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Miscarriages - your questions answered

continued from page 3
vanjacoffey: I just found out this morning that I'm pregnant. I had a missed m/c in March this year and we started TTC in June so it took us four months to get there. I have light cramps as the only symptom of pregnancy (4 weeks 3 days today). I feel a little bit nervous about the pregnancy. When would you advise an early scan? Last time I found out when I was 11.5 weeks that the baby had died at 8-9 weeks. Also, do you advise any supplements to reduce the m/c risk? I heard that in addition to prenatal multivitamins, it may be advisable to take extra folic acid and B6... Do you agree? Is there anything else that I should take?
Dr Gillian Lockwood: I always recommend an early scan (6-7) weeks for anyone who has had a 'missed' or has had trouble conceiving. The vast majority of miscarriages are genetic in origin and therefore unavoidable, but a pre-natal vitamin supplement is a good idea. There is an association between high caffeine intake and miscarriage, so cut out the coffee, tea and coke. The rest is easy...healthy diet, plenty of rest, light exercise, optimistic thoughts!

l-sonyasrose: You often hear people saying 'I can't carry girls/boy'. Is this true? Does the sex of the baby make such a difference and is it possible that some women will always mc one particular sex?
Dr Gillian Lockwood: This really is an old wives tale. I think it continues because there is a tendency, once you have had two or three babies of one sex, that you are more than averagely likely to have the same sex again. Women therefore assume that the miscarriages must have been the other sex. There is no real evidence for the belief that it is 'easier' to carry girls!

l-sonyasrose: Sorry, me again! How often should blood pressure be checked during pregnancy? Mine was only checked at my first at 7 wks and nothing since (now 22 wks).
Dr Gillian Lockwood: It all depends on what the first reading was, whether you have any risk factors for pre-eclampsia and whether you have any symptoms. If you had pre-existing raised blood pressure or if they found protein in your urine, it would be being done very often! It should really be checked at every antenatal visit once you are on 'the home straight'



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