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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
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