WOMENS-HEALTH Messages for July, 2000: Re: 8 weeks and concerned with possible miscarriage

Re: 8 weeks and concerned with possible miscarriage

From: P (anonymous@obgyn.net)
Mon, 3 Jul 2000 12:46:46 -0500 (CDT)

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At Wed, 28 Jun 2000, Patricia wrote: >
>Hi. I have just come back from the hospital from an emergency
>ultrasound. My OB did a pelvic on Monday (6/26) and found that the
>uterus was a little small. An hCG test gave 20,400 that same day
>(previous numbers were 9,400 on 06/7 and 169 on 05/22) and he thought
>since it was not doubling and I had VERY minor spotting (pinkish
>discharge for a few days and then again a few days later...no cramps) it
>could be an ectopic. The ultrasound came back with the following
>results: Intrauterine gestation. CRL aprox. 8 weeks 4 days (LMP was
>April 24). No FHR was found. Although this was not of much concern for
>the ER doctor, when he saw that my hCG was at 17,980 today (6/28) he
>suggested I wait a week and have another ultrasound. He said that I
>could be miscarrying. But he also said that the results could have
>varied because the labs were different.
>I am very angry and frightened. This is my first pregnancy and I have
>never had any problems. Is there still hope that the baby is OK? Even
>with the dropping hCG and no Fetal Heart Rate? Please respond as soon as
>you can. Thank you.

--
My LMT was 4/24/00 and I also had an emergency ultrasound on 6/6/00 due to light spotting without cramps or other indications of a miscarriage.  The doctor did not find the FHR and diagnosis a blighted ovum.  My OB/GYN wanted to monitor my hCG level to ruleout an ectopic pregnancy.  My levels continued to increase at a normal rate and I recommended another ultrasound a week later by a reputable perinatal specialist.  He had the same conclusion, blighted ovum but found it strange that my levels continued to increase and the sac had doubled in size.  He suggested I wait for two weeks and repeat the proceedure but advised me that he did not expect different results.  I waited and my OB/GYN called me to monitor my blood work.  I am at 8 weeks, 4 days now.  My hCG results were indiciate of a normal pregnancy and again, I was instructed to obtain another ultrasound.  I requested the same specialist that had performed the second ultrasound and he confirmed that there was no fetus in the sac even though I continued to have increased hCG and daily morning sickness.  I was even showing at 9 weeks.  The doctors could not explain why I had a seemingly normal pregnancy without a fetus.  My D&C was performed 1 day after 9 weeks.  It has been a difficult process for me.   I hope things turn out differently for you.

Next message: William F. von Almen, II, MD, FACOG: "Re: surgery for vulvadynia -- Attn: Dr von Almen"
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Next in thread: jwang, M.D.: "Re: 8 weeks and concerned with possible miscarriage"
Reply: jwang, M.D.: "Re: 8 weeks and concerned with possible miscarriage"

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