, and even more abnormal to have two in a row. While it is likely that the gender makes no medical difference, there are a number of medical conditions that can cause recurrent pregnancy loss (RPL). Your doctor should absolutely investigate this. Here are some suggestions:

Blood work: * ANA to rule out antinuclear antibodies. * Anticardiolipin and antiphospholipid antibodies. * Maternal and paternal chromosome testing to rule out a balanced translocation with either of you. * Possibly: rule out diabetes.

* Saline ultrasound or hysterosalpingogram to rule out a problem with the uterus itself.

There are a few other advanced (and controversial) tests that your doctor may order. A treatable diagnosis is possible in over 50% of cases (maybe more in the case of second trimester losses like yours). So, please see your doctor. If he or she is not comforable evaluating RPL, you should ask for a referral to a doctor (gynecologist or reproductive endocrinologist) who managest this condition.

Best wishes,

--
Ashley Hill
David Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, FL
http://home.mpinet.net/dahmd

The above is intended for general medical education,
and is not for specific medical advice.
I apologize, but I am unable to answer personal e-mail
due to time constraints.

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