Those with more than two miscarriages in a row, did your OB treat subsequent pregnancies different? After the first, we did initial HCG and progesterone bloodwork, but once that came back ok, I was only asked to come in earlier than usual for an ultrasound. We didn't make it to that appointment. I am wondering if there is a lot more tests and monitoring for pregnancies after two or more losses. Just looking to hear your experience, since doctors seem to have different opinions on what is needed.
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Mine has kept a closer eye on me with this pregnancy after I had my second loss. I had HCG blood work early and was put on progesterone supplements almost right away. I have also been going in for scheduled appointments every two weeks.
The biggest difference, though, is they have been very open to having me come in when I feel like I need to. I've had some bleeding scares, and so I've actually been in quite a lot. Everytime I go, I get an u/s, because my office has a portable one that the doctor can use. I think it is mostly for my own peace of mind, but I really appreciate it!
Congratulations on your pregnancy! I would encourage you to be on touch with your office as often as you need reassurance. RPL makes everything scary. Hoping for a very sticky baby for you!
ETA: I'm also on baby aspirin, which has been shown to have some effect on some early losses. I don't know if it is helping or not, but I'm 10+4, so I'm going to keep taking it!
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For my first pregnancy, the only thing the OB was willing to test was HCG. After the loss, I switched to a Naturopath who did some basic fertility testing (Progesterone, MTHFR, Thyroid). When I got pregnant again she tested HCG and Progesterone immediately, then implied that she will test whatever I asked for. I had an order for a 6w u/s, but didn't make it. After the 2nd loss, she did a lot of autoimmune and antibody (food allergy) testing, and now I'm on an anti-inflammatory diet (plus baby aspirin) in hopes of having success next time.
Is your doctor doing any RPL testing for you? Some won't do anything until 3, but I think it is definitely worth testing after 2.
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I had a ton of bloodwork plus an HSG. My karyotypes were tested to see if i was passing something along. She found that I have MTHFR so I went on Folgard and a baby aspirin every day. And progesterone. Once I found out I was pregnant, I came in for every other week ultrasounds, just to make sure everything was growing on time and all that. She was less concerned with my bloodwork and more so with the baby measuring on time and her heartbeat being normal.
Older literature states 3 in a row but new research says 2 in a row should indicate time for testing. Why suffer more than you have to? Unfortunately insurance is kind of not on board sometimes.
I really pushed for the extra scans because my first loss was at 12 weeks and a scan before would have possibly saved me the unexpected experience of miscarrying at a restaurant and needing an ambulance. I was terrified it would happen at work, so they were happy to oblige
Oh and like a Pp, when I spot, I come in immediately. And pelvic rest from the start
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