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Pregnancy  (Expert Forum)
 | 
Recurrent Miscarriage
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
This forum is for questions and support regarding pregnancy issues such as: Alcohol/Drugs, Bleeding, Caesarean Section , Childbirth, Diabetes, Depression, Fetal Monitoring, Genetic Testing, Hormonal Changes, Labor, Lamaze, Morning Sickness , Nutrition, Parenting, Prenatal Care, Weight gain.

Recurrent Miscarriage

by Mommy_3, Oct 16, 2007 09:31AM
Within the last 8 months I have had 3 miscarriages. They were all very early, before day 40. I am currently pregnant again and am very nervous about another miscarriage. On day 25 I had a quantative hcg of 76. On day 28 I had a quantative hcg and progesterone level taken. Hcg was 368, progesterone 21. My Dr. put me on progesterone suppositories 200mg once a day and I have been taking a baby aspirin a day. Is there anything else that I should be doing to try to help this pregnancy along? Thank you for your time.

by Keith Downing, MD, Oct 17, 2007 12:20PM
Hello,

Unfortunately there is not much more you can do.  I assume you have had a work up for recurrent miscarriages.  If not, you should discuss this with your ob/gyn.  Additionally, there is no good evidence low dose aspirin or progesterone supplementation is truly beneficial in these circumstances, however, they shouldn't cause harm.  

Stay encouraged.

Dr. Downing
Member Comments (48)

by laura1985, Oct 16, 2007 11:26AM
i think that you are doing everything you can right now. i've had two miscarriages since July and the best advice i can give is to relax. i know that it is tough. i stressed myself out so bad with my last pregnancy worrying that at any moment it would happen again. i was even put on bed rest at one point. i'm on a baby aspirin and a prenatal a day since my miscarriage 09/06/07. i know a friend of mine from high school had three miscarriages and her doctor put her on a baby aspirin and a prenatal a day and she carried her daughter to full term and she is a healthy baby. she did have some spotting at one point, and she did have a blood clot, but everything was fine.

hope everything works out for you! i'll be keeping you and your little one in my prayers ;)

by itsthesusu, Oct 16, 2007 11:33AM
To: Mommy_3
Your HCG levels seem to be rising like they are suppose to. I am currently on progetrone suppositories as well. This is my 3rd pregnancy this year. I had m.c on 5/1/07 and another on 7/31 and then found out I was pregnant on 10/4. I can relate to what you are going through. I have prayed and prayed and prayed some more. What do they have you on baby aspirin for? I had blood work done and it has looked like this:
10/4 - HcG 439
10/6- 779
10/8 - 1223
10/12 - 1579
10/16 - more blood work tonight and a F/U visit at my OBGYN 10/18. I guess I will get alot of answers tonight as to whether the pregnancy will continue or not. The bad thing is I still have ALL of my pregnancy symptoms, and have had no cramping or bleeding. So there is no reason why I should be having a m/c. In between my 2nd and 3rd pregnancy I had blood work done to see if there were any problems as to why I wouldn't be able to carry a baby and everything came back good. I guess I will have to wait and see.

you can keep in touch with me if you would like, lewis.***@****

Good Luck - and baby dust ~*~*~*
Suzanne

by Mommy_3, Oct 16, 2007 09:04PM
To: itsthesusu
My levels from yesterday came back today my hcg was 2270, progesterone was 28.5. Thank G-D I'm really happy with the results. How far along are you?

by nikkit82, Oct 17, 2007 06:39AM
To: mommy_3
this is the first time i have seen this forum and unfortunately it is comforting to see i am not alone. I have 2 mis/c in 6 months (both during uni exams last year) thought this year would be different - you know luck should come into play somewhere??? first semester this year - home got broken into and they took laptop etc and lost all my semesters work 3 days before exams. i have 3 weeks till the end of semester exams and i am pregnant again, i understand the stress you must feel as as happy as i was and am i have been a nervous wreak!!!! blood test was fine said that hormones were between 6-7 weeks! thought good about right i guess had u/s today and for the first time there was a heart beat 128bpm but they said that i was only 5w4d pregnant. holding onto hope at the moment as everything seems fine - but i wont be completely relaxed till i know everything is fine - maybe hopefully in 8 odd months. lovely to see so many people sharing their happiness and sorrow, nice to not feel alone

by itsthesusu, Oct 17, 2007 03:43PM
To: mommy_3
I went last night for more blood work and I got up to 2500, I am having an ultra sound tonight!!!! I have so much hope this time.

