High HcG Level - No Sac

QUESTION

Dear Midwife,
I went to the er when I found out I was pregnant because I was having some cramping and didn't know that was normal.

They checked my hcg levels and it was 583. that was a week and a half ago. I went to the doctor yesterday and all they could see was a SMALL sac.

The doctor led me to believe that since my hcg levels were so high and we didn't see much I was having a miscarriage.

I am scheduled to have another sono next week but he did not make it sound promising.

Any advice?

ANSWER

My advice is to wait for the next sono. Some women make hcg very fast and the rest of the development occurs at a more normal pace.

You can also ask to have your hcg re-tested if they still don't see anything on the sono. That is another way to know for sure what is going on. Good luck!

-- Cynthia, CNM. PhD.

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Cynthia Flynn

Cynthia Flynn, CNM. PhD, teaches in the College of Nursing at Seattle University and is President of the American Association of Birth Centers. She also practices midwifery at Valley Medical Center where she cares for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.

Cynthia hosts a monthly "Ask the midwife" chat as well as answers questions via our expert section.

Listen to Cynthia live on Pregnancy.org Live: Before, During and After.

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