Re: Second loss
From: Antonia (anonymous@obgyn.net)
Wed, 10 Sep 1997 03:25:33 -0500 (CDT)
At Tue, 9 Sep 1997, Harvey S. Marchbein, M.D. wrote:
>
Thank you for your answers.
>
>Was genetic testing and an autopsy done on the baby? As terrible as this
>sounds, there is a higher incidence of genetic abnormalities in third
>trimester losses than would be expected. Physical abnormalities can
>also cause third trimester losses, such as cardiac abnormalities. Was a
>culture done of the placentaand was it examined by a pathologist? The
>possibility of intrauterine infection or placental abnormality needs to
>be examined. Did the sonograms show adequate growth throughout the
>pregnancy? Circulatory problems in the mother, fetus and/or placenta can
>cause such things.
None of these tests were done. My doctor said the growth
was adequate, but in the first US there was a difference
of two weeks between the LMP date and the size of the
embryo. This difference was present in all the later US.
I also was concerned about the fetal movements. I felt
few movements all the time. Her weight was 530 grams.
>
>If these were all negative, or if any were not done, this is a small
>list of other tests. Genetics should be done on you and your spouse to
>confirm that there is no balanced translocation (normal number of
>chromosomes in abnormal arrangement). Lupus anticoagulant and
>anticardiolipin antibody should be checked as well. You should alsoi
>have a complete physical and blood workup to confirm good health.
>
>I'm sure other physicains on the list have other testing to offer and I
>welcome their additions.
>
>I will pray for a good outcome in the future.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>OBGYN.net U.S. Representative, New York
>Great Neck, New York
>http://www.obgyn.net/states/bios/marchbein.htm
>http://www.obgyn.net/women/advisors/harveym.htm
>
>*Note: Opinions expressed here are for educational purpose only.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>**Thank you for your understanding ;-)
>
--
Antonia Estero
Universidad de Cadiz
Spain
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