Re: preventing miscarriages

[Guest guest]

Lamise,Now that the heart beat has been detected, the risk of miscarriage is less than 10% at eight weeks, as long as the heart rate is at least 100 bpm (130 bpm is the usual rate for 8 weeks). I would focus on helping your patient to trust her own body again, which she will be learning for awhile after her unsettling experiences. Unfortunately, having two miscarriages as early as she did is not that uncommon and it is likely that the heart beat would not have been detectable for even the previous 7 week pregnancy.I would add flower essences into her regimen to help her to trust herself again. She needs to believe in her own strength.Dr. Christie WinkelmanInsights to Health, LLCVillage Offices, Suite 3022929 SW Multnomah Blvd.Portland, OR 97219i have been treating this patient for fertility for 8 months...and after a lot of hard work - she is pregnant...she is now 8 weeks. and very very very worried about miscarrying..she has had 2 miscarriages prior - one at 3 weeks and one at 7 weeks. so far so good. i reassured her of her lab work..her hormones were all great and just finished up the ultrasound and was able to feel great after she heard the heart sound.anyhow i am looking for any pearls of wisdom to prevent miscarriages..her hormones are doing great, but we do have her on progesterone cream to support those levels. and i have her doing Luetinum 4CH 1 x a day. She is also on the followingZinc 50 mg (with other Trace minerals - 1 cap 1 x a day) Folic acid 1mg and biob12 - 1 cap BIDVit B6 100mg/dayRasp tea leaf 3 cups daily for the first trimester...i was going to do Rubus (gemmo) but remembered that in one course i took - we were told to only use it in the second trimester (and now i fully forgot why only in the second trimester) so i told her to just do the teas.Also do IM B12/folic acid once weeklyLots of restGave her Arsenicum album 200CH as her matching remedy todayI was considering giving her:Vitamin E at 400 IUHerbal formula with raspberry leaf, false unicorn, viburnum prunifolium and vibrunum opulus, mitchellaher family doctor also recommended baby aspirin to prevent a miscarriage..looking it up now. i dont know the mechanism behind that.any other pearls you suggest, i would love to hear themmuch loveLamiseDr. Lamise Elkhalil BSc, NDNaturopathic Family MedicineSuite 301 - 828 West 8thVancouver, BC6048770504

[Guest guest]

hi Christie

sounds amazing...will let her know...

thank you

Lamise

Dr. Lamise Elkhalil BSc, ND

Naturopathic Family Medicine

Suite 301 - 828 West 8th

Vancouver, BC

6048770504

To: From: cwinkelman@...Date: Mon, 18 Aug 2008 17:36:15 -0700Subject: Re: preventing miscarriages

Lamise,

Now that the heart beat has been detected, the risk of miscarriage is less than 10% at eight weeks, as long as the heart rate is at least 100 bpm (130 bpm is the usual rate for 8 weeks). I would focus on helping your patient to trust her own body again, which she will be learning for awhile after her unsettling experiences. Unfortunately, having two miscarriages as early as she did is not that uncommon and it is likely that the heart beat would not have been detectable for even the previous 7 week pregnancy.

I would add flower essences into her regimen to help her to trust herself again. She needs to believe in her own strength.

Dr. Christie Winkelman

Insights to Health, LLC

Village Offices, Suite 302

2929 SW Multnomah Blvd.

Portland, OR 97219

i have been treating this patient for fertility for 8 months...and after a lot of hard work - she is pregnant...she is now 8 weeks. and very very very worried about miscarrying..she has had 2 miscarriages prior - one at 3 weeks and one at 7 weeks. so far so good. i reassured her of her lab work..her hormones were all great and just finished up the ultrasound and was able to feel great after she heard the heart sound.

anyhow i am looking for any pearls of wisdom to prevent miscarriages..her hormones are doing great, but we do have her on progesterone cream to support those levels. and i have her doing Luetinum 4CH 1 x a day. She is also on the followingZinc 50 mg (with other Trace minerals - 1 cap 1 x a day) Folic acid 1mg and biob12 - 1 cap BIDVit B6 100mg/dayRasp tea leaf 3 cups daily for the first trimester...i was going to do Rubus (gemmo) but remembered that in one course i took - we were told to only use it in the second trimester (and now i fully forgot why only in the second trimester) so i told her to just do the teas.Also do IM B12/folic acid once weeklyLots of restGave her Arsenicum album 200CH as her matching remedy todayI was considering giving her:Vitamin E at 400 IUHerbal formula with raspberry leaf, false unicorn, viburnum prunifolium and vibrunum opulus, mitchellaher family doctor also recommended baby aspirin to prevent a miscarriage..looking it up now. i dont know the mechanism behind that.any other pearls you suggest, i would love to hear themmuch loveLamise

Dr. Lamise Elkhalil BSc, ND

Naturopathic Family Medicine

Suite 301 - 828 West 8th

Vancouver, BC

6048770504

[Guest guest]

