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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Sunday, March 21, 2010
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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Sunday, March 21, 2010
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Pregnancy |
Possible miscarriage?09/30/2009 |
I had a miscarriage at 5 weeks with abdominal cramping and bleeding in march08 and had d&c to be removed. After about one and half years that is in sep`09 I am pregnant again. I had a pregnancy test done after 34 days since my last period and the line was faint.my doc said it meant weak pregnancy and had beta HCG done which showed 5124mIU/ml. The doc advised me complete bed rest with no sexual intercourse. then I was started on Rovamycin forte for 21 days, Olcefone for 10 days and inj HCG(OVUTRIG) once weekly. I had repeat beta HCG done on 16th sep i.e (6 weeks of pregnancy)and it showed values 33935 mIU/ml also colour doppler was done which showed healthy gestational sac and yolk sac with healthy trophoblastic reaction but no heart beat and no foetal pole could be visualised. my doc says this is suspicious and so she has given me only 40% chance of healthy pregnancy.I had TORCH capsule done in may`09 and it showed toxoplasma IgG 4.34IU/ML, IgM 0.446, Rubella IgG 99.62 IU/ML,TgM 0869 IU/ML and Cytomegalovirus IgG >250 AU/ML IgM 0.52. Does that mean I am TORCH positive and will this cause any further complications in my current pregnancy? what are my chances of healthy pregnancy and is everything fine? what further can i do? I have advised to repeat colour doppler again after 1 week.
Early pregnancies develop in a well-established pattern. From the time that the pregnancy implants in the wall of the uterus, pregnancy hormone (hCG) is released into the bloodstream and doubles in concentration every two to three days. By the time the gestational sac is visible on a sonogram, a little more than four weeks after the last period or two weeks after conception, this level is usually over 1500 mIU/ml. A week later, the yolk sac becomes visible, and a week after that the fetal pole, which will contain the heartbeat if the fetus is viable, becomes visible.
There are many problems that can arise in this development that lead to miscarriage, and some of these are discussed in other answers on this site (for example http://www.netwellness.org/question.cfm/70279.htm). Most miscarriages, however, are isolated events that are not related to any particular deficiency, infection, ingestion or action. Unless a woman has a specific disorder that is identified after having multiple miscarriages, there is no hormonal treatment or antibiotic that will stop an abnormally developing pregnancy from miscarrying.
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Jonathan A. Schaffir, MD Assistant Professor Division of General Obstetrics and Gynecology Department of Obstetrics and Gynecology College of Medicine The Ohio State University |
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