Dr Girija Wagh, Gynecologist, Kothrud, Pune

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Azad nagar, near Gujarat Colony, Kothrud, Pune

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Thyroiditis with pregnancy loss

Home » BLOG » Thyroiditis with pregnancy loss

By Dr. Girija Wagh • July 22, 2017 • No Comments

Pregnancy is known to unveil some diseases in the mother and may exaggerate the pathology or modify it which if detected early can help optimise outcomes.

Prepregnancy planning and evaluation is important. Know thyself and thy body is the mantra.

Mrs RT (28Y) Reported with a threatened miscarriage at 12 weeks of pregnancy. This was her second time and the first pregnancy had ended in a missed abortion at 11 weeks ( 2 and a half months) duration. This time she was taking care with a local doctor and was referred to me for specialized care.

Thorough evaluation revealed that she had thyroiditis which is an autoimmune disease wherein the thyroid gland functioning is abnormal and is responsible for irregular menstruation and miscarriages and other adverse pregnancy outcomes.

Appropriate medications were given to her for the same and also for pregnancy support. In addition, she was identified to be moderately anaemic before conception which too was corrected with dietary, medical and supportive treatments.  She was thoroughly evaluated for congenital anomalies in the foetus, structural abnormalities in her womb, placentation and placental perfusion, possibilities of genetic diseases and infections.

She was diagnosed to have asymptomatic urinary tract infections which was treated as per the culture report and was offered prophylaxis against bacterial vaginosis. Her screens predicted a possibility of fetal growth restriction, placental separation and preterm delivery and necessary measures such as nutritional analysis and guidance, uterine quiescence medications were started. Her thyroid supplements maintained a normal status and she was counseled about early warning signs, self-monitoring and to report in case of any problems.

Her regular follow-ups continued then on regularly as planned and scheduled. She was screened for structural anomalies, cervical shortening, Hypertensive disorders of pregnancy and pregnancy-related diabetes as per our scheduled protocol.

At 23 weeks of pregnancy, she reported with changed vaginal discharge and low backache and was diagnosed to have threatened early preterm delivery for which she was admitted on an emergency basis.

Immediate ultrasound examinations revealed that the cervix ( opening of the womb ) had started to open from within. After 72 hours of stabilization and antibiotic cover, she was taken for emergency encirclage. The procedure was difficult and replete with complications but could be performed with safety with due counseling of RT and her family. Designated treatments, surveillance and on and off hospitalizations continued and she was admitted with rise in blood pressure at 33 weeks for observation. It was mild rise in blood pressure with no proteinuria but with her background clinical profile she was hospitalised for observation. After 3 days of hospitalisation, her membranes broke and we decided to take her for Caesarean delivery as the baby was presenting by breech being premature. Caesarean section was performed and her amniotic fluid was found to be turbid but cultures did not reveal any microbial growth.

A 1350 grams baby girl was delivered between 33 – 34 weeks and needed 8 days NICU stay for support and treatment for prevention. Today, after 1 and a half years after the delivery, both my precious jewels, the mother and the baby are healthy.

Lessons learned

    1. Careful preconception evaluation , risk assessment, and health stabilization is essential
    2. Emerging diseases during pregnancy need to predicted and detected
    3. Counselling and education of the patient goes a long way in empowering the mother to seek medical help on time
    4. Successful outcomes are based upon proper medical care, adequate patient compliance, and education.

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Categories:BLOG SUCCESS-STORY
Tags:Abortion Caesarean menstruation Miscarriage Pregnancy preterm delivery Thyroiditis WOMAN HEALTH

Dr. Girija Wagh

Dr. Girija Wagh, MD (Obstetrics & Gynaecology), FICOG, FICP, Diploma (Endoscopy, Infertility), Fellowship of Indian College of Ob-Gynec, Women health care specialist, Academician, Acclaimed Orator & Researcher, B. J. Medical 1990-1992, Topper University Of Pune 1992

