Doctors at Paras Bliss Hospital Panchkula successfully diagnosed and treated a 30 yr old woman suffering from Antiphospholipid syndrome (APLA) causing consecutive miscarriages and loss of pregnancy. The rare case was treated and managed under the guidance of Dr Monica Agarwal, Consultant Obstretrics and Gynecology, Paras Bliss Hospital Panchkula – Specialised Women’s and Children’s Hospital.
Priya Shankar, resident of Panchkula, was married for 6 years and had gone through two episodes of miscarriages. In both cases the loss of pregnancy took place in the early months – second and third month. Moreover for the last 3 years she was unable to conceive. Depressed and dejected she decided to consult Dr Monica Agarwal post recommendations from a family friend. According to Priya, “It was very challenging for me physically and emotional. For a woman to go through two miscarriages and then thereafter struggle to conceive for 3 years, can be a lot to handle. I shared my issues with a family friend wh recommended that I consult a centre that specialises in infertility and high risk pregnancy. She also recommended me Dr Monica.”
According to Dr Monica, “Post examining the patient physically and analysing the patient history, it seemed like a clear case of ALPA Syndrome. We recommended few test and the same confirmed our prognosis. APLA Syndrome occurs when your immune system attacks some of the normal proteins in your blood. It can cause blood clots in your arteries or veins. And it can cause pregnancy complications, such as miscarriage and stillbirth. It is also important to know that there is no cure for the same and medicines are given to manage the ailment. Other complications of pregnancy include premature delivery and high blood pressure during pregnancy (preeclampsia).”
Dr Monica adds, “Worldwide such cases are not common and can be easily misdiagnosed and mistreated for something else, further complicating the issue. In Priya’s case we started her with supportive therapy for pregnancy and gave her the medication to manage APLA. She was asked to continue her efforts of having a family and post a few months, she conceived. The new task ahead of us was taking care of the baby and the mother and ensuring that the delivery is risk free.”
Priya was asked to attend the special program for pregnancy that includes ante natal care and Lamaze therapy for the expecting mother. The doctors also given a daily dose of injection, a blood thinner, to ensure that the baby doest suffer from any blood clots. These injections were continuously given till the 8th month till all her tests highlighted normal levels.
Dr Monica shares, “In numerous cases women are not aware of such complications. However in pregnancy if you are experiencing vaginal spotting or bleeding please note that it can be a sign of miscarriage and this situation needs urgent medical attention. If you’ve had pregnancy losses or unexplained severe complications of pregnancy, talk to your doctor about getting tested for APLA Syndrome.”
Priya delivered a healthy 3.1 kg baby at 38 weeks of her pregnancy. Priya shares, “I got the best care, medical expertise and guidance that I could hope for. Dr Monica and her team ensured that I was comfortable and healthy. Becoming a mother and despite all complications managing that I deliver my baby normally is an accomplishment. I shall always be thankful to her and Paras Bliss for completing my family. My baby and I owe you everything.”