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Pregnancy doubts
Im 8 weeks pregnant this is my 3rd pregnancy.. 1st pregnancy ended in 18 weeks due to ic.. 2nd pregnancy (twins ) ended at 20w with failed cerclage at 14w.. my doc prescribe progestrone 300 mg tablet and folic acid.. i asked for progestrone injection.. but they not consider... im worried about this pregnancy.. they planned for shirodkar stitch at 14w and complete bed rest after cerclage..
My doubt is why they not considering the injection..
Im worried abt cerclage.. what are the precautions i take to continue this pregnancy to atleast 30w..
Answers (4)
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Looks like major cervical incompetance in your case..
I will suggest to start folic acid, ecosprin, vaginal and oral progesterone..
Progesterone Injections are not must coz vaginal has good effect..
Was your APLA test done before pregnancy?
There is also a option of laparoscopic cerclage in pregnancy but as second time it was a twin pregnancy, which is already high risk I m not suggesting that now..
The earlier the cerclage the better.. 14 weeks is good
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Take wkly injection
And
Lowprim 75 mg tab
Don’t leave any stone unturned,,,
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Dr. Mina Bulchandani
Gynecologist
23 yrs exp
Hyderabad
First avoid stress and anxiety this will help you to prolong your pregnancy,in your case cerclage will help, you can do daily routine activities along with rest after cerclage
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Dr. Pratibha Aggarwal
Gynecologist/Obstetrician
35 yrs exp
Chennai
Hi. When there is proved case of cervical incompetence then cerclage has to be done . After that rest is necessary with daily activities allowed . Yes you can take progesterone inj weekly once along with oral dose up to 30 weeks . But first do a NT scan and Downs screening .after the cerclage you can start Tab Aspirin 75 till 30 weeks .
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.