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Re: missed abortion followed by 2d&c's - now may need 3rd?From: R. Daniel Braun, MD (anonymous@obgyn.net)Thu, 23 May 2002 19:55:58 -0500 (CDT)
At Thu, 23 May 2002, patty wrote: > >I had my 1st d&c on 4/25 for a missed ab. I was 13wks and the baby was >9.5wks. I required a 2nd d&c on 5/3 for retained products. Now, 3wks >later, I had to go to the ER for evaluation for a large amount of >vaginal bleeding/clots. Ultrasound shows either organized clot vs >retained product. My HCG on 5/21 was 654 and on 5/22 was 577. I drew >another lab today. Based on the numbers, could this be a clot? Would >you advise a third d&c or a second opinion? Would it be harmful to not >have another d&c at this point? I'm so frustrated and tired of this >nightmare - please advise. My ob said if today's level is above 500 she >would recommend another d&c - would you advise the same? Thanks.
>From what you say here, Most likely. Something is producing hCG. You have living placental tissue somewher. If there is no new hCG being produced, your level will fall 50% every 4 days.
-- R.Daniel Braun, MD FACOG FOG **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.
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