Re: Hcg Levels / heartbeat?

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I know this has been covered partially, but my case is....

I am 6w2d pregnant. Last week the ultrasound showed no fetal pole or heartrate. My hcg levels were(approx.) 7000, 8000 (2days later) and 9000 (2days after that). Based on this, and a rule out ultrasound for ectopic (ultrasound showed interuterine sac and yolk sac, but no pole), my doctor said it is not a viable pregnancy. 4days after the 9000 level, my hcg is about 10,000 and a fetal pole/ fetal heartrate(104) showed on the ultrasound. 2days after that, the fetal heartrate is up to 120. Now my doctor says not to worry about miscarriage and to be cautiously optimistic. The hcg levels don't seem right. Any ideas? Sarah

Dear Sarah, Your first US was done at 5w2d? If so what was seen falls into normal limits. It was just too early to see the embryo last week and sometimes HCG levels are lower than expected, but they continuesd to rise. Goto, http://www.ob-ultrasound.net/

"The embryo is first seen on high resolution scans as a thickening on the margin of the yolk sac. It may be seen at 2-4mm Crown-Rump Length(CRL - Longest Axis) corresponding to 5.7-6.1weeks gestational age. With high-resolution, the heartbeat is seen as a regular flutter in the embryo, first evident at 5mm CRL(6.2 week.). Thus it is possible to see healthy embryos without heartbeats......The presence of a heartbeat is a very positive prognostic sign." Heartbeat will increase about 3beats p/day for a while, peak, then decline, so it's still early but FRH 120 is good@6w2d, congratulations, you have seen your baby and heartbeat, think positive about the future, Marie

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