Conversation: The conversation between human and AI assistant.
[|Human|] hi doc, i had my twice miscarriage and had undergone d and c operation last february7,2012 AND January 5,2013.. first miscarriage is due to oblated ovum and the second one was due to no heart beat. i am so traumatize and scared that it might happen again if i try to get pregnant. i already have 5 kids but still want to have one. what will i do to have a future healthy pregnancy?
[|AI|]  Hello, Having 5 kids with previous 2 miscarriage are always great risk for next pregnancy. Multipart women are always associated with recurrent miscarriage. Plan next pregnancy with some initial investigations like USG lower abdomen, Test for chromosomal abnormality, TORCH profile, Thyroid profile, PPBS and Progesterone level. Also take Folic acid & Vitae supplements for at least 3 months in preconception period. Consult with your gynecologist. Try to avoid following things (preferably in the 1st trimester):1) Any type of sexual activity/intercourse2) Long journey/stepping uneven surface/heavy work3) High heel shoe (risk of fall on ground with miscarriage)4) Prescribed/unsafe medication to avoid defective organogenesis. Be well and wish for successful motherhood once again.