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Old 02-02-2002, 11:06 AM   #1
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concerned about h/b

I went in for vaginal ultrasound which i though was 7-1/2 weeks, saw a fetal pole, no h/b but was told sac and baby was mesuring 6 weeks. dr. is concerned and said not to be too optimistic if we don't hear h/b by next week. go back on monday to do another u/s.

My question is this: if sac is 6 week size and so is baby, does that mean that if i really am 7-1/2 weeks that the sac and the baby stopped growing at 6 weeks? the u/s sound 5 days earlier showed i was 5 weeks along? or can both things grow regardless of whether you lost the baby or not.

he also says my progesterone is very low *11.2 and that my hcg did not double in 2 days = from 17,000 to 22,300.

Has anyone not seen a heartbeat until 8 weeks on vaginal or been off by a week and ahalf and had everything turn out okay?

 
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Old 02-02-2002, 11:27 AM   #2
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Re: concerned about h/b

First of all I want to say how sorry I am if this doesn't work out. I will tell you a story though that my midwife told me. A patient of hers had an ultrasound done at 6 weeks. There was no heartbeat, but the embryo measured 6 weeks. The woman wanted another opinion, so she went to a hospital in Sacramento, about 2 hours away from here, and they found the heartbeat! Between the time of her first ultrasound and the second, the heart started beating. Anyway, my midwife said that the heart almost ALWAYS starts to beat at 6 weeks, no earlier, no later. It is like a miracle. So is it possible your dates are off? If the embryo measured 6 weeks and there was no heartbeat it is possible you were only hours early. But I will say that from what my midwife said, if the heart hasn't started beating at 6 weeks, then it probably isn't viable. So good luck! Miracles happen. I wish you the best.

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Molly H.

 
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Old 02-02-2002, 11:32 AM   #3
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Re: concerned about h/b

That might be true, but it is when it is detectable that i am concerned with. my dr. says his machine doesn't pick it up before 6-1/2 weeks and 7.

My question really was about growth of the sac and the fetus and how accurate the measurement system is on the u/s but thanks for the input. It seems that as many people that i speak to i hear more "absolutes" . I guess all things are possible.

Eileen

 
Old 02-02-2002, 03:24 PM   #4
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Re: concerned about h/b

You need to just wait and see what the ultrasound says next week. Why did you think you were 7 1/2 weeks? If you had two ultrasounds already and one said 5 weeks and one said 6 then your dates were probably off UNLESS the fetus is in fact not viable. The fetus will not continue growing if it died. But in some instances, the placenta will. That's what happened to me last year. I still thought I was pregnant eventhough the fetus died. Anyway, I don't know if some ultrasound machines are more sensitive than others, buy maybe so. Good luck. I hope everything works out ok.

------------------
Molly H.

 
Old 02-02-2002, 04:23 PM   #5
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Re: concerned about h/b

Molly,I dont know about your midwife but with my second son I had to have several ultrasounds and the first was when I was about 4 weeks pregnant and we saw a heart beat...it was fluttering very fast on the ultrasound but it was there. It actually does start beating after it is formed which is about four weeks though at that time it is only a tubal shaped organ that will fold in on itself and by week six it is the proper shape of a heart.
As for the growth your dates could be off. I know with my first I only knew week I got pregnant so we went through several due dates before we finally figured it out. Though I wound up delivering a week late. With my second I knew the exact date of conception and we had our second the day before his due day.
U/S are pretty good at giving the growth and such. I know with our second every u/s matched up to the dates we had. But there are times where the fetus will either be a slow or fast grower in which the u/s will give inaccurate results. So relax and try not to stress too much because it isnt good for you or the baby. Wait until the next u/s to see what is going on there.

 
Old 02-02-2002, 04:43 PM   #6
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Re: concerned about h/b

Thanks so much for the encouraging words. You are right . Time will tell.

Eileen

 
Old 02-02-2002, 07:24 PM   #7
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Re: concerned about h/b

Whitewolf, I am just wondering if you mean 4 weeks after conception or 4 weeks after LMP. I am going by LMP which obviously would be 4 weeks after conception. So maybe we are talking about the same amount of time. As for my midwife, she is also a nurse practitioner, and has been in midwifery for about 20 years. I think she knows what she is talking about when it comes to the development of the fetus. When you say your son was only 4 weeks, did you mean 4 weeks after LMP or 4 weeks after conception? Most doctors and midwives go by LMP dates, but some don't. It would clear things up. If your son was only 4 weeks past LMP, and you saw the heart beating, that would be rare I think.

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Molly H.

 
Old 02-02-2002, 07:33 PM   #8
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Re: concerned about h/b

My nurse/midwife said that the h/b can sometimes not show up on u/s until 7 or more weeks. she has seen it happen.

I really was wondering if the uterus, sac and baby stop growing when things go terribly wrong. My new dr. said there is still growth with the fetus, just slows until it stops. He wasn't clear about the uterus or sac.

I think that as scientific as they want to be there are always things that they do not understand so they dismiss these things. You should see their faces when I tell them how much info I get from these boards. Their eyes almost roll back into their heads.

They don't understand everything.

