One of my relative aged about 36 years (married for 6 years) undergone frozen embryo transfer on 14th March and she got positive beta HCG (human chorionic gonadotropin) on 25th. She developed vaginal bleeding from 5th April varying from light spotting to moderate bleeding on three occasions. She was given Tranexamic acid for three days on two occasions and this time also advised to take the same.
She is advised to stop Aspirin and Enoxoparin which she was on even prior to embryo transfer. Her scan is showing gestational age of 8 weeks 2 days with fetal heartbeat and SCH of 3 cm.
She is on Duphaston 10 mg QID, Susten 400 QID, Progynova 2 mg QID, Folic acid, Mecobalamin, Aspirin and Enoxaparin 60 mg (daily which she stopped today). Please advice further management.
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I can understand the struggle she is going through. The SCH (subchorionic hematoma), is big yet the positive thing is fetal growth of 8 weeks with FHR (fetal heart rate). She is on the right medications and I would like to add an antibiotic like Augmentin 625 mg along with the medication. She is already on medication for five days to avoid infected subchorionic hematoma (as its big 3 cm) nothing more could be done. Let her stay at rest with a sound and a happy mind.
Threatened abortion.Probable diagnosis:
Threatened abortion.Treatment plan:
Reassurance, continue the same treatment with just an added antibiotic.Preventive measures:
Rest and stay positive.
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