What can be done to have a healthy baby after miscarriage?

Question

Hello doctor,

I am writing on behalf of my wife. She is 28 years old. She has PCOD. We have been trying for a baby for the past three and a half years. My wife conceived thrice, but all the times, the pregnancy got aborted in the second month. We have checked with infertility specialists in my area. We both have conducted all the related tests, and my count is normal. I do not know how to proceed further. What should be done now? What are the precautions we must take? Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern regarding your wife's recurrent miscarriages. She can take these measures in the next pregnancy if she had missed any in the previous ones:

Start taking Folic Acid 5 mcg once a day and tablet Ecosprin (Aspirin) 75 mcg once a day pre-pregnancy.
Once pregnancy is confirmed, consult an expert gynecologist near you.
Start Progesterone therapy and HCG (human chorionic gonadotropin) injections as early as possible to support the pregnancy.
Ask her to take enough rest at home.
Make sure her thyroid and sugar levels are under control.
Start taking injections of low molecular weight Heparin 40 mg subcutaneously on thigh every other day after confirmation of the pregnancy.
Go for a prophylactic cervical cerclage, where a stich is put at the mouth of the uterus to reduce chances of a second-trimester abortion.
After the completion of 12 weeks, go for an NT scan.
If her endometrial thickness is less, she can have estrogen supplements.

These are some measures to reduce the chances of repeated abortions. You must have tried some of these in the past, but you need to try it again for a successful pregnancy.