Habitual abortion and hyperemesis gravidarum

Habitual miscarriage and hyperemesis gravidarum, a part (50%) is antiphospholipid antibody resistance syndrome (APS), combined with recurrent abortion (RAS), you may think that the anticardiolipin antibody has turned negative, or it is negative in one of the sub-tests, or it is originally positive, and then later on in another hospital it is negative, or it turns to be negative after treatment and then it will be okay. However, the diagnosis of APS is to be made by checking the antibody 9 times in a row. However, the diagnosis of APS is made after 9 consecutive negative tests before APS can be ruled out. A negative sealant antibody, i.e. negative HLA antibody, is not the main cause of fetal arrest. Because HLA is only considered if no other cause can be found, antinuclear antibodies and anti-B2-glycoprotein can be checked in our hospital. You can come to my clinic for consultation, but you have to follow my medical advice carefully, otherwise, there is nothing I can do. The success rate of APS alone treated in my hospital is 89.5%, but it may take two to three visits right before pregnancy and stay with us after pregnancy until the 3rd month of pregnancy. Especially in the 3rd trimester, hormone levels need to be checked on a weekly basis to determine the weekly treatment plan. When the fetus matures and there are no more major problems, they can go home for treatment, of course. There are also patients who continue to stay here until they give birth (they are renting rooms around the hospital, not living in the hospital because of the shortage of beds in the hospital, and renting a room is about$600 per month). Because some of their pregnant women have so many miscarriages that they just can’t afford to be hurt. There is also the economic problem. The entire treatment process for patients with more serious conditions (that is, higher antibodies or multiple antibody positivity) may cost more than 50,000 yuan from the start of treatment to delivery. This includes only the treatment and medical fees. If you are in a position to do so, come over; if not, treat locally. All treatment plans need to be determined later after an in-person visit. Not all patients are the same. The name “hyperemesis gravidarum” was used 10 years ago, but now the WHO has standardized the name: “preeclampsia”. There are many causes of this disease, and there are many medical theories at home and abroad, but no matter what the cause is, the final cause of pre-eclampsia (hyperemesis) is the embolism of small arteries throughout the body and a large number of inflammatory cell infiltration, resulting in blockage of the placenta and small arteries of the whole body, resulting in high blood pressure, protein in the urine, fetal growth limitation, and loss of vision. Therefore, if the problem of small artery embolism is solved, the problem of hyperemesis gravidarum (preeclampsia) is solved. Also, hyperemesis gravidarum (preeclampsia) can only be prevented, the treatment is very difficult, in order to not suffer from hyperemesis gravidarum (preeclampsia) when pregnant again, the only way is to keep the blood vessels open, no matter what the cause of hyperemesis gravidarum (preeclampsia), as long as the phase way to keep the blood vessels open, it will not occur hyperemesis gravidarum (preeclampsia), once hyperemesis gravidarum (preeclampsia), it will be very difficult to treat, therefore Hyperemesis gravitates to prevention, not treatment. Because once the blood vessels of the placenta and the whole body are blocked, it is impossible to make them open again by any means. The purpose of treatment is only to make those blood vessels that are not yet blocked not to be blocked again and to keep them open, but those blood vessels that are not blocked are already very few. So once you have hyperemesis gravidarum, you can keep the baby for up to two weeks, and there is also the possibility of fetal death in the uterus or placental abruption during the period of fertility preservation, so. Hyperemesis gravidarum (preeclampsia), the emphasis is on prevention, not treatment. It is too late to prevent her from developing hyperemesis gravidarum (preeclampsia), rather than wait until she develops hyperemesis gravidarum (preeclampsia) and then try to treat it. Also, treatment for hyperemesis gravidarum (preeclampsia) is best done before pregnancy. People may feel that there is nothing wrong with me before the 5th month of pregnancy. Everything is normal, why treatment, but if the pre-pregnancy or early pregnancy did not put the arterial blood flow, then the uterine blood flow is insufficient, the formation of the placenta will be difficult, that is, the formation of a very small placenta, when the pregnancy to 20 weeks later, both narrow and small and thin placenta is simply unable to supply the needs of the growing fetus, so the blood vessels are no longer how to smooth the growth of the fetus can not grow, the case will not be hyperemesis gravidarum (preeclampsia), but will be the case of hyperesthesia (pre-eclampsia), but will develop. Pre-eclampsia), but FGR (Fetal Growth Restriction) will occur, and then for a longer period of time, the fetus will not grow or the amniotic fluid will be too small, etc. Therefore, the manifestation of many people is not hyperemesis gravidarum (pre-eclampsia), but just repeated mid-pregnancy FGR stillbirths, as in the case of the patient who had 6 times written in the logbook above, which is like this, sometimes manifesting as a stillbirth in mid-pregnancy, and other times manifesting as hyperemesis gravidarum (pre-eclampsia), and the final gestation The end of the pregnancy is the same.