PREGNANCY-BIRTH Messages for April, 2001: Re: Please Help!! Need Advice!!

Re: Please Help!! Need Advice!!

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 10 Apr 2001 13:28:23 -0500 (CDT)

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In reply to: Kristen: "Please Help!! Need Advice!!"

At Tue, 10 Apr 2001, Kristen wrote: >
>I'm currently 9w2d. I've had 2 miscarraiges last year one at 12 weeks
>the other blighted ovum. At 6wks I started spotting brown and went on
>to start bleeding. Have been bleeding/spotting ever since. One ob says
>vanishing twin another says subchorionic hemmorage. I've had no cramps,
>or actually what would just feel normal right now. I'm an Army wife and
>I feel the care I get here is sub-standard. Which Dr. do I believe? Do
>I just do like they say....."Don't come back unless you pass
>tissue".....What do you think the chances are that everything will be
>ok?? We don't know why I had the last 2 m/c. Any words of hope or
>advise would be appreciated..
>
>--
>Kristen
>

What does the U/S say? Vanishing twin can only be diagnosed if twins are identified by U/S at some point, and then one disappears. On the other hand, subchorionic hemorrhage is very common in early pregnancy, and while it is a source of considerable anxiety, it usually turns out OK. If you are trying to miscarry, there is nothing that can be done at this point in time, so the advice to wait until you pass tissue is a practical one, a bit cold perhaps, but practical. If you have seen a fetal heartbeat on U/S, then your risk of miscarriage at this point is about 5%.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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In reply to: Kristen: "Please Help!! Need Advice!!"

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