as some of you might know I had a big discussion this week with my gynea who wanted to hold on to the criteria I should have 3 miscarriages before I could be diagnosed with APS. Since I had a healthy pregnancy with no problems (and a beautfiul daughter) and after that only 2 miscarriages it wouldn't suffice that I had last 3 months 2 blood tests in 12 weeks time showing APS. Being now pregnant she didnt think I should take heparine, because formally not falling under the 3 miscarriages rule.
I just found a very recent academic article of jan 2013 exactly discussing this critera of having 2 or 3 miscarriages. Since most gynae want to work evidence based, this might just be the article to convince not to wait till you have 3 miscarriages. You can find the whole article here:
The number of preceding miscarriage, type and sequence of previous pregnancies, and maternal age were not associated with APS in women with RM. There is no increased diagnostic yield for APS after three miscarriages rather than after two miscarriages and no increased diagnostic yield for APS after consecutive miscarriages rather than after nonconsecutive miscarriages. Therefore, APS testing should be considered for all women with two or more miscarriages.
I hope this works for my gynaecologist.I'll speak with her tomorrow and thought of all the other women struggling with the same issue. I hope this wil help you too! Good luck