I think I am 6 weeks and 4 days. I didn't have a LMP because of the m/c

by Mommy_3, Oct 17, 2007 06:01PM
To: itsthesusu
That's great. Good luck tonight, keep us posted! I go tomorrow morning for an ultra sound, I'm so nervous.

by Mommy_3, Oct 17, 2007 06:04PM
To: nikkit82
Everything you wrote sounds really positive, I'll keep you in my prayers! Do you know what your hcg level was?

by Mona93, Oct 17, 2007 07:52PM
To: itsthesusu
how was your u/s?  i had a miscarriage in Feb/07 but am pregnant again and scared of another.  I just got my hcg tested and thyroid as well because the last time I miscarrieed it went over 4.0.  Last time I went 11 weeks.  I had an u/s 1 week ago with 150bpm and right size for age but i am so nervous!  They are going to look again in two weeks.  I am having nearly insatiable hunger at odd hours (2 Am, 5 Am) and get such a strong thirst sometimes I get scared because I can't drink enough to satisfy it.  Baby dust to you  ---^*^* ---.  

by itsthesusu, Oct 18, 2007 11:54AM
To: POSITIVE UPDATE!!!! :)
I went for my u/s last night and I got to see the baby!!!!! :) I also got to hear the heart beat.... 109 BPM. Which is the norm for a 6 week 1 day fetus. :) :) I am on cloud 9 today, but I haven't told anyone at work. I don't think I am going to until I start noticeably showing. Thank you all I would like to keep our chat going. You all are such a big inspiration, and great support system to me. Thank you so much. They said everything looked perfectly normal....and hearing the heart beat was the MOST amazing thing. Especially since the other two pregnancies we never saw or heard anything. :) Please keep us in your prayers. THANKS GIRLS!

by Mommy_3, Oct 18, 2007 06:42PM
To: itsthesusu
I am so happy to hear the great news, we should could continue to hear only good things. I went today for my u/s. They said everything looks normal but because I am only 5 wks they only saw a sac. I go back next Thursday and he hopes by then to see a heartbeat. I guess I really won't calm down until I see a heartbeat. Anyway I'm so happy to hear about you, it makes me think positive.

by itsthesusu, Oct 19, 2007 08:34AM
To: Mommy_3
I have prayed so much for this little angel. And this time I prayed with out worry.... and it worked!!! :) I have learned that when I pray about something and give it to God, that that's exactly what I need to do....just give it to God. I have had so much faith... and I really do feel much more optimistic with the pregnancy and other things in life.... I wish you the best of luck I know what it's like waiting around to hear the heart beat, or just waiting to see the fetus. I wish you the best!!!

by Mommy_3, Oct 25, 2007 11:10AM
To: Everyone
I just had my u/s this morning, they were able to see the heartbeat, 96 bpm, it sounds a little slow to me, I thought it was suppose to be more like 140 bpm. He told me to come back next week for another u/s I guess time will tell.

by itsthesusu, Oct 26, 2007 07:56AM
To: mommy_3
G-

the normal range for 6 weeks is 90-113, how far along are you?

by Mommy_3, Oct 28, 2007 10:05AM
To: itsthesusu
I'm 6 weeks, my friend told me that the normal range was around 140, what do I know? I just keep praying that everything will be okay this time.

by itsthesusu, Oct 29, 2007 08:21AM
To: Mommy_3
DONT WORRY! I was 6 weeks 1 day and my baby's heart beat was 109. I know it's hard not to worry, but it doesn't do our babies or bodies any good. My prayers are with you. I have another u/s today. I will keep you posted. As long as you have no bleeding or cramping you should be fine. Just keep doing whatever you are doing.

by Mommy_3, Oct 29, 2007 09:15AM
To: itsthesusu
Thanks, I have another u/s today too, I'll keep you posted and let me know what happens with you!

