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How Should I Take Care My Self Im 30 Year Old Female Recently Had Abortion Due Fetal Anomalies?

Posted on Mon, 28 Nov 2022

Question: I am 30 year old female recently had abortion due to multiple fetal anomalies at my 17 week of Pregnancy. Below are the finding during my Pregnancy
5th week blood test thyroid level 2.65 ,hba1c 5.7, haemoglobin 13.9 platelets 3.65 lakh Vitamin d 8, Other Report came normal

Started taking folsafe-L tablet Again 12th week blood test: glucose tolerance test 50gm sugar after 1 hour came 213

After abortion they checked my PP sugar level it came 163 but fssting sugar is normal 78 ,haemoglobin 12.2 Platelets 2lakh

So now onwards below medicine I am taking: Glycomet 250mg -Morning and Evening Folsafe-L -One time ShellCal-one time

Now my question how should I take care my self so that I will not face any problem for my next pregnancy as well my child what are the things , medicine and precautions me and my husband should take?

Do you know any good Doctor in XXXXXXX who will take care this high risk pregnancy in Bangalore?

Answered by Dr. Dr. Rakhi Tayal (1 hour later)

Brief Answer:
Detail below.

Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns ,
First you should avoid next pregnancy for one year .
Continue with current medicines .
Do some exercise and yoga daily and take healthy food , avoid junk food .
Do check your blood sugar and hemoglobin level every month and do accordingly.
Regards.
Dr. Rakhi Taya

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Rakhi Tayal (3 hours later)

Thank you Doctor, I have one question as my hba1c is 5.7 during Pregnancy so that means it lie on Prediabetic condition right?

And why i need to wait for 1 year to try to conceive?

Answered by Dr. Dr. Rakhi Tayal (4 hours later)

Brief Answer:
Wait till HbA1c levels are normal.

Detailed Answer:
Hello.
Thanks for writing again.
The level of HbA1c at 5.7 indicates a pre diabetic condition. This further develops into diabetes as soon as you get pregnant and thus can aggravate fetal anomalies in next pregnancy too. You need at least one year to bring back the HbA1c levels to normal so as to decrease the risk to your next baby.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Rakhi Tayal (36 minutes later)

please let me know the normal hba1c level?

Answered by Dr. Dr. Rakhi Tayal (1 hour later)

Brief Answer:
Below 5.6%

Detailed Answer:
For people without diabetes, the normal range for the hemoglobin A1c level is between 4% and 5.6%. Hemoglobin A1c levels between 5.7% and 6.4% mean you have a higher chance of getting diabetes. It is best to get the levels below 5 % before planning for next pregnancy.
Regards.

Above answer was peer-reviewed by : Dr. Prasad