PREGNANCY-BIRTH Messages for June, 1999: Re: bleeding in early pregnancy

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Re: bleeding in early pregnancy

From: William F. von Almen, II, MD (anonymous@obgyn.net)
Sun, 13 Jun 1999 14:19:41 -0500 (CDT)

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Next message: William F. von Almen, II, MD: "Re: Question about bleeding & pregnancy"
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In reply to: Terrie: "bleeding in early pregnancy"

At Sat, 12 Jun 1999, Terrie wrote: >
>I am 7 weeks pregnant. On Wednesday, June 9, I had an ultrasound due to
>some very light bleeding. Ultrasound showed normal fetus, yolk sac,
>etc. Heart rate of 128.
>They did spot a cyst on my right ovary. On Thursday, June 10, I
>experienced VERY heavy bleeding, emergency room visit and additional
>ultrasound again showed normal fetus, yolk sac, heartbeat 137, hcg
>74,100, but an "implantation tear".
>So now I am playing the waiting game. Hcg level today (two days later)
>are only up to 80,000. Why did they increase so little and how
>dangerous is this implantation tear? Am I miscarrying?

Terrie: It is impossible to say at this time. I will tell you what I tell all my patients with this problem. With a normal Ultrasound (ie normal crown-rump measurement, normal yolk sac and fetal heart beat), you have a 95% chance of not miscarrying. That means 5% will still loose their child. My best advice is to follow your ob's orders as far as rest and recuperation, and hope (pray) for the best. I will you the best of luck. As far as the hcg rise, it is only useful in early pregnancies, and there may be some difference if a different lab was used.

-- William F. von Almen, II, MD, FACOG Editorial Board, OB/GYN.NET Pregnancy and Birth New Orleans, La.

The above comments are for educational purposes only.

Next message: William F. von Almen, II, MD: "Re: Question about bleeding & pregnancy"
Previous message: Ann-Marie: "Aging & M/C & Genetic Defects"
In reply to: Terrie: "bleeding in early pregnancy"

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