instruction: hai past underwent miscarriages after taking inj progestrone were chemical pregnancy and is sac was formed but miscarriage happened now I am having the pregnancy symptoms my last lap was on 40 days back
output: hello welcome to icliniq based on your obstetric history it is necessary to evaluate the cause for your recurrent miscarriages but please do not be disheartened if sometimes no cause is found which happens quite a lot of times dear progesterone injection will never cause miscarriages as progesterone is the hormone that is required for the continuation of pregnancy and act as a support for pregnancy so the most common causes for recurrent miscarriages can be either thyearoid hormonal abnormalities or impaired blood glucose levels or sometimes immune causes like alla syndrome as per your lap you are exactly 6wks pregnant today so try to get a scan to check if this is a viable pregnancy and also for dating and localization of pregnancy so that if viable we can start with progesterone support in the form of oral progesterone supplements to sustain this pregnancy also I have mentioned the blood test that you need to undertake apart from the routine antenatal investigations to look for any abnormalities I mentioned above please do get them done please feel free to contact me in case you have any queries blood group and oh typing complete hemogram he electrophoresis urine routine and microscope let rat 75 oral glucose tolerance test in each trimester hba1c level hiv vdrl hbsag anti hav alla work up that includes lupus anticoagulant beta glycoprotein egg i'm anti cardiolipin antibodies egg i'm it scan 13weeks dual marker test 13weeks level scan 18 20weeks to look for any structural or developmental anomalies in the fetus to consider progesterone supplements either oral vaginal or injectables after checking viability low dose aspirin or heparin may be considered after ultrasound for viability the blood tests evaluation avoid intercourse in the first trimester small meals at frequent intervals to avoid nausea or bloating