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The vitamin D levels are in deficient range and vitamin B12 levels are normal. There is no need to discontinue the pregnancy due to these values. Vitamin D supplementation will help to have adequate levels in baby. I suggest vitamin D supplementation Calcirol sachet 60000 IU weekly after the 12th week of pregnancy for eight weeks. Consult your doctor, discuss with him or her and take the medicine with consent. I hope your wife is already taking Folic acid 5 mg daily and has already undergone routine investigations of pregnancy.
Her hemoglobin, urine routine test, TSH (thyroid-stimulating hormone), FBS (fasting blood sugar), Hb electrophoresis, VDRL (venereal disease research laboratory), HIV (human immunodeficiency virus) and HBsAg (hepatitis B surface antigen) are all normal. Also, I hope that the NT (nuchal translucency) and NB (nasal bone) are normal. Please review if otherwise. In view of previous three abortions, please start tablet Ecosprin 75 mg daily (Aspirin). It will continue till 36 weeks. Also get tested for APLA - antiphospholipid antibodies for LAC and ACL. According to the report, we will decide whether further pregnancy support is required or not. Do not take any medication except Folic acid, Ecosprin and Doxinate (combination of Doxylamine succinate and Pyridoxine hydrochloride for vomiting) till first three months (12 weeks) of pregnancy to avoid congenital malformations in baby.
Investigations to be done:
1. APLA screening for ACL (anticardiolipin antibody) and LAC (lupus anticoagulant).
2. Beta-2 glycoprotein.