Re: A 'different' kind of hCG question
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 11 Nov 2000 23:11:29 -0600 (CST)
You can certainly have a CVS at 11-12 weeks. The rest of your email is
"paranoia" as you put it and conjecture based upon assumptions that can
not be made from the info you provided.
Discuss your concerns with your doctor and have him/her help you get
some relief form your concerns.
Hope this helps and write back anytime for more information.
HSM
At Sat, 11 Nov 2000, Carolyn wrote:
>
>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
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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