I have SLE and have had two miscarriages despite taking heparin and Ecosprin. In my second pregnancy, the fetal heartbeat was not detected. What can I do to prevent miscarriage in a future pregnancy? | Apollo Pharmacy

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I have SLE and have had two miscarriages despite taking heparin and Ecosprin. In my second pregnancy, the fetal heartbeat was not detected. What can I do to prevent miscarriage in a future pregnancy?

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I have SLE and have had two miscarriages despite taking heparin and Ecosprin. In my second pregnancy, the fetal heartbeat was not detected. What can I do to prevent miscarriage in a future pregnancy?

Asked by Female, 29 · 10 days ago

Chandrakanta Jena

Pharm D

6 days ago

Two miscarriages with SLE (systemic lupus erythematosus) can be emotionally difficult, but a future successful pregnancy may still be possible with careful planning and specialist care. Before trying to conceive, consult a rheumatologist and a high-risk pregnancy specialist. Your lupus should ideally be well controlled for several months before pregnancy, and your medicines should be reviewed for safety during pregnancy. Ask about testing for antiphospholipid antibodies and other possible causes of recurrent miscarriage. If antiphospholipid syndrome (an autoimmune disorder that increases the risk of blood clots) is confirmed, low-dose aspirin and heparin are commonly used during pregnancy. Since you experienced a miscarriage despite these medicines, your doctor should review the dose, timing, and response to treatment and check for other possible causes. Do not stop or change aspirin, heparin, or SLE medicines without medical advice.

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