by laura1985, Oct 29, 2007 02:57PM
To: everyone
my doctor just called and my levels went from 784 down to the 500's, so he wants me to have a d&c on friday at 1:30pm. i am so depressed. this is my third miscarriage and i have lost all hope. ive decided to have my tubes tied because i know deep down that i am never going to have a baby.

by keri3, Oct 29, 2007 06:03PM
To: mommy-3
how did your us go?

by keri3, Oct 29, 2007 06:04PM
To: laura1985
i'm really sorry to hear all this. don't give up hope. you never know!

by Mommy_3, Oct 29, 2007 07:50PM
To: laura1985
I am so sorry to hear that. Don't give up hope, I had 3 miscarriages in a row and so far I'm having a healthy pregnancy. Don't do anything drastic at a time like this, you may regret any decision you make now. You'll be in my prayers.

by Mommy_3, Oct 29, 2007 08:36PM
To: Everyone
Thank G-D my u/s went very well, she was able to see the baby with out the transvaginal this time. The heart beat went up to 125 bpm. I'm so relieved!

by keri3, Oct 30, 2007 07:57AM
To: mommy_3
thats really good news! how far did they say you were?

by keri3, Oct 30, 2007 07:58AM
To: itsthesusu
how did your us go yesterday?

by Mommy_3, Oct 30, 2007 09:22AM
To: keri3
7 weeks, my due date is 6/19/08, you?

by Mommy_3, Oct 30, 2007 09:22AM
To: keri3
7 weeks, my due date is 6/19/08, you?

by laura1985, Oct 30, 2007 09:46AM
To: everyone
thanks to everyone for their kind words. i think i am still holing out hope in some small way that this pregnancy is still viable. im very nervous about this d&c. i never had to have one with my other two miscarriages. my husband and i just want to have a baby so badly. my best friend and sister in law are pregnant and are due in march, when i was due with my first baby that i lost...and another close friend whom i've known for years is about 7 weeks. i'm just so depressed about the whole thing.

I NEED SOME HELP WITH THIS QUESTION LADIES!
my new ob told me that my progesterone leves are at 1.5 (said i should be around a 15 to haver a viable pregnancy), and that he could put me on progesterone pills to bump my levels up before we even start trying again. does anyone think that it could be a possiblity that the reason i miscarry every time is because of my progesterone levels?

by Mommy_3, Oct 30, 2007 10:27AM
To: laura1985
It is a possibility, did they check your progesterone before you started to miscarry?

by laura1985, Oct 30, 2007 10:34AM
nope. that's why i switched doctors.

by Mommy_3, Oct 30, 2007 10:54AM
To: laura1985
There is really no way to tell now, when you miscarry your numbers automatically go down. Next time they may have you on progesterone suppositories from the time you ovulate in order to ensure that your progesterone is high enough to hold a pregnancy. How early are your miscarriages taking place?

by laura1985, Oct 30, 2007 11:27AM
To: mommy_3
i've never gotten past 7 weeks

by Mommy_3, Oct 30, 2007 11:37AM
To: laura1985
You sound like me except that I didn't make it past 6 weeks until now and this time as soon as I found out I was pregnant they put me on Progeterone suppositories. Thank G-D it seems to be working, I never got to see a heartbeat before. Don't lose hope, it did work for me. I am suprised that your doctor never checked your progesterone levels before. My doctor did check mine and they were fine but he gave me the progesterone anyway in case my numbers would dip. Good Luck and don't be too nervous about the D&C, I had one with my first miscarriage, it's not so bad, it's actually better than doing it yourself. My thoughts are with you and you'll be in my prayers.

by keri3, Oct 30, 2007 12:31PM
To: mommy_3
I'm exactly 7 weeks today. my due date i think is june 18th.

by nikkit82, Nov 07, 2007 06:42PM
To: mommy_3
sorry it has been awhile, just finished exams!!!! but have my prac in 2 weeks (for 2 weeks) - i dont know what my levels are?? but i have another scan today - preparing myself as you do for good or bad news... everything seems to be going ok but it is hard to tell as my first 2 didnt stay for too long nor did they have a heart beat so this is unfamiliar territory... thank you for your prayers and your positive attitude... congrates on 7 weeks, I should be due around the 14 June - I will also keep you in my prayers....