I just returned from the AANP and attended a session on prenatal care presented by Dr. Jean-Jacques Dugoua from Toronto. He recently published a book on pregnancy (can't recall exact title but its in my notes if you want it). Unfortunately his slides were not in the AANP proceedings and i'm waiting to get them from him via email. But from what I can recall he mentioned the value of acidophilus in the prevention of miscarriages, esp lactobacillus GG. Not the magic bullet by any means but a little clinical pearl. Best, Patti KimLos Angeles, CASent via BlackBerry from T-MobileDate: Mon, 18 Aug 2008 17:49:16 -0700To: <unda_cases >Subject: RE: preventing miscarriages hi Christie sounds amazing...will let her know... thank you LamiseDr. Lamise Elkhalil BSc, NDNaturopathic Family MedicineSuite 301 - 828 West 8thVancouver, BC6048770504 To: From: cwinkelmanmacDate: Mon, 18 Aug 2008 17:36:15 -0700Subject: Re: preventing miscarriages Lamise, Now that the heart beat has been detected, the risk of miscarriage is less than 10% at eight weeks, as long as the heart rate is at least 100 bpm (130 bpm is the usual rate for 8 weeks). I would focus on helping your patient to trust her own body again, which she will be learning for awhile after her unsettling experiences. Unfortunately, having two miscarriages as early as she did is not that uncommon and it is likely that the heart beat would not have been detectable for even the previous 7 week pregnancy.I would add flower essences into her regimen to help her to trust herself again. She needs to believe in her own strength.Dr. Christie WinkelmanInsights to Health, LLCVillage Offices, Suite 3022929 SW Multnomah Blvd.Portland, OR 97219i have been treating this patient for fertility for 8 months...and after a lot of hard work - she is pregnant...she is now 8 weeks. and very very very worried about miscarrying..she has had 2 miscarriages prior - one at 3 weeks and one at 7 weeks. so far so good. i reassured her of her lab work..her hormones were all great and just finished up the ultrasound and was able to feel great after she heard the heart sound.anyhow i am looking for any pearls of wisdom to prevent miscarriages..her hormones are doing great, but we do have her on progesterone cream to support those levels. and i have her doing Luetinum 4CH 1 x a day. She is also on the followingZinc 50 mg (with other Trace minerals - 1 cap 1 x a day) Folic acid 1mg and biob12 - 1 cap BIDVit B6 100mg/dayRasp tea leaf 3 cups daily for the first trimester...i was going to do Rubus (gemmo) but remembered that in one course i took - we were told to only use it in the second trimester (and now i fully forgot why only in the second trimester) so i told her to just do the teas.Also do IM B12/folic acid once weeklyLots of restGave her Arsenicum album 200CH as her matching remedy todayI was considering giving her:Vitamin E at 400 IUHerbal formula with raspberry leaf, false unicorn, viburnum prunifolium and vibrunum opulus, mitchellaher family doctor also recommended baby aspirin to prevent a miscarriage..looking it up now. i dont know the mechanism behind that.any other pearls you suggest, i would love to hear themmuch loveLamiseDr. Lamise Elkhalil BSc, NDNaturopathic Family MedicineSuite 301 - 828 West 8thVancouver, BC6048770504

[Guest guest]

Hi, with two prior miscarriages, I would check for MTHFR gene mutation. I've seen several patients in this same situation where high dose of folate was key to maintaining pregnancy.

Dr. Lynne C. , ND, MS, MSOM, LAcNaturopathic Doctor & Licensed Acupuncturist CIM mobile

preventing miscarriages

hello alli have been treating this patient for fertility for 8 months...and after a lot of hard work - she is pregnant...she is now 8 weeks. and very very very worried about miscarrying..she has had 2 miscarriages prior - one at 3 weeks and one at 7 weeks. so far so good. i reassured her of her lab work..her hormones were all great and just finished up the ultrasound and was able to feel great after she heard the heart sound.anyhow i am looking for any pearls of wisdom to prevent miscarriages..her hormones are doing great, but we do have her on progesterone cream to support those levels. and i have her doing Luetinum 4CH 1 x a day. She is also on the followingZinc 50 mg (with other Trace minerals - 1 cap 1 x a day) Folic acid 1mg and biob12 - 1 cap BIDVit B6 100mg/dayRasp tea leaf 3 cups daily for the first trimester...i was going to do Rubus (gemmo) but remembered that in one course i took - we were told to only use it in the second trimester (and now i fully forgot why only in the second trimester) so i told her to just do the teas.Also do IM B12/folic acid once weeklyLots of restGave her Arsenicum album 200CH as her matching remedy todayI was considering giving her:Vitamin E at 400 IUHerbal formula with raspberry leaf, false unicorn, viburnum prunifolium and vibrunum opulus, mitchellaher family doctor also recommended baby aspirin to prevent a miscarriage..looking it up now. i dont know the mechanism behind that.any other pearls you suggest, i would love to hear themmuch loveLamise

Dr. Lamise Elkhalil BSc, ND

Naturopathic Family Medicine

Suite 301 - 828 West 8th

Vancouver, BC

6048770504