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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Case Report
Successful completion of the first trimester despite the inappropriate rate of rise of the serum beta human chorionic gonadotropin levels
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1
The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology Division of Reproductive Endocrinology & Infertility, Camden, New Jersey
2
Cooper Medical School of Rowan University, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, New Jersey
3
Philadelphia College of Osteopathic Medicine, Department of Obstetrics and Gynecology, Philadelphia, Pennsylvania (USA)
Clin. Exp. Obstet. Gynecol. 2014, 41(3), 339–340;
https://doi.org/10.12891/ceog15172014
Published: 10 June 2014
Abstract
Purpose: To report an exception to the rule that once slow rising serum beta human chorionic gonadotropin (hCG) levels are observed, a live fetus after 12 weeks is not possible even if fetal viability was detected earlier. Materials and Methods: The fetus of a woman with a slow rising serum beta-hCG levels which even plateaued was evaluated by serial pelvic sonography. Results: The fetal pole grew appropriately but at one point the sac size was a week behind. Nevertheless the woman completed the first trimester with a viable fetus and a normal fetal heart rate. Conclusions: Though rare, a live fetus at the end of the first trimester is possible if even if there is a slow rise of sera hCG levels where there is at least one instance when the hCG levels do not double in two days.
Keywords
Beta-hCG level
Rate of rise
Live fetus
Sac size