Patient's question:
I am writing this with an extremely sad heart. It is partly for self-regulation and partly for help. I hope my sorrow does not affect everyone's light mood. My loved one had another miscarriage, and this is the third time. Two months of bed rest, two months of progesterone, dozens of traditional Chinese herbal remedies—despite all this, the most unwanted outcome still occurred: an ultrasound revealed fetal demise. My loved one cried uncontrollably in the examination room, while I held back my tears and said, "Thank you" to the doctor before helping her out. I found the best doctor in the hospital to perform a "dilation and curettage" (D&C) surgery for my loved one. Another such blow, and I know she is about to break. She is someone who even needsDoctor's answer:
Hello, I fully understand your feelings: For those with a history of fetal demise or spontaneous abortion, it is essential to identify the cause of the miscarriage before trying to conceive again to avoid repeating the same mistakes. It is best to undergo endocrine and anti-embryonic antibody tests using the electrochemical luminescence method between days 3-5 of the menstrual cycle; dynamic digital hysterosalpingography, four surrounding vaginal ultrasounds, and vaginal mirror examinations should be performed between days 3-7 after the menstrual period clears. If none of these conditions are present, there are generally no other special tests required before pregnancy. The key is to take folic acid to prevent neural tube defects if pregnancy is confirmed, starting 12 weeks before conception and continuing daily as prescribed by a doctor within the first 12 weeks of pregnancy.|
Miscarriage does not always cause anti-embryonic antibodies—less than 0.1% of cases do, and it only occurs under specific conditions.
If you are already pregnant, an ultrasound should be performed to confirm the condition of the embryo. Anti-embryonic antibodies, progesterone, and β-HCG should be tested using the electrochemical luminescence method. If a miscarriage has occurred, a hysteroscopic embryo removal should be performed, along with testing for embryonic chromosome abnormalities and uterine cavity conditions.
Your partner's decision to undergo a D&C was incorrect. If you frequently browse the internet, you should have been able to find information on this topic. At the time, a hysteroscopic embryo removal should have been performed to extract the embryo for chromosome and pathological testing, while also assessing the uterine cavity's morphology.