Dear Dr, I am ambiga, 24 years old. I got married last dec 2009. My husband is 25 years old. I tested HCG positive with LMP: 22-01-2010.... But on regular scans the Dr found that the fetus is not showing its growth after 5 weeks and 5 days. (I was asked to take folic acid and progesterone supplement) It neither got aborted by itself nor grew up. We waited till April, yet we could not find the growth. So the Dr gave me medicine to abort my child. It got aborted on 3rd April 2010. Now I got pregnant again with LMP: Aug 6 2010. Again we encountered the same problem. Till yesterday (2-11-2010) the growth is just for 6 weeks and 5 days…. every scan has some improvements but it’s very slow. As of now Fetal pole and ovary sac are found. Now I request your advice whether •     Can I save this child anymore….. Can I test myself for gestation diabetes… if so on treating it, will my child be safe and grow well? •     Can I wait for some more weeks to check whether the baby would grow? •     Some of my friends say (from their experience)that sometimes the child s growth will be slow in the initial stage and pick up quickly later on... will that happen in my case? •     Should I and my husband undergo any tests? if so when can we do the test? now or after deciding on this baby. •     Have you seen any patients with this kind of problem? •     Do I have a bright chance in my next pregnancy…? •     When should I try to conceive again (should I try only after a year or before that?) •     What are the possible problems I may have? Kindly requesting you to consider my issue and suggest treatments. Please help. What should I do next?
Hello,I have gone through your query and here are your answers: 1.If the pregnancy is shown to be progressing, albeit slowly, you should wait. Coupling the sonograms with serial titres of serum beta-hCG is of help. 2. If this pregnancy also ends up in a missed abortion, you need to undergo couple evaluation apart from histopathological and genetic study of the abortus. 3. Not only gestational diabetes, but several other conditions can be causative factors. All of them need assessment. 4. Before you try to conceive again, it is advisable to undergo proper evaluation and necessary treatment. In this context, it is always ideal to take some time off. Hope this helps.