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What are the precautions required to avoid pregnancy loss?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 33-years-old. I was 40 days pregnant. I lost my first baby two years back within 50 days due to frequent travel. The second baby pregnancy was confirmed last year and the journey was prolonged till the fifth month but after an anomaly, I was advised to do MTP due to IUD condition six months back. We took a seven-month break after MTP and confirmed pregnancy this month. During MTP my doctor gave notes as lDA+lmwh for next pregnancy and risk of PPH. Now I am pregnant so is it important to follow as given or I can travel to a normal healthy pregnancy with normal pregnancy tablets prescribed by the upcoming doctor after check?

Please help.
Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Experienced Lebanese gynecologist with a passion for women's health and well-being. My journey began with specialty training in esteemed Lebanese hospitals, where I honed my skills and deepened my understanding of gynecology and obstetrics. In 2020, I ventured to Paris to further enrich my knowledge and graduated with distinction, bringing back invaluable insights and expertise to my practice.Throughout my career, I have embraced the diverse facets of gynecology and surgery, specializing in high-risk obstetrics, advanced ultrasound techniques, oncology, colposcopy, and hysteroscopy. My commitment to excellence is reflected in the numerous diplomas and certifications I have earned from esteemed universities in Lebanon and Paris.As a dedicated healthcare professional, I am driven by a genuine enthusiasm for my field and a relentless pursuit of excellence in patient care. I thrive in collaborative environments, where I actively contribute as a team player, leveraging my expertise to achieve optimal outcomes for my patients.With a deep-rooted passion for advancing women's health and a commitment to staying at the forefront of medical innovation, I am poised to make a meaningful difference in the lives of those entrusted to my care.Let's connect and embark on a journey towards healthier tomorrows, together.

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Hello,

Welcome to icliniq.com.

I understand your concern.

Given your previous pregnancy losses (one at 50 days and one at five months due to intrauterine device condition), your doctor’s advice to take LDA (low-dose Aspirin) and LMWH (low molecular weight Heparin) was likely to prevent complications related to blood clotting issues, placental problems, or recurrent pregnancy loss.

Should you take LDA & LMWH during this pregnancy?

Yes, it is important to follow your previous doctor’s advice especially since they prescribed it after reviewing your case history. These medications help prevent complications like:

  1. Blood clotting disorders (thrombophilia), can cause placental insufficiency.

  2. Recurrent pregnancy loss due to poor blood flow to the baby.

  3. Prevention of conditions like preeclampsia or IUGR (intrauterine growth restriction).

What should you do next?

  1. Visit your new doctor as soon as possible: Bring your previous pregnancy reports and discuss the need for LDA and LMWH.

  2. Follow the prescribed medication regimen: If the doctor confirms clotting risks, continuing low-dose aspirin (LDA) and LMWH (like enoxaparin or Clexane) is crucial.

  3. Monitor pregnancy closely: Regular scans and Doppler studies may be needed to ensure good blood flow to the baby.

  4. Be cautious with travel and physical activity: Since you had complications before, avoid excessive travel, especially in early pregnancy.

Your new doctor will assess if you must take LDA and LMWH based on clotting tests and history. Do not stop or change medications without consultation, as these are prescribed to improve your pregnancy outcome.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 3, 2025
Reviewed At May 12, 2025

Education:

MD

Professional Bio:

Experienced Lebanese gynecologist with a passion for women's health and well-being. My journey began with specialty training in esteemed Lebanese hospitals, where I honed my skills and deepened my understanding of gynecology and obstetrics. In 2020, I ventured to Paris to further enrich my knowledge and graduated with distinction, bringing back invaluable insights and expertise to my practice.Throughout my career, I have embraced the diverse facets of gynecology and surgery, specializing in high-risk obstetrics, advanced ultrasound techniques, oncology, colposcopy, and hysteroscopy. My commitment to excellence is reflected in the numerous diplomas and certifications I have earned from esteemed universities in Lebanon and Paris.As a dedicated healthcare professional, I am driven by a genuine enthusiasm for my field and a relentless pursuit of excellence in patient care. I thrive in collaborative environments, where I actively contribute as a team player, leveraging my expertise to achieve optimal outcomes for my patients.With a deep-rooted passion for advancing women's health and a commitment to staying at the forefront of medical innovation, I am poised to make a meaningful difference in the lives of those entrusted to my care.Let's connect and embark on a journey towards healthier tomorrows, together.

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Dr. Georges Hany Kozah
Dr. Georges Hany Kozah

Obstetrics and Gynecology

Consult this doctor

Education:

MD

Professional Bio:

Experienced Lebanese gynecologist with a passion for women's health and well-being. My journey began with specialty training in esteemed Lebanese hospitals, where I honed my skills and deepened my understanding of gynecology and obstetrics. In 2020, I ventured to Paris to further enrich my knowledge and graduated with distinction, bringing back invaluable insights and expertise to my practice.Throughout my career, I have embraced the diverse facets of gynecology and surgery, specializing in high-risk obstetrics, advanced ultrasound techniques, oncology, colposcopy, and hysteroscopy. My commitment to excellence is reflected in the numerous diplomas and certifications I have earned from esteemed universities in Lebanon and Paris.As a dedicated healthcare professional, I am driven by a genuine enthusiasm for my field and a relentless pursuit of excellence in patient care. I thrive in collaborative environments, where I actively contribute as a team player, leveraging my expertise to achieve optimal outcomes for my patients.With a deep-rooted passion for advancing women's health and a commitment to staying at the forefront of medical innovation, I am poised to make a meaningful difference in the lives of those entrusted to my care.Let's connect and embark on a journey towards healthier tomorrows, together.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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