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small CRL by ultrasound at 8 weeks gestation

From: Lisa (anonymous@obgyn.net)
Sat, 31 Jul 1999 12:40:17 -0500 (CDT)


I am 35 years old and this is my 3rd pregnancy. My first pregnancy ended in a miscarriage at 11 weeks and my second pregnancy went to term! I am currently 8 weeks pregnant based on my last menstrual period. My LMP was on June 4,1999 and I had a positive urine pregnancy on June 28,1999. I have an extremely regular 28 day cycle. We were trying to conceive and we are exactly sure on our dates.

On my first OB visit(I was 6 weeks pregnant), I had an early ultrasound which only revealed a gestational sac(no fetal pole or yolk sac). I was told that the sac was consistent with a 4 week pregnancy. My doctor had me return in two weeks for a repeat ultrasound at 8 weeks gestation by LMP. The ultrasound showed a fetus with a CRL of 4.4mm and showed a beating heart! The yolk sac was present and the gestational sac had grown. The pregnancy was dated at 6w1 by ultrasound.

I also had serial HCG's done starting at my six weeks visit. The first one showed a level of 4740. Two days later the level went up to 8661 and then to 11,120 two days after the second level. I have not had anymore since then.

My doctor thinks that I could be "off" on my dates or that conception occurred later than we thought. I am POSITIVE as to my dates. What does the early fetal growth restriction by ultrasound mean? What can I expect as to the viability of the pregancy? My first pregnancy that ended in miscarriage also had a dicrepancy of 2 weeks by ultrasound and LMP. I just want to know the truth. Thank for your time.

--
Lisa





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