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Re: PREGNANCY: question about HCG rise
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Fri, 31 Oct 2008 15:38:24 -0500 (CDT)
McGregor
I use your formula(double in 48-72 hrs) and see nothing wrong with your
current hcg increase...Dr. von Almen
At Fri, 31 Oct 2008, mcgregor wrote:
>
>I am 4w5days pregnant. Beta on 10 dpo was 13 (prog was 30), then on 16
>dpo beta was 275, so a good rise. Then on 18 dpo beta was 630.
>
>My midwife does a calculation with betas taken over 48 hours as follows:
>second number - first number/second number. She likes to see a result
>of at least .60 to consider it a good rise.
>
>Doing this calcution, my result is .56.
>
>This is my fourth pregnancy (i have one child) and i have done a TON of
>reading over the last 3 years about hcg levels and how they rise, on
>message boards, medical sites, OB and RE websites, etc. Everywhere
>else, I read that doubling in 48 hours is great, and some places even
>say doubling in 48-72 hours is good. My doubling time was 41 hours, and
>my numbers are right in line with what I see on betabase.com, which has
>thousands of women's betas for successful pregnancies.
>
>I have never heard of anyone else mentioning the calculation my midwife
>does with betas. Is my midwife's interpretation of what is a "good"
>rise to stringent? If I had just seen my numbers, without talking to the
>nurse, I would have thought they were great. But after talking to the
>nurse, she made me feel very doubtful that this is viable pregnancy
>because my calculation was not .60. I know that it is so early and
>could still go either way, but I would like to be able to feel positive
>about my numbers going up at this point.
>
>Thanks for any feedback!
--
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 emails cannot be entertained due to time
constraints; consequently, they will receive no response.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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