PREGNANCY-BIRTH Messages for February, 2001: Re: dnc & nonviable pregnancy

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Re: dnc & nonviable pregnancy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 28 Feb 2001 12:58:24 -0600 (CST)

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In reply to: Hayley: "dnc & nonviable pregnancy"

At Wed, 28 Feb 2001, Hayley wrote: >
>Hi--
>I'm 17 years old, and have been sexually active and on birth control
>pills for 5 months. I stopped the pills at the end of the fifth month
>(Dec.22) because I was getting migraine headaches and my doctor wanted
>to find out if the pills were causing them. (They weren't.) After about
>3 weeks I had no breakthrough bleeding from stopping the pills, so my
>mom made me go get a blood pregnancy test. She works for my
>gynecologist, so she suspected I was pregnant when i didnt have the
>breakthrough bleeding. The lab report came back saying that I was 2-7
>days pregnant, but my doctor came to the conclusion that based on my LMP
>which was 12/19 that I had concieved on Jan 4 or 5 (about 14 days prior
>to the blood test)and something was probably wrong with the pregnancy
>because my values were so low. He found the yolk sac another 3 weeks
>after the blood test. Another ultrasound a week and a half after that
>revealed no heartbeat, which he said should have been there. He
>convinced me to have a DNC that next week because he said there was
>something wrong with the pregnancy and it would eventually miscarry
>anyway. I had the DNC done last week, but now I am concerned about
>whether or not it really *was* an unviable pregnancy, or whether it was
>viable and his figuring was off a little bit. But if the pregancy test
>was right, why was there no breakthrough bleeding when I stopped the
>pills? Any help with this is greatly appreciated.

I think I answered this question a week ago. Anyway, if the dates are unsure, as they were here, it is impossible to use ultrasound milestones by themselves, without any blood hormone numbers to help. In other words, to guess at the dates and expect to see a fetus or a fetal heart beat is not fair. Without having ALL of the info, it would be hard to say, but regardless, it really has no value to look back now. I would look forward and consider using condoms at the very least... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Ultrasound"
Previous message: Lynn D. Montgomery, MD: "Re: Placenta Previa"
In reply to: Hayley: "dnc & nonviable pregnancy"

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