Answers ( 2 )

  1. Hello Dear,

    Thank you for writing to us at MediMetry.
    APLA is recommended in case of history of
    a) three or more consecutive miscarriages before 10 weeks of gestation
    b) one or more morphological normal fetal losses after the 10th week of gestation
    c) one or more preterm births before the 34th week of gestation owing to placental disease.
    In these cases antiphospholipid antibodies – ( lupus anticoagulant, anticardiolipin antibodies and anti-B2 Glycoprotein-l antibodies) can be done after any time. Any severe infection that leads to bacteraemia or viraemia can cause sporadic miscarriage. The role of infection in recurrent miscarriage is unclear. For an infection agent to be implicated in
    the aetiology of repeated pregnancy loss, it must be capable of persisting in the genital tract and avoiding detection, or must cause insufficient symptoms to disturb the woman.

    Toxoplasmosis,rubella, cytomegalovirus, herpes and listeria infections do not fulfill these criteria and routine TORCH screening should be abandoned.

    Hope this answers your query. Feel free to write back to us with follow-up questions.
    Stay connected to MediMetry for regular tips on safe & healthy pregnancy!
  2. Hello Dear,

    Thank you for writing to us at MediMetry.
    In TORCH and APLA, we test for the antibodies.
    As pregnancy alters the immunity and certain antibody test results, it's better that we perform those tests after these changes settle post delivery or abortion. This is helpful in interpreting them accurately. Though with TORCH test it's not the issue as we do not feel that a positive test during this pregnancy or abortion can affect the other. Yet it's important to interpret it properly.
    For APLA, if a person is low risk has to be repeated to confirm the result. It's better to perform it after 6 weeks of pregnancy related event for diagnosis.

    Hope this answers your query. Feel free to write back to us with follow-up questions.
    Stay connected to MediMetry for regular tips on safe & healthy pregnancy!