Hello doctor, I have had four miscarriages in a row. One had a subchronic hematoma. Is there a reason for this or a way to stop? I have given live births but now I cannot keep a child. What can I do?
Hi. Recurrent miscarriages need to be investigated actually. You had live births but now had four consecutive miscarriages. It is better to have a thrombophilia screen and products of conception needed to be send out for histopathology to check any chromosomal, congenital, structural anomaly. If you have been treated for any health issues like diabetes, thyroid, or high blood pressure, better have a complete, revised and regular treatment. All levels of blood pressure, thyroid, sugar levels should be within normal range as high sugar levels, high blood pressure, abnormal thyroid function test can trigger miscarriage. Have Folic acid continuously 5 mg as the abnormal product of conception, with structural, congenital or chromosomal anomalies can be aborted easily by nature itself. A hormonal imbalance like polycystic ovaries need hormonal support like Duphaston and Metformin during pregnancy for maintenance. Have a healthy diet, less salt, sugar, oil, and spice. Try to have normal BMI and weight as both high and low BMI can affect conception. Husbands health issues also need to be sorted out. Have recreational activities and quit recreational drugs as a couple as these reduces fertility in both gender and can cause fetal anomalies. You need blood thinning medications as well as soon as fetal viability comes like Aspirin, Heparin, etc. It is better to have an early booking with maternal medicine and high risk pregnancy consultant obstetrician. Send me your recent blood reports, detailed medical, gynecological, obstetrics and drug history and have thrombophilia screen, rubella screen. So that you could be guided more nicely. Medical issues to be sorted out, if any. Thrombophilia screen, rubella screening. Recurrent miscarriages. Folic acid daily 5 mg, sex in the fertile period of the cycle, early booking with high risk and maternal medicine consultant obstetrician. Blood-thinning medications as soon as fetal viability confirms. Progesterone support as soon as pregnancy test comes positive or cycle miss. Complete check and regular treatment and care of any health issue she has, healthy lifestyle, have normal BMI and weight, daily walk and exercise. Quit recreational drugs as a couple. Husband's medical issues also needed to be sorted out.