HomeAnswersObstetrics and GynecologypregnancyI had two normal pregnancies but when I was trying to conceive I had four miscarriages. Why?

How to have a normal pregnancy after four miscarriages?

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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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Published At November 29, 2023
Reviewed AtJanuary 30, 2024

Patient's Query

Hello doctor,

I had two live births with my ex-husband no issue with the pregnancies just a high risk for high blood pressure and preeclampsia during labor with my daughter. Now that I am with someone new we are trying to have a child and each time I get pregnant I have lost them. I have had four miscarriages now within the past year and each one was within the first trimester. The longest was at nine weeks. After the miscarriages, I was recommended to go for an infertility test but the doctor only recommended me to take prenatal with DHA and baby Aspirin. So I went and sought another opinion and this doctor did blood work on a hysteroscopy and everything came back normal. I am now pregnant again at six weeks and the spotting starts but no tissue is being passed in its light spotting. I did an ultrasound and the gestational sac was there, but my doctor says there is a little separation from the sac and that might be causing the spotting. I am really concerned and scared out of my mind that every second I go on the net to research. I do not want to lose this pregnancy. I am now taking prenatal vitamins, baby Aspirin, and Folic acid 1 mg. I am worried.

Kindly suggest.

Hello,

Welcome to icliniq.com.

You need to get your antiphospholipid antibodies (APLA) checked. APLA is an acquired syndrome, so pregnancy losses can happen despite previous normal pregnancy. Also, you have a history of preeclampsia, which also points towards APLA. In case of a positive test, heparin, or LMWH (low-molecular-weight heparin) can be started to prevent pregnancy loss. You may or may not be able to save this one, but it will help in future pregnancy.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Dattaprasad Balasaheb Inamdar

Obstetrics and Gynecology

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