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Risk of miscarriage after teminatting baby with CHOMOSOMAL ABNORMALITY.

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Hi,
I am wondering if i could Please have some advice.
I had a termination at 24 weeks gestation 6 weeks ago as our baby was diagnosed with a chromosomal abnormality that was incompatible with life.
This baby was a much loved and wanted child. we are both desperate to try again and our karyotyping shows it was not inherited from us.
I got my period 31 days after the induced natural delivery of our baby which is my usual cycle length. The period is quite heavy and just finishing now after 9-10 days. Usually periods aren't this heavy and only last 5-6 days.
I am so scared of miscarrying so I don't want to rush to try again but I also do want to try as soon as I can. Do you have any advice on how long we should wait? I want to try now as I would be due to ovulate Soon but I'm not sure if this is a good idea or not.
Any help would be greatly appreciated.
Thanks

Category: OBGYN

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Category: Infertility Specialist
 26 Doctors Online

Hello
Thanks for your query at DoctorSpring.com
Well, frankly speaking, it is not advisable to conceive so soon after a miscarriage.
Your body and systems need time to recuperate.
I understand your anxiety to get pregnant and have a child soon, but doing this so soon after a miscarriage will result in a suboptimal mind and body to prepare for the pregnancy.
Contraception is advised for 6 months at least, and since you are 26, 6 months is a good time period.
If you were older, and fertility was a concern, 3 months would be the minimum period.
In your case, please wait for at least 5 more cycles.
Meanwhile, take daily folic acid supplements.
Could you share some more information about the chromosomal abnormality that was diagnosed this time, and also the reason for the previous miscarriage?
All the best
Please feel free to discuss further


Patient replied :

Hi, Thankyou for your reply. I am very surprised to here this as my high risk obstetrician said there is no evidence to show that there is any reason not to try as soon as mentally ready after one period especially if it comes at the normal cycle length. I do not want to wait 6 months to try. The first miscarriage was from unknown cause, I just started bleeding and had a complete miscarriage at home. The chromosome abnormality was a ring of chromosome 6. Very rare and de novo. I am prepared to wait 2-3 cycles but not 6. I have read that there is evidence to show that women who fell pregnant in the first 6 months after miscarriage or loss were less likely to have issues conceiving. Thankyou.


I would love to go through the evidence you have.
To the best of my knowledge, you should wait for ATLEAST 3 months as I said, and 6 months is better at your age.
I am not aware of any scientific studies that say that women who wait longer than 6 months have trouble conceiving.
Am attaching a link here, a valid one -
http://americanpregnancy.org/pregnancy-loss/after-miscarriage-getting-pregnant-again/
Would love to go through your links, if you have them.
I gave you my professional opinion.
Hope that helps


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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