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Re: 8 weeks and concerned with possible miscarriage
From: jwang, M.D. (anonymous@obgyn.net)
Mon, 3 Jul 2000 15:32:08 -0500 (CDT)
I'm sorry to say, but if the US showed an 8week + fetus without a
heartbeat, that diagnoses an impending miscarriage. If the fetal size
is that large, there should be a visible heartbeat.
It is difficult to miscarry for any pregnancy, but the fear can be worse
if it is your first pregnancy. In the vast majority of cases, this will
not happen again. Also, it is very unlikely that you did anything that
caused this to happen.
You do need to check in with your doc to discuss further medical care.
Good luck, and if you have further questions, write in again.
At Mon, 3 Jul 2000, P wrote:
>
>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.
>
>--
>My LMT was 4/24/00 and I also had an emergency ultrasound on 6/6/00 due to light spotting without cramps or other indications of a miscarriage. The doctor did not find the FHR and diagnosis a blighted ovum. My OB/GYN wanted to monitor my hCG level to ruleout an ectopic pregnancy. My levels continued to increase at a normal rate and I recommended another ultrasound a week later by a reputable perinatal specialist. He had the same conclusion, blighted ovum but found it strange that my levels continued to increase and the sac had doubled in size. He suggested I wait for two weeks and repeat the proceedure but advised me that he did not expect different results. I waited and my OB/GYN called me to monitor my blood work. I am at 8 weeks, 4 days now. My hCG results were indiciate of a normal pregnancy and again, I was instructed to obtain another ultrasound. I requested the same specialist that had performed the second ultrasound and he confirmed that there was no fetus in the sac even though I continued to have increased hCG and daily morning sickness. I was even showing at 9 weeks. The doctors could not explain why I had a seemingly normal pregnancy without a fetus. My D&C was performed 1 day after 9 weeks. It has been a difficult process for me. I hope things turn out differently for you.
>
--
J Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
>**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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