Dr. Sameer Kumar
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.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
My wife is pregnant and has previously had a miscarriage. After her first miscarriage, we did some follow-up blood work. I have attached the reports for your reference. I just wanted a second opinion on them if anything is indicative that this is a high-risk pregnancy and any precautions we need to take. Also, I noticed that her antinuclear antibodies are positive. Is this any cause for concern? Her pregnancy is early on two to three weeks. Should we follow up with blood tests or ultrasounds? And if so, is ultrasound risky at this stage? Also, should she be taking any supplements and any food in particular? Are there any activities that she should avoid? Kindly guide us.
Hello,
Welcome to icliniq.com.
Having seen the reports (attachments removed to protect the patient's identity), with ANA (antinuclear antibody) positive status, this makes her a case of inherited thrombophilia where chances of intra-capillary coagulation are increased during pregnancy. The other parameters like APTT (activated partial thromboplastin), protein-c, protein-s, and antithrombin-3 are also at high normal status. So, she would be required to be placed on Aspirin 75 mg and also low molecular weight Heparin injections daily from the day fetal viability is confirmed or, in simple terms, the fetal heartbeat arrives to avoid missed abortion. Ultrasound confirmation is the only investigation to find out heartbeat and USG (ultrasonography) during pregnancy are safe. Please let me know her last menstrual period date to allow me to calculate her present period of gestation, and according would be able to guide her further.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Obstetrics and Gynecology
Related Questions
I am pregnant and my urine had an orange discharge with beige solid pieces. Why?
Can bleeding after sex during pregnancy be due to miscarriage?
What is there head numbness in a thrombosis patient?
Can diabetes cause mesenteric vascular thrombosis, septic shock, and ARF?
Is the rise in PSA value related to hemorrhoid vein thrombosis?
I am a PCOS patient with high LH. What is the chance of ovulation and healthy pregnancy?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
