When you should Plan a Prenatal Visit for any Pregnancy Following a Miscarriage

 

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In the absence of bleeding or other miscarriage symptoms, it is most likely OK to wait a few weeks to begin prenatal care. Don’t wait too long, though. It’s important for your doctor to establish an accurate due date as early as possible. You should probably go in for your first checkup by the time you are seven or eight weeks pregnant. Ovulation may happen as soon as 2 weeks after your miscarriage.

If you become pregnant during this first ovulation, you may see that positive sign on the pregnancy test sooner than you thought. Take the time you need to heal physically and emotionally after a miscarriage. Discuss the timing of your next pregnancy with your doctor. Some recommend waiting a certain amount of time (from one. Every-other-week visits to check blood pressure, weight, urine. protein, and fetal growth.

36–40. Weekly visits to check all the above and to assess fetal. position. Some practitioners do internal exams to check the cervix; some do a vaginal/rectal culture for group B streptococcus.

Months later I felt ready to start trying to get pregnant again after my miscarriage. I used a charting app and figured it would take a few months to get pregnant. We received a positive pregnancy test four months later.

We waited until I was well into the second trimester to share our news. I was a full 15 weeks pregnant before most people knew. Many healthcare providers will schedule your first visit for when you’re about 8 weeks pregnant.

Some will see you sooner, particularly if you have a medical condition, have had problems with a pregnancy in the past, or are having symptoms such as vaginal bleeding, abdominal pain, or severe nausea and vomiting. Your next prenatal visits — often scheduled about every four weeks during the first trimester — might be shorter than the first. Near the end of the first trimester — by about 12 to 14 weeks of pregnancy — you might be able to hear your baby’s heartbeat with a small device that bounces sound waves off your baby’s heart (Doppler). Typically done between weeks 10 and 12 of pregnancy, CVS can identify certain genetic conditions. Ultrasound for cervical length.

Your health care provider might use an ultrasound to measure the length of your cervix at prenatal appointments to determine if you’re at risk of preterm labor. Lab tests. If you did not meet with your health care provider before you were pregnant, your first prenatal visit will generally be around 8 weeks after your LMP (last menstrual period).If this applies to you, you should schedule a prenatal visit as soon as you know you are pregnant!I have only had one loss before this pregnancy and the doctor said that she would see me every couple weeks until I feel comfortable (or when I am past my miscarriage time which was 9 weeks).

I went in at 5 weeks and then about every two-three weeks until 10 weeks and now I am going to be seen every 4 weeks.

List of related literature:

TYPICALLY, THE FIRST PRENATAL visit happens between 9 and 12 weeks of pregnancy, but you can schedule this visit any time after you have missed your period.

“The Essential Homebirth Guide: For Families Planning or Considering Birthing at Home” by Jane E. Drichta, Jodilyn Owen, Christianne Northrup
from The Essential Homebirth Guide: For Families Planning or Considering Birthing at Home
by Jane E. Drichta, Jodilyn Owen, Christianne Northrup
Gallery Books, 2013

• If there are three early, prior pregnancy losses, a workup and treatment for recurrent miscarriage should begin before next conception.

“Ferri's Clinical Advisor 2020 E-Book: 5 Books in 1” by Fred F. Ferri
from Ferri’s Clinical Advisor 2020 E-Book: 5 Books in 1
by Fred F. Ferri
Elsevier Health Sciences, 2019

After two miscarriages the next pregnancy should be followed early and carefully, preferably from the 6th gestational week.

“Evidence-Based Medicine Guidelines” by Duodecim Medical Publications, Ilkka Kunnamo
from Evidence-Based Medicine Guidelines
by Duodecim Medical Publications, Ilkka Kunnamo
Wiley, 2005

• Immediately after a first trimester abortion/miscarriage • One week after miscarriage of 13–28 weeks.

“Manual of Obstetrics E-book” by Daftary, SUDIP Chakravarti, Muralidhar Pai, Prahalad Kushtagi
from Manual of Obstetrics E-book
by Daftary, SUDIP Chakravarti, et. al.
Elsevier Health Sciences, 2015

Practice tip: Foetal abnormality or miscarriage Prior pregnancy loss, miscarriage, foetal demise, neonatal death or genetic or chromosomal abnormality in the current or a prior pregnancy often requires professional counselling with grief counsellors, support groups, therapists, and genetic counsellors.

“Health Assessment and Physical Examination” by Mary Ellen Zator Estes, Pauline Calleja, Karen Theobald, Theresa Harvey
from Health Assessment and Physical Examination
by Mary Ellen Zator Estes, Pauline Calleja, et. al.
Cengage Learning Australia, 2019

To figure out when you need to make your first prenatal appointment, call your practitioner’s office and give them your LMP (the first day of your last menstrual period) and the date of your first positive pregnancy test.

“Expecting 411 (4th edition): The Insider's Guide to Pregnancy and Childbirth” by Ari Brown, Michele Hakakha
from Expecting 411 (4th edition): The Insider’s Guide to Pregnancy and Childbirth
by Ari Brown, Michele Hakakha
Windsor Peak Press, 2017

If a miscarriage has occurred, the general practitioner should offer a follow-up appointment several weeks later, to discuss coming to terms with the loss of the foetus.

“Oxford Textbook of Primary Medical Care” by Roger Jones (Prof.)
from Oxford Textbook of Primary Medical Care
by Roger Jones (Prof.)
Oxford University Press, 2005

T here’s no definitive answer to the question of when you can try to conceive again after a miscarriage, simply because there are no definitive rules.

“What to Expect: Before You're Expecting” by Sharon Mazel, Heidi Murkoff
from What to Expect: Before You’re Expecting
by Sharon Mazel, Heidi Murkoff
Simon & Schuster UK, 2010

If an expectant line of management is chosen, and if symptoms suggest that the miscarriage process has been completed in the waiting period of 7–14 days, the woman should be advised to do a UPT after 3 weeks.

“Arias' Practical Guide to High-Risk Pregnancy and Delivery: A South Asian Perspective” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Arias’ Practical Guide to High-Risk Pregnancy and Delivery: A South Asian Perspective
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences Apac, 2019

Ideally, prenatal care should begin as early in the pregnancy as possible, with visits to a health care provider every 4 weeks during the first 28 weeks of pregnancy, every 2 to 3 weeks for the next 8 weeks, and weekly thereafter until delivery.

“Encyclopedia of Gender and Society” by Jodi O'Brien
from Encyclopedia of Gender and Society
by Jodi O’Brien
SAGE Publications, 2009

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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11 comments

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