WOMENS-HEALTH Messages for June, 2008: Re: PREGNANCY: Original M/C or new M/C, (or menses?)?

Re: PREGNANCY: Original M/C or new M/C, (or menses?)?

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 22 Jun 2008 20:58:12 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Firefly: "PREGNANCY: Pushing on your tummy?"
Previous message: ANNWPMom: "Re: PREGNANCY: Original M/C or new M/C, (or menses?)?"
In reply to: ANNWPMom: "Re: PREGNANCY: Original M/C or new M/C, (or menses?)?"

ANNWPMom

This is the variability of miscarriages, it is not over, until its over (apologies to Yogi Berra). Fetal tissues float, but you have to have enough to see, and with an hcg of only 749, that is not much of a pregnancy reaction. I do not think at these levels you ever developed an umbilical cord and true placenta, so you would never have seen them. The cord like structures you saw were probably decidual tissue and possible coagulated white blood cells. Obtaining tissue with this loss? I dont think that will happen...Dr. von Almen

At Sun, 22 Jun 2008, ANNWPMom wrote: >
>Thanks for the reply, Dr. von Almen.
>
>If this has all been one m/c, why did I bleed for 2 wks, then stop for
>three, and then start up again (now at a wk again)? Is this common? I've
>had 3 m/c's prior to this experience--1 was spontaneous with all
>pregnancy tissue being passed on the same day and bleeding only lasting
>a week, and 2 m/cs were missed and had to be medically induced. The
>starting, stopping, and starting again this time around seems very odd.
>What causes the body to do this?
>
>As for the floating--will all products of conception float (i.e., the
>placenta and umbilical cord, as well as the actual fetal tissue)? Will
>they actually float in tap water (I've only been able to find
>documentation of fetal cells floating in amniotic fluid)? Will fetal
>tissue float even if it has been dead for an extended period of time?
>I'd like to know if there is any chance that what I passed on Saturday
>was actually the placenta and umbilical cord, and if there is any chance
>of obtaining information from the tissues that might help me determine
>why I keep m/c'ing and possibly prevent me from m/c'ing a fifth time.
>
>Thanks,
>ANNWPMom
>
>At Sun, 22 Jun 2008, William F. von Almen, II, MD, FACOG wrote:
>>
>>ANNWPMom
>>
>>Here is the long and short of it. You have been having a very slow
>>miscarriage. With your levels as low as they were, not much fetal
>>tissue to 'float'. I would follow blood hcg levels until they get to
>>zero...Dr. von Almen
>>

-- Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.

Next message: Firefly: "PREGNANCY: Pushing on your tummy?"
Previous message: ANNWPMom: "Re: PREGNANCY: Original M/C or new M/C, (or menses?)?"
In reply to: ANNWPMom: "Re: PREGNANCY: Original M/C or new M/C, (or menses?)?"

Women's Insurance Checklist from Auto Insurance Quote

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: