Dr. Sameer Kumar
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My wife came to know that she is pregnant. It is going to be our second child. Our first child is 3 years 8 months now. During the first pregnancy, everything was fine (except she got her IgM test positive and the doctor advised Rovamycin Forte at that time). The first delivery was caesarian and everything was fine. One woman in our city was diagnosed with a hole in her heart during the day of her cesarean and because of this, she died after a day of giving birth to a baby girl. It has become a fear to me. Does my wife require any test to diagnose whether she is having any of such things?
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
As there was a safe cesarean section previously so it is unlikely that she has any cardiac issues, else it would have manifested during her previous pregnancy. However, as now she is pregnant again so complete antenatal check should be done again including Torch Titre as she was IGM positive in her previous pregnancy and had to be started on Rovamycin Forte. Also, maternal cardiac echocardiography should be done (to check for the cardiac status of the mother).
Do follow up for further queries.
Hope this helps.
Thanks and take care.
Patient's Query
Hello doctor,
Thank you for your reply.
We checked with a local gynecologist and he said that no pregnancy is visible on ultrasound (he did the ultrasound in his own clinic so no report is there). But the urine test is positive and the pregnancy test kit is positive. Is there anything serious like cancer? As I saw on the internet that this type of situation is possible when there is an unusual ovarian mass. Please help us we are worried. I am attaching the prescription.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
As of date, she is just 5 weeks and 5 days gestation (calculated from LMP), so there are chances that the gestational sac may not be seen so early. So wait for the next 10 days and repeat the ultrasound again to check for intrauterine or extrauterine (ectopic pregnancy) gestational sac, fetal pole, and fetal heart rate. The presence of pregnancy outside the uterus is termed ectopic pregnancy and it is an emergency, so wait for 10 days.
Hope this helps.
Thanks and take care.
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Obstetrics and Gynecology
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