Ask the doctor about medical issues during pregnancy

I used to be pregnant but only one month after I knew that I was going to have a baby it was lost. It happened two time like this. I want to ask why it is always like that? Me and My husband really want to have a baby.

In order to investigate the causes of having a miscarriage your doctor will need to answer the following questions:

  1. How old were you when you experienced first and second miscarriage?
  2. Do you have a history of chronic illness?
  3. What is your family history concerning miscarriage or other chronic illness?
  4. What was your lifestyle during before and during your pregnancy?
  5. When did it happen (both first time and second time)? (such as week 4)
  6. Have you ever checked with your OB/GYN after you experienced a miscarriage? (both first time and second time) If yes, Did he/she run any tests after the miscarriage?

The causes for miscarriage are varied, and most often the cause cannot be identified. However, if you have had more than one miscarriage your doctor may run tests for possible causes such as immune disorders, hormone disorders, or illness.

If you are planning to get pregnant again, we would recommended that you consult with a specialist in Maternal-Fetal Medicine before you get pregnant. Most women who have experienced repeated miscarriages are more likely to experience a miscarriage again. With testing and possible treatment, you and your partner can hopefully bring down the risks of a future loss and experience a healthy pregnancy.

Additionally, a specialist can provide you with specific guidelines to follow to prepare yourself for pregnancy. For example, in general cases a doctor will usually recommend changes to your lifestyle and boosting your immune system for three months in advance of pregnancy.

Thewin Dejthevaporn, M.D.
OB/GYN and Maternal-Fetal Medicine
Samitivej Hospital

Hi. I’m four months pregnant, but I’m still spotting. Should I be worried?

It depends! I am sorry to start of with “it depends” as it really won’t help you that much. But hear me out. In some women, spotting is normal during pregnancy, especially during the first trimester. In your case, in your fourth month, I still wouldn’t be too alarmed. On the other hand, if the spotting is heavy and consistent and/or persists into your second trimester, then there is cause for worry and you should see your doctor for further examination.

There are benign reasons for spotting such as sexual intercourse, a cervical polyp or a recent internal exam. However, there are more serious reasons for spotting. If you are actively bleeding or feel pain, it might be an indication of miscarriage, ectopic pregnancy (when the embryo implants outside the uterus), infections or placental problems, especially if it continues in the second and third trimester. In this case, you should seek immediate medical attention. If you decide to visit your doctor for evaluation, she/he should perform a physical exam, an ultrasound and blood tests.

Boonsaeng Wutthiphan M.D.
OB/GYN, Women – Gynecology
Samitivej Hospital

My wife is six months pregnant and so moody. Is there anything I can do to improve her disposition? Is there medicine she can take? Foods she can eat? Anything – I’m desperate!

Her mood swing is caused by pregnancy hormone. She should not take any medicines which involve anxiolytic, antidepression, etc. Exercise works well. Low sugar diet is good too. You are very lucky that you are going to be a father soon. This is the greatest thing that can happen to a human being so be cheerful!!

Yaowaluk Rapeepattana , M.D.
Specialist in OB/GYN
Samitivej Hospital

I’m seven months pregnant and I’m not feeling as much kicking and movement from my baby as the other women I know who are this far along. How much movement is normal? Is there something wrong? Is there anything I can do to check?

First-time moms will feel the first movement of the baby during the 18-20th week of pregnancy, while second-time moms will feel the first movement during the 16th-18th week. During the seventh month of pregnancy, the baby’s movements are usually strong as the baby is not too big and there is space to move around. However, if you feel that there is less movement, you must visit your obstetrician who will evaluate fetal position, placenta position and amount of amniotic fluid. Sometimes the obstetrician may recommend an NST to check the baby’s well-being.

The fetal usually starts to move at 6-7th week of pregnancy but moms can perceive the fetal movement after 16-18th week when the uterus wall is closed to the abdominal wall. Moms can feel baby movement only when she feels abdominal movement. That is because there is nerve supply at the abdominal wall, not on the uterus. Some women may feel less movement due to the position of the placenta. If the placenta is positioned on the front wall of your uterus (womb), the placenta can absorb some of the kicks when the baby moves. When there is no abdominal movement, moms don’t feel the fetal movement.

Bancha Kanluan, M.D.
Specialist in OB/GYN and reproductive medicine
Samitivej Hospital

Recent question from our readers
I used to be pregnant but only one month after I knew that I was going to have a baby it was lost. It happened two time like this. I want to ask why it is always like that? Me and My husband really want to have a baby.

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