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Re: 8 weeks and concerned with possible miscarriage

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 28 Jun 2000 16:12:31 -0500 (CDT)


At Wed, 28 Jun 2000, Patricia wrote: >
>Hi. I have just come back from the hospital from an emergency
>ultrasound. My OB did a pelvic on Monday (6/26) and found that the
>uterus was a little small. An hCG test gave 20,400 that same day
>(previous numbers were 9,400 on 06/7 and 169 on 05/22) and he thought
>since it was not doubling and I had VERY minor spotting (pinkish
>discharge for a few days and then again a few days later...no cramps) it
>could be an ectopic. The ultrasound came back with the following
>results: Intrauterine gestation. CRL aprox. 8 weeks 4 days (LMP was
>April 24). No FHR was found. Although this was not of much concern for
>the ER doctor, when he saw that my hCG was at 17,980 today (6/28) he
>suggested I wait a week and have another ultrasound. He said that I
>could be miscarrying. But he also said that the results could have
>varied because the labs were different.
>I am very angry and frightened. This is my first pregnancy and I have
>never had any problems. Is there still hope that the baby is OK? Even
>with the dropping hCG and no Fetal Heart Rate? Please respond as soon as
>you can. Thank you.

Patricia, With the dropping HCG and no fetal cardiac activity on ultrasound, it isn't very promising for the pregnancy. There should certainly be fetal cardiac activity with that level of HCG. I am very sorry... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)






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