Hi doctor, my wife having blood clotting issue and she is using ecosprin tablet prescribed by doctor. She had 2 abortion in 5 months and doctor said there is nothing wrong in blood and uterus except blood clotting issue .the last abortion was due to unhealthy pregnancy. So please suggest if there are anything we need check before attempting for third time.

Swapnika BoppudiGynaecologist5yrs exp

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Hello lybrate-user the issue of recurrent pregnancy losses can be due to multiple reasons. Since you say that the issue as pointed out by your doctor is due to blood clotting. It is likely that your wife may have apla (anti phospholipid antibody syndrome). It is beneficial if you get a apla profile test done which includes:(lupus anticoagulant, beta 2 microglibulin, and anti phospholipid antibody. According to the test report she can be started on heparin. It is important that the sugar control of your wife is optimum over the past 3 months, for this you have to get a hba1c test done. Any other investigations can be done based on the detailed history and evaluation of your wife. I would suggest a pre conceptional counselling before you attempt your next conception. You can get in touch with me for pre conceptional counselling. Also I would advise you to start tablet folic acid 5 mg from now itself, while continuing ecosprin. I'd be happy to answer further queries if any, I hope this was helpful.  

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