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Dear Dr. Cusick,
Thank you so much for reviewing my question. I am the mother of a healthy 4 year old son. My pregnancy with him was blissfully uneventful. When my son was 2.5 years old, I became pregnant a second time. At 39 weeks I went into labor naturally and when I got to the hospital my daughter had passed. Based on her appearance, they felt that she had passed about 12 hours earlier. All testing on my daughter came back normal and the MFM that I consulted with told me that her passing was a "fluke" and I should not have any future problems. At that time I questioned if I should undergo some additional testing before TTC and was told that was not necessary because I have a healthy son. Four months later I became pregnant again, only to lose another daughter at 17 weeks. After my OB told me that I was "due for some good luck" I went to a very respected RE for RPL testing. I was tested for standard genetic issues, blood clotting disorders, thyroid, CF, etc. and everything came back normal. The only thing that I tested positive for was Hetero MTHFR A1298C and I was told that was not a problem. The RE suggested Lovenox with my next pregnancy and told me to follow-up with a MFM. I went to a well regarded MFM in the area and showed him my test results. He ordered some additional tests (glycoprotein and additional clotting tests) which were also normal. I talked to him about trying Lovenox with my next pregnancy and he was opposed to the idea. He said there have not been enough studies to warrant it safe and there is a link to osteoporosis. He told me he had no problem with me taking baby aspirin though. He final statement was that all I could do was "roll the dice and hope for the winning combination that gave me my son, but there was nothing that they could do to increase my odds."
After that, I started to reach out to other women online who had repeat losses and did ultimately have a successful pregnancy. Most women that I came across were put on Lovenox or Herapin, extra folate and b-vitamins, and baby aspirin with their subsequent pregnancy. A couple were also put on progesterone for the duration of their pregnancy and one woman was put on Plaquenil.
I would like to know what type of treatment you would recommend to a woman with my type of losses. My OB is open to putting me on Lovenox next time I get pregnant. I have also met with a nutritionist who as me on a b-complex, flaxseed oil, fish oil and calcium/magnesium/vitamin D.
Thank you so much for taking the time to read this.
Regards,
Beth
Thank you so much for reviewing my question. I am the mother of a healthy 4 year old son. My pregnancy with him was blissfully uneventful. When my son was 2.5 years old, I became pregnant a second time. At 39 weeks I went into labor naturally and when I got to the hospital my daughter had passed. Based on her appearance, they felt that she had passed about 12 hours earlier. All testing on my daughter came back normal and the MFM that I consulted with told me that her passing was a "fluke" and I should not have any future problems. At that time I questioned if I should undergo some additional testing before TTC and was told that was not necessary because I have a healthy son. Four months later I became pregnant again, only to lose another daughter at 17 weeks. After my OB told me that I was "due for some good luck" I went to a very respected RE for RPL testing. I was tested for standard genetic issues, blood clotting disorders, thyroid, CF, etc. and everything came back normal. The only thing that I tested positive for was Hetero MTHFR A1298C and I was told that was not a problem. The RE suggested Lovenox with my next pregnancy and told me to follow-up with a MFM. I went to a well regarded MFM in the area and showed him my test results. He ordered some additional tests (glycoprotein and additional clotting tests) which were also normal. I talked to him about trying Lovenox with my next pregnancy and he was opposed to the idea. He said there have not been enough studies to warrant it safe and there is a link to osteoporosis. He told me he had no problem with me taking baby aspirin though. He final statement was that all I could do was "roll the dice and hope for the winning combination that gave me my son, but there was nothing that they could do to increase my odds."
After that, I started to reach out to other women online who had repeat losses and did ultimately have a successful pregnancy. Most women that I came across were put on Lovenox or Herapin, extra folate and b-vitamins, and baby aspirin with their subsequent pregnancy. A couple were also put on progesterone for the duration of their pregnancy and one woman was put on Plaquenil.
I would like to know what type of treatment you would recommend to a woman with my type of losses. My OB is open to putting me on Lovenox next time I get pregnant. I have also met with a nutritionist who as me on a b-complex, flaxseed oil, fish oil and calcium/magnesium/vitamin D.
Thank you so much for taking the time to read this.
Regards,
Beth
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