PREGNANCY-BIRTH Messages for November, 1999: Re: 3 Miscarriages

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Re: 3 Miscarriages - Should we try again?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 4 Nov 1999 20:51:00 -0600 (CST)

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In reply to: Marie: "3 Miscarriages - Should we try again?"

At Thu, 4 Nov 1999, Marie wrote: >
>My husband and I have suffered three miscarriages - one in 1991, one in
>1997 and one in August of 1999. We are blessed with one healthy son who
>was born in July of 1998.
>
>We would really like to have one more child. I am aprehensive as I
>don't want to go through another miscarriage.
>
>We had genetic testing done and all was normal. I had a saline
>ultrasound and a histeroslinpingogram (?) and all appears to be normal
>with my reproductive system.
>
>My doctor says although my chances for another miscarriage are greater
>than a non-habitual aborter there is still a very good chance I could
>carry a healthy baby to term.
>He advises that upon a positive pregnancy test I should be given
>progesterone. He says there is research that indicates progesterone
>could help although it is not a proven fact. He says progesterone
>supplements won't hurt so it would be worth taken it on the chance that
>it may help.

A few points - the miscarriage rate at 40 is 1 in 3. Progesterone helps with assisted reproductive technology and if there is a low progesterone level. This can be checked. Unless I missed it, I didn't see Anti-cardiolipin, lupus anticoagulant testing. There is some evidence that a baby aspirin a day may be helpful with or without the antibody abnormalities. If the antibody level is positive, heparin may also be needed.

>I am 41 years old and in very good health. I am scheduled to see a
>specialist concerning a very bad snoring problem I have - my primary
>care physician believes I have a severe case of sleep apnea.
>
>My questions:
>
>1 - are my chances good to carry to term again?

Depending pon testing I already mentioned.

>2 - should I take the progesterone supplement? Is it true
> it will not hurt the baby?

Won't hurt but worthless unless needed, as above.

>3 - Could sleep apnea have contributed to miscarriages? My
> husband claims I hold my breath for long periods of
> time and gasp for air as though I were not receiving
> enough oxygen. Could this effect the oxygen levels in
> the baby?

No literature associates sleep apnea with any obstetrical problems.

>Thanks for your time and though.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
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This information is not intended to supplant the need for you to
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and/or interventions.

**Private emails cannot be entertained due to time constraints,
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Next message: Harvey S. Marchbein, M.D.: "Re: cardiolipin IgG"
Previous message: Harvey S. Marchbein, M.D.: "Re: Failures in birth control, etc (sorry it is so long)"
In reply to: Marie: "3 Miscarriages - Should we try again?"

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