Talk to Gynecologist on Consultation With Gynecologist For Recurrent Miscarriages & Current Pregnancy
Asking For Self, Female 26, Balochistan
Dear Doctors,
I have had three previous miscarriages:
One at around 4 months
One after about 40 days
One at around 2 months
Now I am pregnant again and the pregnancy is about 1 month old. Both of us have normal thalassemia screening results, and my blood group is O positive.
I also frequently experience severe headaches, and my blood pressure sometimes goes up to 140.
Please guide me regarding any necessary tests, precautions, or medicines that may help in maintaining this pregnancy.
Thank you.
• Early pregnancy ultrasound for viability and dating
• CBC, blood sugar, thyroid profile
• Antiphospholipid antibody screening
• Screening for diabetes and hypertension
• Progesterone assessment if clinically indicated
• Ultrasound assessment of uterus/cervix if needed. regular BP monitoring is very important during pregnancy. progesterone support or low-dose aspirin.
Asst. Prof. Dr. Sana Hafeez - Gynecologist
MBBS, MRCOG (UK), FCPS Gynaecology & Obstetrics | Multan
49 Positive Reviews
its better to consult in clinic. complete evaluation should be done
Dr. Mahwish Choudhry - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad
135 Positive Reviews
Start tablet Qfolic HR 1 mg once a day , tablet loprin 75 mg twice a day , tablet duphaston 10 mg twice a day , Tablet uterogestan 200 mcg once at night intra vaginal , injection IVF C 5000 iu weekly intramuscular, discuss with your own gynaecologist about injection clexane dose acc to your weight .
Dr. Falak Khalil - Gynecologist
MBBS, FCPS(Obstetrics and Gynaecology) | Islamabad
Your pregnancy is a precious one needing close monitoring. you need to keep a balanced diet with pregnancy support medication and a medicine that keeps your blood thin but i don\'t think it would be right to prescribe these medications on this platform. you also need to get your baseline investigations done alongwith testing for diabetes and monitor blood pressure at home. if you blood pressure is 140/90 or more at any two occasions, you\'ll need to start antihypertensives then.
Dr. Mahwish Choudhry - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad
135 Positive Reviews
Follow dr faiza rafique advice , she has written very precisely n guided you well . LMP kia hai ? Serum beta HCG krwaya ?
MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad | Book Appointment
32 Positive Reviews
Consult physically , dont take it light , high risk pregnancy hai , prescription likhwayn
17 hours ago
Patient
Post Owner
Assalamualaikum Doctor,
Mam, patient is around 30 days pregnant. She is currently taking Loprin 75 mg and Folic Acid as prescribed.
However, she is experiencing frequent headaches, and sometimes her blood pressure goes up to around 140 (even before pregnancy she had mild BP issues, but currently it is a bit concerning). Other reports including CBC and thyroid are normal.
Kindly advise:
Should she continue Loprin 75 mg and Folic Acid, and for how long?
Do we need any adjustment or additional medication due to BP and headaches?
Is a physical check-up required at this stage?
Thank you.
16 hours ago
MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad | Book Appointment
32 Positive Reviews
Yes physical check up is must, loprin 75 mg twice a day or 2 tablets once a day . Dont stop folic acid . Get support medicines n injections, discuss about clexane too .. we cant prescribe on forum, even in this patient e prescription is not feasible
16 hours ago
Patient
Post Owner
Another doctor has advised us to continue Duphaston 10 mg, Clexane, and Loprin together. They suggested continuing these for about 3 months.
Kindly confirm whether these three medicines should actually be continued for 3 months, or if any changes are required.
Thank you.
16 hours ago
Aoa
please book yourself with your gynaecologist as early as possible
start Tab Loprin 150 mg one daily
Baseline investigations CBC,LFTs ,RFTs,HbsAg,Anti HCV Ab ,Urine R/E , 24 hours urine for protein,OGTT
Ultrasound
monitor your BP daily for furthur treatment
Star tablet loprin 75 mg daily
tablet folic acid daily
Patient
Post Owner
Could you kindly also tell me how long Loprin 75 mg and Folic Acid should be continued?
In addition, she has frequent headaches, and her blood pressure sometimes goes up to 140. In this situation, is there any special precaution or need for additional medication?
Also, please guide regarding the timing of these medicines and any important precautions during their use.
17 hours ago
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Patient
Post Owner
thanks
17 hours ago