After two years of going stir-crazy from trying for a baby, and then getting a BFP, moving on to hear the baby’s heartbeat, morning sickness drama, which Tosin welcomed with all her heart, she was little prepared for the anguish that hit her one Sunday afternoon, after church service.
Tosin and her husband had just finished having lunch, and were watching a movie, when she suddenly felt abnormal. In her words, “It was as though, something was shaken loose from my body. I sat up and checked if I had dropped my phone, but no. So, I lay back down back and shortly after decided to use the toilet, and that was when I got the shock of my life – blood clots in my underwear.”
She rushed out to share the news with her husband, who started looking for his car keys; they were going to the hospital.
It was not the news they hoped for. Tosin was having a miscarriage…but it could be prevented, if she rested. So, she was placed on bed rest and closely monitored.
The next three days were very dramatic, and unfortunately, she ended up losing the baby. It was beyond painful; she couldn’t deal with the fact that she was no longer going to have a child, and she grew numb for what seemed like hours. She just kept gazing into the distance, as though very far from the reality around her.
When the doctor talked about an evacuation and the tests they would do on the remains to find out the reason for the miscarriage, it washed all over her. When her husband talked to her, she merely looked at his moving lips, not hearing a thing.
After the evacuation was done, Tosin started to process the fact of her miscarriage. She wanted to know what the outcome of the test on the foetus was. She wanted to know if there was a possibility, even if it is a slim one, of her experiencing a miscarriage again. She was asking lots of questions to cover up her pain on one hand, and also because she just needed some answers.
Like Tosin, most women who experience a miscarriage go through quite a number of emotions; they want answers, they want to know if it’s something they caused, if it could have been avoided, what the reasons were for the miscarriage, no matter how inconclusive, and also how to prevent a reoccurrence.
To help mommas asking these questions, here are some tests which are advisable to run after a miscarriage. In fact, your doctor should strongly advise some of them…if not all.
- First on the list is Chromosomal tests:
Doctors say most miscarriages are caused as a result of chromosome problems. Chromosomal abnormalities in the foetus account for about 60% of sporadic losses, said one study.
It’s just nature’s ruthless way of ensuring that only healthy babies grow to term. While it may be needed, it’s a very painful experience.
Chromosomes are tiny, thread-like structures in cells that carry genes of the new baby being formed. Once something is missing or overboard, then nature takes it’s due course by aborting such a foetus.
When a miscarriage happens, you and your partner can have blood tests to check for chromosome problems.
Your doctor also can test the tissue from the miscarriage for chromosome problems, if it’s available.
2. Antiphospholipid Syndrome test:
This syndrome has been known to be associated with recurrent pregnancy loss. So, if it’s not a first-time experience of miscarriage, then it’s important to try this test and get on a treatment plan as soon as possible.
Testing should be performed after other causes (anatomic, hormonal and chromosomal) have been excluded. The treatment regimen most times includes low dose aspirin and low dose heparin.
- S: Talk to your doctor first before trying this treatment.
- Hormone tests and metabolic factors:
Hormones are natural chemicals made by the body. Having high levels or low levels of certain hormones can cause problems that may lead to miscarriage.
After a miscarriage, you may be advised to have your blood tested to check for problems with hormones.
Or you may have a procedure called endometrial biopsy that removes a small piece of the lining of the uterus (womb) to check for hormones.
Generally, thyroid function should be evaluated and treated if abnormal. TSH levels should be below 2.5 mIU/L.
Also, uncontrolled diabetes may be associated with pregnancy loss. Elevated prolactin levels can interfere with adequate follicular development and luteal function. This can result in decreased progesterone levels in the luteal phase of the cycle.
In patients with recurrent losses, progesterone supplementation can improve pregnancy rates.
Sonohysterography uses sound waves to produce pictures of the inside of a woman’s uterus and help diagnose unexplained vaginal bleeding.
Sonohysterography is performed very much like a gyneacologic exam and involves the insertion of the transducer into the vagina after you empty your bladder. Using a small tube inserted into the vagina, your doctor will inject a small amount of sterile saline into the cavity of the uterus and study the lining of the uterus using the ultrasound transducer.
A close sister of the test above is hysterosalpingography. It involves the use of dye to highlight the uterine cavity and fallopian tubes to study via X-Ray. This is recommended based on what a Gyneacologist wants to study specifically.
- Blood tests
To check your immune system. Your immune system is what helps protect your body from infections.
However, there is now increasing evidence that abnormalities in the immune system affect a woman’s ability to carry a pregnancy to term and deliver a healthy baby. It is a rapidly developing area of reproductive medicine, and all the facts are not yet in. But one thing is clear, our immune system is designed to fight off foreign invaders such as viruses and bacteria, dead cells, cancer cells and other substances within our body that do not belong there.
And if our immune system determines a pregnancy is a foreign body, then it would attack it and lead to recurrent miscarriages in most cases. This is often referred to as Natural Killer cells.
In all, problems with your immune system also may lead to miscarriage.
These are the five tests which should be recommended before trying for another baby ordinarily.
Just want to leave you with this thought #youarenotalone
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