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Discussion Starter · #1 ·
I have some questions about pregnancy loss~ if I'm out of line putting this here, please let me know. I'm really not sure if this area is support only, or if it's Ok to ask for info here as well?<br><br>
My best friend, Emma, is a very career/eductaion oriented person who never expressed much interest in having children. It was always a "maybe someday" thing. Suddenly, this summer, she decided to take a break in her grad studies and get pregnant. I was THRILLED (I have 2 little girls, most of my close friends are child-free, and my sisters- only one of whom has a child- live very, very far away). Emma got pregnant right away, but at 12 weeks found out that 1) she was carrying twins and 2) they had died in the womb the week before. She had a D&A (I've never even heard of this before; similar to a D&C I assume?), then had a regular period, and without trying became pregnant the following cycle. She miscarried last week.<br><br>
Emma and I grew up together. We met in fourth grade. I'm closer to her than anyone else in the world aside from my children, and it just breaks my heart for her to be experiencing this.<br>
She doesn't have the best healthcare. She has no OBGYN with whom she has a relationship (just somebody she found in the phonebook for her first pregnancy), and I think she's too broadsided by this to be searching for answers, right now. that's why I'm asking: what should she do before trying again? Should she see a specialist? ARE THERE specialists, or should she go to a regular OB?<br>
* Why would one set of babies die in utero, with no miscarriage, and a subsequent pregnancy end in miscarriage? Doesn't this suggest that the issues with each pregnancy were different? Or does it suggest chromosonal problems?<br><br>
Emma is 29, slender but not skinny, and in good health. She got pregnant IMMEDIATELY when they started trying, and, like I said, they weren't even trying (but not using birth control) the second time.<br><br>
She was not using chemical birth control prior to ttc.<br><br>
I really appreciate any advice anyone might have, and again, if this is NOT the place to ask, just let me know.<br><br>
~L
 

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A common cause of recurrent miscarriages is blood clotting or immune disorders. She should be tested for these by a specialist (either a hematologist or a reproductive endocrinologist). I think a lot of doctors would wait until a 3rd miscarriage but she has the right (and frankly, I would demand it) to be tested if she wants to and has the means to. It could be a "fluke" that she lost both pregnancies however if it were me, I would want to be doing something to actively help my goal of having a healthy baby.<br><br>
Here's an infertility website that has a lot of information about recurrent miscarriage:<br><br><a href="http://www.inciid.org" target="_blank">www.inciid.org</a>
 

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I second the endocrinologist.<br><br>
Additionally: Did she find out anything else about the twins? Was it twin to twin transfusion or genetic problem? Did they take part of the placenta for a genetic screen? What did the ultrasound show? Did she have one early for the twins?<br><br>
Is she doing the basics for keeping healthy (especially during this time of grief): high protein/high iron diet, lots of folic acid, etc?<br><br>
She is lucky to have someone like you to look out for her. It is so overwhealming to loose your babies (and then the loss of a second pregnancy on top of that)...<br><br>
I was lucky to have my sister to keep pushing me (making doctors appts., driving me to hospital, pushing food, always listening no mater how hysterically I was crying, and making me laugh when I never thought I could laugh again).<br><br>
Don't give up on her!<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2">
 

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Discussion Starter · #4 ·
NO tests were done to determine the cause of the twin m/c; this is why I'm not sure if the second m/c is related or just really, really lousy fate. She is taking care of herself. She takes her prenatals and is sticking to her prenatal diet. She's very small (not unhealthy) so she's being concious of protein and complex carbs to keep her weight up. They're looking at a 5 bedroom house tomorrow, so I know she's still hopeful<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 
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