|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Abnormal Pregnancies (HCGs/Progesterones)From: Garry E. Siegel, M.D. (garrys@mindspring.com)Sun Oct 12 12:51:41 1997
At Sun, 12 Oct 1997, DoctorJoe@aol.com wrote: > >In a message dated 10/12/97 11:34:23 AM, you wrote: > ><<I would have done a scan; an ectopic with a low beta can still hemorrhage. >If >negative, I would have followed her over another week until either the beta >dropped (even with an ectopic spontaneous resolution occurs up to 30% of the >time) or it reached the discriminatory zone for visualization of a sac. I >would have supplemented her with progesterone until it was clear that this >was not viable: (For an extreme example of viable pregnancy with completely >off-the-wall beta/prog levels, see the most recent F&S. ) You also have to >think about a twin pregnancy with one good and one bad gestation, which >throws the beta progression off. Obviously if the patient gets symptomatic, >act quickly.>> > >Sounds reasonable to me... > >Joe P. Even with HCGs that are in a plateau, ie hovering around 140, doesn't that mean a nonviable pregnancy? If it does, then why wait a week if the HCGs have been level, ie not resolving spontaneously (I'm aware that some ectopic will resolve on their own; she hovered at 140 to 240 over 5 or seven days, as I recall). Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:21:39 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.