Will Progesterone Save My Pregnancy? Follow Up

QUESTION

Dear Midwife,
Thank you so much for responding to my question.this is the most nerve-racking moment of my life. My repeat progesterone after 2 days of Prochieve 8% BID went from 5.2 to 11.2. I had a quick ultrasound to make sure there wasn't an ectopic pregnancy and that it was implanted in the uterus, and go back in one week for a repeat ultrasound and I hope blood work. I have heard that if the progesterone is low, that this might be a pregnancy that should have never been.is that true? If so, I am afraid I will be setting myself up for terminating the pregnancy for some horrific genetic problems.

Kim

Answer

It's true that pregnancies that aren't really viable have low progesterone levels. My own experience is that if progesterone supplementation works (maintains the pregnancy), the babies have all been perfectly normal.

-- Cynthia, CNM

Original Question

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Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared 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.