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Re: Pregnancy problems?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 31 Jul 2000 19:51:11 -0500 (CDT)


At Mon, 31 Jul 2000, Carol wrote: >
>I am currently somewhere around 6.5 and 7 weeks pregnant. I had very
>light spotting (light pink) on three separate occasions last week and
>went to the hospital on two of those occasions. My HCG level was
>approx. 1600 on July 17th, approx. 8500 on July 26th and 15,686 on
>July 29th. However, when I went for an ultrasound on July 28th
>(estimated 6 weeks, 2 days pregnant), they could not detect a heartbeat.
>They want to do another one in 2 weeks, but I'm an absolute basketcase
>and two weeks seems like an eternity.
>
>Given my HCG levels should I still be concerned, or was this just too
>early to detect a heartbeat?

6w2d is a smidge too early.

>Would HCG continue to rise if there was no
>fetal development?

Yes, it can. HCG doesn't come from the fetus, or actually embryo at this point. It comes from the future placental tissue.

If it were me, I'd repeat the sono in 1 week because: The HCG is a good level and I'd expect a heartbeat AND why get tortured another week. At 7w2d with a goo HCG, it's either good or it isn't.

I hope for good. Let us know. OK? >
>Thank you.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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