by Mommy_3, Nov 12, 2007 05:04PM
To: Everyone
I was just at the doctor on Thursday, I thought everything was really great, I had an u/s it measured 8wks 1 day which is exactly what I was. I heard the heartbeat and was finally starting to relax a bit. Then I asked my doctor to check my progesterone level because I just stopped the suppositories and I got the results back today. My level was 15, before I even started the progesterone I was 22 and I went up to 28. I'm so nervous he told me not to worry and just go back on the progesterone but I can't help but think that if it's dropping something may be wrong. I asked him if he could check my hcg and he said he really wasn't concerned and I shouldn't be either. Any thoughts??

by Lena7, Nov 17, 2007 06:08PM
I had a miscarriage on October12 and my Dr did blood work three times till i was at a level 7.  We have a had sex a few times but not tried to get pregnant.  I have not had a menstrual cycle yet.  Last week I took a home test and it was - and last night I took one and it was +.  This morning I took another + test.  Could I be pregant or leftover from the miscarriage?  I am so scared!

by A_Miracle_Prayer, Nov 21, 2007 12:40PM
To: Everyone
I have have one stillborn, 2 etopic pregnacies and 2 miscarriages.I recently found out that I was pregnant on Oct 24th.From previous pregnancies I was told my hormone level was not rising with the pregnacy.So I tried to get in to see an OB/GYN dr as soon as possible but my insurance did not have any openning.I finally was able to get in on Nov. 9 and the dr gave me a prescription for Progesterone.Well on Nov 16th I have had my second miscarriage.I was so happy to know the baby was in the right spot after having two etopics.My dr is going to do some more blood work.I had blood work done before and everything was normal/negative.My dr suggest that next time I get pregnant I start taking Progesterone and a Baby Aspirin ASAP.Have anyone had success with this.We are really trying to carry a baby to term.Are there any suggestions? My dr said I should wait 3 months before trying to concieve again.Do I really have to wait that long?I read where some women say they had to take injections of Heparin. How safe is that?Please help.Please join me and my partner in prayer that we will be able to carry a baby to term and that our baby will be born healthy.I pray that everyone on here who is facing these same type of problems and even some different ones that we all will be able to have a successful pregancy and that our babies will be born healthy in Jesus name AMEN! I pray. Thanks for all responses in advance.Be Blessed.

by itsthesusu, Nov 28, 2007 12:45PM
To: A Miracle Prayer
I have also has 3 consecutive m/c. My doctor put me on progestrone with this last one and we actually got to see the heart beat. Do they tell you what the baby aspirin does for you? I always wondered that? They think with this last pregnancy they started me on progestrone to late, that it should be started the day of conception. So we will see. We are also desperate to carry a healthy baby.

by A_Miracle_Prayer, Dec 01, 2007 10:36PM
To: itsthesusu
I have you in my prayers.No he didn't tell me exactly what the baby aspirin do.I just said that he wanted me to wait 3 months so he can run some test.And that if I become pregnant again he wants me to start the progestrone and baby aspirin right away.I really don't understand alot of this all I know and all I pray is to have another healthy baby.I fee that we don't make children God gives them to us and he knows my heart.My son really wants a brother or sister always around Christmas time he always say, " momma I'm gone ask Santa to bring me a brother or a sista".So how long did you wait before you tried again? I really don't want to wait three months.The test he wants to run I previously had them ran and they found nothing wrong.Well I wish you success and thank you for responding to me.Sometimes I feel so alone and lost when it comes to this.You are in my prayers be blessed.

by itsthesusu, Dec 03, 2007 03:20PM
To: A Miracle Prayer.
Well since I last spoke to you I found out that I am pregnant again!!!!! I am very scared we were suppose to wait until after we could have a biopsy of my uterus this time. I had my first m/c on May 1st I was 13 weeks. (No baby formed, no gest. sac, pole...nothing) I had another m/c on 9/1, and the third on 11/2. So we were not waiting at all. You are actually most fertile after your m/c's. If you are trying to get pregnant again the first two weeks after you STARTED bleeding is when you would get pregnant. Well for me that seems to be the case. Good Luck to you we are also trying to play "Santa" for a 5 year old who wants a little brother or sister almost as bad as we want to give her one. Keep praying.

