Conversation: The conversation between human and AI assistant.
[|Human|] hi doctor,i am chaitanya.age 28,from hyderabad.my problem is ....i got thyroid in my frist preganacy .my delivary date was on july 24th 2009 but on july 6th early morning around 7 oclock suddenly heany bleeding started and i rushed to the hospital but they could not save the baby(boy)...i lost my frist baby.then after 6 month i concevied again but doctors said that baby is having some heart problem and the sevarity of the problem can be known after the baby birth and i should go for a planned delivery.doctors did a c section on cotober 21 2010.doctors said that babys problem is not that serious but it is a heart problem so we need wait and see for 7 days.on 5th day the baby is dead.i want to know is their any problem in me that it is happing like this...do i need o go for any test before planning for next baby.i had 2 c section till now.what are the chances for me for the next baby.how long do i need to wait and plan for next preganacy.
[|AI|]  Hi, Thanks for the query.  I am sorry to know about the mishaps in both of your pregnancies. I have read your query carefully, I feel both the times there were different causes forth outcome.(First time may be fall /hit to abdomen, high blood pressure or UN diagnosed placenta prefix & second time due to family history / viral infection like Rubella in first three months of pregnancy) Still You need to plan your next pregnancy with due precautions as follows.  - Both of you get full physical check up & relevant investigations to rule out any existing health problem./ get safe alterations in regular medication for chronic illness. If any. Have a healthy lifestyle for 3 months prier to conception, see that you don't get any health problem & do not need any medication in those days.  - Get Rubella vaccination 3-4 months before you plan pregnancy. If a pregnant lady gets rubella infection in first three months of pregnancy . The fetus gets congenital defects, one of them being heart problem.  - Get you thyroid profile done before you plan for pregnancy.  Normal thyroid hormone is essential for fetal developmental If you have any thyroid problem. It must be controlled before pregnancy & normal levels maintained throughout pregnancy with endocrinologists advise Once you get pregnant, be careful to follow doctors advise after regular pregnancy check-ups./ have healthy lifestyle/nutritious diet/ exercises & sleep.  With a planned pregnancy & careful follow-ups you would be blessed with a bony baby. Rest assured.  Thanks.