 
Old 02-02-2002, 07:44 PM   #9
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Re: concerned about h/b

I just read a question on a reputable website that only said that the heartbeat should be detected through ultrasound by the 8th week since LMP. If it is not detected later than that the pregnancy is in doubt. Anyway, that's interesting that the fetus still grows. Don't give up hope. As we know from all this, pregnancy is a miracle in some ways. I hope it works out for you and the next ultrasound shows a heartbeat. But if it doesn't, know that many of us have gone through the same thing and we will be thinking of you. Good luck,

------------------
Molly H.

 
Old 02-02-2002, 10:05 PM   #10
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Re: concerned about h/b

I said I knew the conception date and the doctor knew this and so we went from conception date not LMP.
We saw it clear as day though it had to be magnified several times over. I was only four weeks pregnant from conception and saw the heart beat. I can even give you the heart rate because I was in shock that we could see it. His heart rate was 157.
I was seeing a infertility doctor so she would vary on what dates she would go by depending on the patient. If they were charting their cycles like I was they go by conception date. But if they arent charting they go by LMP. With my first son we went by LMP so I know what you are talking about.
It may be rare but I know what I saw that day and I know how far along I was. It happens..pregnancy is weird like that at times.

 
Old 02-02-2002, 10:34 PM   #11
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Re: concerned about h/b

Whitewolf, we are talking about the same time. My midwife said 6 weeks LMP, which IS 4 weeks since conception. That was my whole point. I just wanted to clarify that when you said 4 weeks, most people would think you meant 4 weeks since your LMP in which case the heartbeat would NOT be found. Four weeks LMP would be about the time people begin taking pregnancy tests. So when you saw your son's heart beating you were really 6 weeks pregnant if you go by the 40 week pregnancy calendar. I knew when we conceived this time, to the exact day, and I was 7W 6D, (which from conception would be 4W 6D) snd we saw the heart beating. Anyway, I don't mean to drag on about this, but I just wanted to clarify that when you say 4 weeks from conception, in pregnancy weeks that's 6.

 
Old 02-03-2002, 10:50 AM   #12
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Re: concerned about h/b

NO I was four weeks pregnant when I saw my son's heart beat...not six weeks. Trust me on this. Ok let me put it this way. I dont count by LMP...I can giv eyou the date and you can figure how far along I was for yourself. Ok here I conceived my son on Feb 14th of 2000 and on March 1 of 2000 I took a at home test that came up postive. I had a blood test done the next morning. I was 16 days pregnant at that time...confirmed by the levels from my blood test. This is counting from conception date NOT LMP. The U/S also said FOUR WEEKS not six weeks. The tech doing the u/s had to correct the date because he was also going from LMP until I told him when I actually conceived and that I was only so far along. I had the vaginal u/s done on March 14 of 2000. Like I said my doctor would vary how she counted the pregnancy and with me she didnt count it from LMP so when I had my u/s and saw the heartbeating I was only four weeks.
I know what you are saying but I also know what happened during my pregnancy and how far along I was when I saw that heartbeat. I was told that I probably wouldnt see it considering how early I was but we saw it. The tech checked several times over because he said he wasnt use to seeing it that early. Though he said it had happened before.
I know how to figure pregnancy since with the above pregnancy it was my second one. It was interesting because my son was born during week 38 since we werent going by LMP though if we had gone by LMP then he would have been born week 40.
I am not meaning to argue just trying to say and get the point across that some doctors will vary how they calulate a pregnancy and that the heartbeat can been seen earlier than some reports say.
How about we agree to disagree. Because you have your reliable information and I have my information.

 
Old 02-03-2002, 11:29 AM   #13
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Re: concerned about h/b

I think that you saw what you saw and that is that! And I am so happy for you that you got to see it. I hope that I get to see mine even if it is in week 7.

Eileen

 
Old 02-03-2002, 01:20 PM   #14
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Re: concerned about h/b

This is getting ridiculous. I was only saying that 4 weeks after conception is the same as 6 weeks from last LMP. My midwife said the heart starts beating at 6 weeks from LMP, which IS only 4 weeks past conception! So we are saying the same thing. I was only trying to say that from what I've read and been told, the heart starts beating at the 6th week mark (not 6 weeks past conception - 4 weeks past conception). So I won't agree to disagree because we are not disagreeing! We are talking about the same thing. I was just saying that when you say you heard your son's heartbeat at 4 weeks (in your first reply to this post), some people would think you meant 4 weeks past LMP because that is how most doctors and midwives count it. Anyway, I'm not trying to argue, just trying to make a point. But that aside, it is true that eventhough the heart starts beating this early, 6 weeks of pregnancy or 4 weeks past conception (same thing!), it is not always seen on an ultrasound device. But if it isn't seen by vaginal ultrasound by week 8 (of pregnancy - 6 weeks past conception), there is most likely a problem.

------------------
Molly H.<p>[This message has been edited by Molly M (edited 02-03-2002).]

 
Old 02-03-2002, 02:35 PM   #15
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Re: concerned about h/b

Well I hope that settles that dispute <IMG SRC="http://www.healthboards.com/ubb/smile.gif">

I only asked a simple question <IMG SRC="http://www.healthboards.com/ubb/eek.gif">

 
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