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Dulsie: Re: Anencephaly and when to try again

From: Jill (anonymous@obgyn.net)
Wed, 19 May 1999 13:03:16 -0500 (CDT)


Thanks for your response. I never had any fever with my sinus problem. I am already taking the 4 mg of folic acid.

At Wed, 19 May 1999, Dulsie wrote: >
>At Tue, 18 May 1999, Jill wrote:
>>
>>I just terminated a 17 week pregnancy 3 weeks ago. I am currently on
>>400 to 800 mcg's of folic acid. When is it safe to try again? Also,
>>could my allergic rhinitis or sinus infection have anything to do with
>>this neural tube defect?
>I am sorry to hear about your loss. I went through a similar situation
>in November 1998. We made the difficult decision to terminate a
>pregnancy at 20 weeks. The baby had a severe form of Spina Bifida,
>which is also a neural tube defect. We went through genetic counseling,
>and I was advised to take a total of 4 mg of Folic Acid a day starting
>at least a month prior to conception and through the first 12 weeks of
>pregnancy. I am taking a Pre-Natal vitamin which has 1 mg of Folic Acid
>and an additional 3 mg of Folic Acid. I was also advised to wait at
>least 3 months before trying to conceive.
>As far a your question about the sinus infection. Neural tube defects
>are Multifactorial, which means there can be genetic, environmental, or
>other unknown causes. I did a great deal of research on Neural Tube
>Defects, and did read that high maternal fever early in pregnancy can
>contribute to NTD. I myself had a viral infection with a high fever at
>6 weeks of pregnancy (4 weeks of development). This is about the tine
>the Neural tube and brain are forming. I feel that this contributed to
>the Spina Bifida in my baby.
>I am now 9 weeks pregnant. I will have the AFP test done as well as a
>Level II Ultrasound at 16 weeks. I am extremely reserved about this
>pregnancy. I still have a 1 in 33 chance of having another baby with a
>NTD.




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