Q: I am a 31 years old woman and 13 weeks and 2 days pregnant. My doctor said that there is no fetal cardiac activity and fetal movements are also absent so suggested abortion. This has happened for the second time with me (I was 13 weeks pregnant at that time too). I have gone through TORCH IgM test and it was negative. What could be the reasons for fetal cardiac arrest? What should I do?

A:You will need to undergo several tests to find the cause of repeat abortions, like a urine culture, blood sugars, thyroid, TORCH test, VDRL, APL and ACL antibodies, blood groups of husband and wife and an ultrasound scan of the uterus and ovaries. The cause, if found, will need to be treated first, and then pregnancy planned after 6 months. Also, you will need to take Tab Folic acid for three months before the next conception. After pregnancy takes place, care to support the pregnancy with Progesterone and or HCG will be required. The chances of a successful pregnancy are still higher than 85%.