WOMENS-HEALTH Messages for May, 1998: Re: Please help!! PG viability

Re: Please help!! PG viability

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 28 May 1998 16:12:16 -0500 (CDT)

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In reply to: Julie: "Please help!! PG viability"

At Thu, 28 May 1998, Julie wrote: >
>This pregnancy is crazy. Please tell me what is going on...Last period
>4/3/98. Hcg's-- 5/3-1609, 5/7-6236, 5/19-30,702; 5/27-84,595. 3
>transvaginal ultrasounds first one--nothing in sac, 2nd on 5/19 at
>30,702 nothing in sac and sac was misshapen. I began to bleed the next
>day and have been bleeding off and on. I thought it was gone. Have
>been very nauseous and tired. Yesterday had another hcg 84,595!! Went
>for ultrsound now there is a pole and yolk sac but no cardiac activity!!
>The sac is low in uterus, slightly misshapen and a little blood can be
>seen in uterus. Could this pg still be viable?? Why are hcg levels
>increasing and it growing if not?

Placental tissue produces HCG, not the fetus. You can have increasing HCGs with a non-viable pregnancy. With HCGs that high and no cardiac activity, the chance of viability is quite low.

Cardiac activity should be seen with an HCG of 6000 or greater.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**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 no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Elizabeth: "BBT's and Ovulation. HELP!"
Previous message: William D. McIntosh, MD: "Re: necessity of abstinance after cervical cerclage"
In reply to: Julie: "Please help!! PG viability"

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