Q: I am a 28 years old female into my fourth week of pregnancy. I had four abortions earlier. Is there any medicine to prevent further miscarriage? My gynaecologist suggested me Neutrogest 200 and Folinz. Am I on the right treatment? Is there any skin care I should take to avoid problems in future? I use sunscreen lotions whenever I go out because some people complain pigmentation during and after pregnancy.

A:Yes you need to perhaps add injection HCG 5000 units weekly for 4 months to prevent another miscarriage. Assessment of cause is also necessary and treatment. The causes could be infection, genital or urinary - TORCH, HIV, VDRL, blood sugar profile, thyroid test all need to be done - if these are normal then need to have the checkups for antibody - APL/ACL. Aspirin low dose and steroids are occasionally added if antibody titres are high.