by A_Miracle_Prayer, Dec 04, 2007 11:59AM
To: itsthesusu
Well Congradulations and may God bless you with this baby may this pregnancy be healthy and beautiful for you.Try not to worry and keep your faith in him.Well I got back to the Dr. on 12/7 for more blood work to make sure my hormone levels are back down to zero, and to have an ultrasound to make sure this miscarriage is complete.Thanks for the advice though cause I really don't want to wait. It may not happen before Christmas for me but I just want it to happen and be successful and I want to give birth to a beautiful healthy baby.I'm going to start taking a prenatal vitamin and the baby aspirin everyday to try to keep the next one then I'll start the Progestrone once I've concieved.I have you in my prayers.Keep me in yours:) Be Bless

by itsthesusu, Dec 04, 2007 03:30PM
To: A Miracle Prayer
I read today that even couples that have four consecutive m/c's still have a 50-60 percent chance at having a healthy normal pregnancy. 3 m/c's there is a 70% chance of normal pregnancy. I will definately keep you in my thoughts and prayers. Please stay in touch. I will try and update as soon as I got to the dr. Take care! If you need me I am here. :)

by A_Miracle_Prayer, Dec 05, 2007 04:26PM
To: itsthesusu
Thanks for the news.Well I wish you true success with this pregnancy.I'm keeping my spirits up.I had my last miscarriage on 11/16 and I started my cycle on 12/4.My Dr said the bleeding would last about a week while I was miscarrying.You mention something about the first two weeks after you miscarry your fertile to conceive.Well sorry if I'm being too personal but I need your help and answers.I started bleeding 11/16-11/24, on 11/27 I started having a brown discharge so I went to the Dr they said it was probably a bacteria infection from all the bleeding.I was given medicine to take care of that after I left the discharged stopped with the medicine.My ccyle started this week.So do you think I'll be able to conceive this month or will I have to wait until next month.Just asking your advice thank you in advance.And please keep me posted with the success of your pregnancy it will give me hope:)

by itsthesusu, Dec 07, 2007 10:29AM
Hey it is possible to conceive from everything that I know, just try to conceive on 16,17,18, and 19th. And make sure afterwards you lay down on your back with your legs up somehow... like feet on bed or floor with knees bent. Good Luck I will keep you updated. I have morning sickness pretty bad right now and, my boobs are super sore. I have all the early symptoms. hopefully it's a good sign.

by mybabiesmommy, Dec 07, 2007 04:50PM
Girls, for those of you trying to conceive so quickly I have to say if your doctor says wait then wait a few months, I have three beautiful children and am preg with baby (hopefully) number four but I have had 9 pregnancies over the last 13 years.  One of the most horrible pregnancies I endured was a molar pregnancy.  Please go back in have your hcg level tested make sure it is 0 then conceive.  I understand the desire to try again but you don’t want to go through a molar pregnancy which can lead to cancer….  

by itsthesusu, Dec 10, 2007 10:29AM
The main reasons dr's tell you to wait is so that you can have a LMP date. At least that's what my Ob said.

by A_Miracle_Prayer, Dec 10, 2007 09:55PM
To: mybabiesmommy
Thanks for your advice but I have had my blood work done, and my levels are down they never really rose in the first place which is probably why the miscarriage took place.My health is my main concern.Plus I've already had a period and everything.I don't mind waiting I just think didn't think I had to wait three months.I know a few people who got pregnant right after a miscarriage and had healthy babies.Thanks for your advice, and congradulations.

by christine613, Dec 14, 2007 10:32AM
To: mybabiesmommy
I had a miscarriage at 9 weeks and 3 days. I had a d and c on Tuesday of this week. My doctor said to wait for 3 cycles as well- it was depressing news as I feel motivated to try again. She said it will give me time to stabalize emotionally and reduce chances of another miscarriage slightly. I went on americanpregnancy.org and found similiar information. Did your doctor test the fetus? I begged my doctor to check mine and she acted like this was not the protocal for 1 miscarriage but I feel like I NEED to know why this happened and if it will happen again. She finally agreed and she said that she should have more information for us on January 2 when I go back.
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