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Dt dt
Dt dt
09:17 05 Dec 19
We started consulting Dr Girija only in the third trimester of my pregnancy as we had to move cities at the time. Naturally, we were a little anxious about being able to find a good doctor. The first consultation itself revealed the Dr to be extremely thorough and meticulous - based on the way she asked us various questions on my case history. We knew we were in safe hands right then. Dr Girija and her assistant Dr Sonal explain various medical points in detail and in layman terms so that we are well informed.The Doctor's personalized approach made us feel like we were being treated by someone who has known us for ages and who really cares about us. Never once did we feel like just another number or another patient. Dr. Girija has a very positive approach and ensures you leave every meeting in high spirits and with increased confidence. A big thank you to Dr Girija and Dr Sonal for all the hand holding during my pregnancy journey and ensuring I had a safe delivery.
Minal Patil
Minal Patil
13:34 30 Nov 19
Girija madam is an amazing doctor. She has so much of experience and she is so loving which makes every interaction with her comfortable. She always gives full time and explains the steps which should be taken as part of her treatment and gives confidence. She shares many diet tips and other points so that medicines can be avoided as much as possible. She made my pregnancy journey very easy and smooth. I highly recommend Girija madam for gynec and pregnancy related things.
Harsha Gonnade
Harsha Gonnade
19:17 25 Nov 19
Dr. Girija and Dr. Sonal both are very polite and listen to patient very carefully. We got very good guidance and treatment from them.
Kamini Bankar
Kamini Bankar
09:02 24 Nov 19
I met with Dr Girija Wagh. She is very sweet kind of doctor who cares for her patients so much. Always she gives proper advices & Consultation to the patients. haven't seen such a lovely doctor.
Manav Verma
Manav Verma
09:41 02 Jul 19
Dr. Girija is not only an exceptional surgeon but a very nice person. She performed a hysterectomy on my mother and right from the OPD to the surgery, she kept us well informed and made us so comfortable that the whole process went through like a breeze. My mom also became friends with her and they chat post the surgery every now and then. God bless such exceptional doctors!! Thank you Ma'am.
Dipti Hapase Nakhle
Dipti Hapase Nakhle
07:22 02 Jul 19
Happy Doctor's day dear! My appointments with you 11 years ago are still fresh in my heart. I remember you could read my mind the moment I stepped in your room. Thank you for all you have done in my time of medical emergencies and being there all upright and ready to go. The wonderful words you had said about my baby as you handed her to me.. I always cherish and keeps me motivated. Thank you for being there and wish you tons of satisfaction and happiness in your good work.
Anushree Jain
Anushree Jain
17:10 01 Jul 19
Happy doctor's day ma'am. Your good care and guidance made the nine months of pregnancy the most wonderful phase of our life. And not just that, the postnatal care that I received from you has filled us with deep regard for you. You are a truly remarkable doctor who we have faith in and an incredible person whom we trust and respect.
Sanjana Vaidya
Sanjana Vaidya
16:51 01 Jul 19
Happy Doctor's day, Dr Wagh! It was pleasure to have known you and understand from you how simple and basic things can help anyone to give birth to a child naturally and nurture it.. thanks for sharing wealth of knowledge you have on this subject!
Pratibha Nair
Pratibha Nair
16:08 28 Jun 19
There are two special people in everyone's life who are next to God ,one is the mother and other is Doctor Who guides like a mother through the journey of pregnancy. You have been that second most important person in my babies life. Thank you mam for all the effort you put in and all the advice that you give into it to make it a normal delivery . You kept us updated about all the progress and test we have done during the whole pregnancy period. The most beautiful part of the delivery was when you kept the baby over mother to feel the warmth ( special touch), that moment was the most special moment of my life.
Shobha B
Shobha B
13:50 02 Jan 18
Was suffering from a chronic disease due to which had many unsuccessful pregnancies. Many senior doctors who we reached out were not competent enough to treat and sustain pregnancy and deliver baby. We finally got to meet Girija mam. She took all precautions to ensure that pregnancy progressed very well and gave us the life's most beautiful gift for which we waited for a long long time. Girija mam not just takes good care of her patients by taking all medical precautions but she also keeps filling in positive thoughts throughout pregnancy. She takes care of her every patient like a mother. For us she is second to god as my case very complicated and she handled very well pre and post delivery complications. She not just saved our baby she also saved me and I'm very thankful to her.
Apala Sen
Apala Sen
12:49 29 Dec 17
My experience with Dr. Girija Wagh is overwhelming. She is an excellent gynecologist. She is cheerful and always tries to create a positive environment whenever I visited her as a patient. I feel very easy to communicate my problem with her and she is always available for help even on whatApp if immediately needed. My experience with her so far is very smooth and satisfying.
Jayashree Jadhav
Jayashree Jadhav
10:31 11 Nov 17
Girija is a great gynaecologist and with great academic knowledge. She is my best friend. Important thing is that she is good human being. She is very much concerned about her patients. Very much caring and lovely doc.very much encouraging and enthusiastic lady.
shailesh yende
shailesh yende
10:35 02 Nov 17
Going through childbirth is a mix of immense pain followed by immense happiness for both the parents. Its not only mother who is under pressure or tense. Specially when there is history involved. In this journey, the presence of a wonderful doctor is simply priceless. A doctor with a lovely, caring and constructive heart is cherry on the icing. She is a great doctor, really does her best to rule out all options before anything major is assumed. I feel Medicines are just instrument to heal a person, but the comforting words of a doctor do a great job in healing one’s spirit. Without a doctor like you, We couldn’t have sailed through the rough days!!! Thank you. PS: We both meant each and every word stated above from the bottom of out heart.
Bharti Goyal
Bharti Goyal
13:19 28 Jul 17
Going through childbirth is a mix of immense pain followed by immense happiness. In this journey, the presence of a wonderful doctor is simply priceless. Thanks doctor, for comforting me and taking away all my stress . Thank you so much for the difference you make in the lives of your patients! Your kindness, sincere caring, and concern make everything better and are a great encouragement. Every day of my life will be better because of you. Thank you is not nearly enough. You take the time to listen and to make your patients feel valued and respected, treating others as you would want to be treated. Before saying that you are an extraordinary doctor, I want to tell you that you are an extraordinary human being.
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