help

[moria]

my daughter has had 3 miscarriages then had a full term baby since then trying for baby 2 she has had 4 more miscarriages with the last one the hospital has finaley refer her to a consultant 8 weeks away what test should she have? what questions should she ask ? any avice tips my daughter is not talking to anyone only me and l want to quide her through this difficult time

So sorry for your daughter's losses.

I have had 4 miscarriages since trying for baby no.2.

Tests to ask for:

Full hormone screening on day 3 of cycle.
Progesterone test on day 21 of cycle or 7 days past ovulation if her cycle is shorter or longer than 28 days.
Rubella antibodies
Thyroid stimulating hormone
Clotting tests such as anti-phospholipid antibodies, Factor V Leiden and Lupus. She should ask for a full thrombophilia screening. The treatment for this is aspirin and heparin.
Have her and her partners chromosome's checked for any genetic problems.
Have a thorough ultrasound scan to check for physical abnormalities of the ovaries and uterus.

Not many hospitals will do all these tests so she may need to be referred to a specialist recurrent miscarriage clinic. St Mary's in London is the biggest and do the most sophisticated testing for thrombophilias.

Two books worth reading which can help shed the light on causes, tests and treatments are Lesley Regan's Miscarriage and Dr Alan Beer's Is Your Body Baby Friendly. They're very different books and cover a whole spectrum of causes. The second book deals a lot with immunological disorders which the nhs don't test for. So if she wants to investigate this she may need to go private.

So sorry, she's been through an awful amount of heartache. Bless you for trying to help her. Good luck.

thank you so much for your help it feels good to have someone to talk to l will make a note of these test