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A 'different' kind of hCG question

From: Carolyn (anonymous@obgyn.net)
Sat, 11 Nov 2000 17:35:09 -0600 (CST)

I am currently about 11 weeks pregnant with my fourth (my fifth pregnancy as #3 ended in miscarriage at 9+ weeks). I have a boy and two girls and up to this pregnancy, I never experienced a bit of nausea (even with the miscarriage). This time, I have. No throwing up, just a feeling of nausea all day long.

A little history first. I suffered an accreta and increta pregnancy (#2 and #4), so am being closely monitored. I had an incidence of spotting at around 7 weeks and an US was done. From LMP I was 6w5d, the US dated 7w4d and twins were ruled out (although I still have my doubts). My Dr doesn't do a routine quant hCG unless there is a "problem", so I don't have any hCG numbers to go by. When I mentioned the nausea to my Dr he said...YEAH...that's a good sign that the hCG levels are really high.

THIS has me concerned. With 3 previous full term pregnancies, NOTHING and now...ISH. I also know that a high hCG level is an indication of Down Syndrome. Because the AFP levels of the MMS (and from what I understand, this only works with the Maternal serum, it doesn't appear to correlate with the AFP amnio levels) can give an indication of a possible accreta, I will be taking it at 15 weeks as well as an amnio(scheduled for 15 weeks but I think I'm going to push that back).

I am trying to convince myself that I am being paranoid (but I'm one of those people where a little too much knowledge is a dangerous thing). My question...if I'm sure of my dates (charting), is it typical for a DS baby to be ahead of schedule? Is it typical for a woman who has had no nausea in several pregnancies to suddenly experience it? BTW, I'm 37, will be 38 when I deliver. I've been taking prenatals for 3 months prior to conceiving. Also...is 11-12 weeks too late for CVS?

Thanks. Carolyn



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