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!
Related Questions
What causes bleeding in a pregnant woman with cholestasis?
Femoral Vein Thrombosis - Understanding the Intricacies
Coronary Sinus Thrombosis: Causes, Symptoms, and Treatment
What contraceptive pills should be taken to avoid pregnancy?
Hyperhomocysteinemia and Thrombosis
What is the possibility of a pregnancy without a sac in USG?
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.