womenscure in all means

HOW TO SOLVE THE ISSUE !!!!!!!! RPL

THE HARDEST THING ABOUT ” EVERYTHING HAPPENS FOR A REASON ” ….. that has to be identified ,properly evaluated and treated !!!!!

First pregnancy loss increases 25% risk for second pregnancy loss ,
Second pregnancy loss increases 40% risk for third pregnancy loss ,
Third pregnancy loss increases 60% risk for furthur pregnancy losses

 

TESTS TO IDENTIFY THE CAUSE OF RPL :
  1.  Complete blood count with blood grouping and typing
  2.  Complete urine examination for infection and proteinuria
  3. Thyroid profile
  4. Serum prolactin levels
  5. HbA1c
  6.  Rubella titres
  7. aPLAs : anticardiolipin antibodies IgG and IgM ; beta 2 glycoprotein antibodies
  8. Thrombophilia screening : factor V Leiden gene mutation ,protein C & S assays , antithrombin assay ,activated protein C assay
  9. Ultrasound of pelvis : sonohysterography or saline -infused sonography
  10. Karyotype of miscarried foetus , karyotype of couple
  11. HPE of products of conception
  12. Immunological assays : tests for KIR receptors ,HLA-C ligands ,NK  cell counts , NK cytotoxicity assays & TH1:TH2 cytokine ratios – these tests are offered especially in older women with more numbers of miscarriages
  13. High vaginal swab
  14. Hysteroscopy
  15. Diagnostic laparoscopy
HOW TO SOLVE THE PROBLEM OF RPL :
  • Avoid late age pregnancies : above 35 yrs age of women poses risk
  • Weight reduction programmes : high BMI associated with RPL
  • Avoid caffeine consumption: more than 300 mg per day having risk
  • Avoid alcohol
  • Avoid smoking
  • Take low fat diet , meditarian diet ( olive oil , low salt ,unsaturated fats )
  • Take flavonoids – dark chocolates , citrus fruits
  • Drink milk
  • Cheese causes miscarriage risk to drop by 50%
  • Eat eggs ,poultry
  • Take veggies ,fiber and fruits
  • 1 mg of folicacid per day is beneficial
  • 300 mg of CoQ10 once a day
  • Surgical correction of anatomical defects ( septate uterus,uterus didelphys ) , polyp removal , submucous fibroid removal improves pregnancy rates
  • Endocrinological abnormalities treated accordingly – hypothyroidism treated with thyronorm , Hyperprolactinemia treated with cabergoline or bromocriptine, diabetes treated with metformin , oral hypoglycaemic agents and/ insulin ( HbA1C < 5.7% is ideal )
  • Progesterone supplements
  • Antibiotics : clindamycin ,secanidazole for bacterial vaginosis ,azithromycin for chlamydial infections can be given
  • Low dose aspirin ,LMWH helpful in thrombophilias
  • Yoga and meditation for stress relief

 

All these measures improves the successful outcome …….a healthy baby and mother 

 

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