Question: How long should one wait to conceive again after a miscarriage(missed)to
have a successful pregnancy? A. (India)
Answer: Most miscarriages are due to random genetic or chromosomal disorders. They,
therefore, do not influence what happens in a subsequent pregnancy. Whether one tries
within a month of a miscarriage or after an interval of several months, it does not
make any difference in the chances of a successful outcome. You can never guarantee
yourself a successful outcome when embarking upon a pregnancy. However, the balance
of probability for most women favours a successful outcome after a miscarriage. The
length of the interval in between is irrelevant.
Partial Monosomy 15: Prader Willi Syndrome (PWS)
Question: What’s monosomy of chromosome 15? Does a missed abortion occur due to this?
Does this happen again in next pregnancy? A. (India)
Answer: There is a condition known as Prader Willi syndrome (PWS) which is caused
by partial deletion of Chromosome 15. In other words, part of chromosome 15 is missing.
That is why it is also descriptively called ‘Partial Monosomy 15’. Prader Willi Syndrome
is very rare. An infant born with this condition will be characteristically quite
floppy, with poor muscle tone (hypotonia). Other problems are observed soon after.
These may include difficuty establishing respiration, poor feeding (and therefore
failure to thrive), excessive sleeping etc, The child will also have intellectual
development delay and delayed milestones in general. In later childhood, obesity
is a prominent feature.
Partial Monosomy 15 is not a known cause of miscarriage but mothers who have had
these children have been observed to have a higher than average rate of late miscarriage.
As mentioned earlier, Partial Monosomy 15 is rare and chances of recurrence are rarer
On the other hand, Monosomy X, which is called Turner’s syndrome, is the commonest
known chromosomal abnormality cause of miscarriage. 99% of pregnancies affected by
this chromosomal aberration end in miscarriage. As the name suggests, with Monosomy
X, one X chromosome is missing. It is therefore described as 45X0 (instead of the
normal 46XX for a girl).
Persistent bleeding in early viable pregnancy
Question: I am 8 weeks pregnant and have been bleeding for a week already. Had 2
scans and everything seems to be fine but the bleeding won't stop. C. (UK)
Answer: A lot of the time, bleeding in early pregnancy cannot be fully explained.
It may not be possible to know why you are bleeding and when this is going to stop.
Two scans, presumably several days apart, showing a viable pregnancy is a very reassuring
situation. However, as long as vaginal bleeding is still continuing, that has got
to be regarded as threatened miscarriage. That means, the close surveillance that
your doctors have kept in place will need to continue until there has been a resolution.
Just remember, as a guide figure, roughly 90% of all cases of threatened miscarriage
Ventouse delivery and subsequent speech delay
Question: My 3 year old grandson has a speech delay although his understanding of
language is good. Could the ventouse delivery have had an effect on the brain as
he had a huge bruise/swelling on his head after the delivery and was kept in the
Special Care Baby Unit for a week after his birth? B.L.(UK)
Answer: It is very difficult for anybody not in possession of the full clinical details
of what transpired on the day to answer that question. Anything I say here will be
nothing short of wild speculation.
As a general statement I can say it is exceedingly unusual for a ventouse to cause
any sort of brain injury. That is, unless it is employed on a baby that is significantly
A swelling on the scalp, also called a chignon, is a common aftermath of ventouse
delivery. It is nothing more than oedema of the scalp skin and usually resolves in
about 36 - 72 hours. Some degree of bruising could last for a while longer.
Delayed menstrual period after a miscarriage
Question: I had a miscarriage and D&C six weeks ago and have still not received my
period. Can you please tell me how long does it take for your period to come back
after a D&C is done. Kind Regards. K. (UK)
Answer: It usually takes between 4 and 6 weeks for periods to resume after an early
trimester miscarriage. This of-course depends on whether the woman's periods were
regular in the first place. In situations where the person's cycles are normally
irregular or longer than average, this interval could be longer than that. If your
miscarriage was six weeks ago (and you have regular cycles), I would expect you to
have a period any time now. A D&C does not influence timing of resumption of menstruation.
Another scenario which cannot be discounted is, if you have resumed having unprotected
sex, it is not inconceivable that you might be pregnant. Conception so soon after
a miscarriage is not unknown bearing in mind that you can ovulate within 2 - 3 weeks
of a miscarriage.
Spiramycin use in pregnancy
Question: Is it safe to use Spiramycin antibiotic for an ear infection during pregnancy?
Answer: There is no evidence of adverse effect from Spiramycin use in pregnancy.
However, this is not the same as saying that it is definitely safe. In any case,
my main concern with your issue is the fact that you are proposing to use this antibiotic
for "an ear infection". Spiramycin is an antibiotic that is used almost exclusively
for toxoplasmosis in pregnancy. There are so many other effective alternatives for
an ear infection that I am left puzzled as to why Spiramycin has been recommended
or prescribed in your case. This is a matter that you can take up with your doctor.
A swelling at the top of the head after a ventouse delivery can look scary but it
is, in most cases, nothing but oedema of the scalp skin. It resolves in 2 or 3 days.
There are no residual effects from it.