Dr. Avijit Basak
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,
I am 8 weeks pregnant, and I found some blood spot with blood clots coming out while urinating. I consulted the doctor and underwent an ultrasound scan with the following observation. Number of fetuses - 1, Viability - Live, Fetal Cardiac Pulsation - Seen, Fetal Heart rate - 160 bpm. Peridecidual fluid - a chunk of fluid covering one-sixth of sac dia is seen at the fundal end of the sac. Yolk sac - seen. Fetal Biometry CRL 9.2 mm, 6W6D. Maternal Cervix length - Adequate, Internal OS - Closed. Maternal Ovaries - Normal. Impression - Single live fetus of 6 weeks of gestation. Mild Peridecidual Bleed.
Post which, I was advised by the doctor to consume Duphaston thrice a day. There is no blood spot post that, but there is still blood clot coming continuously. About four days back, the doctor recommended consuming Duphaston with Sustain 200. I need to know the following. Am I or my child in danger? What percentage is the success rate of such pregnancy? Is there any issue in consuming so much medicines? Is there any other way forward?
Hello,
Welcome to icliniq.com.
I have gone through your reports and understand your concerns (attachment removed to protect patient identity). You should take all the drugs as your doctor has advised along with tablet Folvite 5 mg (Folic acid) once daily for better prognosis.
There is some kind of a problem, but if you take all these drugs and take rest, then you can overcome these problems. Yes, all these drugs are needed at this time. Do not be worried. Take fresh fruits and vegetables and take rest adequately.
Patient's Query
Thank you doctor,
I got did a scan today, and I lost the baby. Can you please tell the probable cause? Is there any future danger? Is there any issue regarding the next pregnancy? Are there any precautions to be taken during the next pregnancy? When can we try for the next baby? Is there any scan that we can do to ensure supporting bodily functions to plan the next baby?
Hello,
Welcome back to icliniq.com.
It is very bad news. Sorry for what has happened.
The probable cause is a chromosomal abnormality, and I think you would have already done that report from the abortion specimen. If it is positive for a chromosomal abnormality, then it might get repeated in the next conception. You have not mentioned about the karyotyping (test to identify genetic problems) report of you and your spouse. Because sometimes, there may be some problems or abnormalities detected during karyotyping.
My opinion is you should test all the way for better evaluation. You should take tablet Folvite 5 mg once daily and capsule Becosule - Z (Multivitamin) once daily after meals for three months. You can try for the next pregnancy after three months because before conception, a period of 3 months is required.
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Obstetrics and Gynecology
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