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J Am Board Fam Pract. 2005 Nov-Dec;18(6):570-3.

A molar pregnancy detected by following beta-human chorionic gonadotropin levels after a first trimester loss.

Author information

1
University of Wisconsin-Madison Medical School, Department of Family Medicine, St. Luke's Family Practice Residency, 1230 Grant Street, Milwaukee, WI 53215, USA. ldresang@fammed.wisc.edu

Abstract

This case report summarizes the sequence of events that led to the detection of a molar pregnancy missed by ultrasound and initial pathology examinations. This patient illustrates that following serial quantitative beta-human chorionic gonadotropin (B-hCG) levels after spontaneous, therapeutic, and elective abortions will help detect potentially life-threatening molar and ectopic pregnancies. Further research is needed to determine the optimal frequency of B-hCG testing. For now, maternity care providers can follow the American College of Obstetrics and Gynecology recommendation that abnormal bleeding for more than 6 weeks after any pregnancy should be evaluated with B-hCG testing. Earlier testing may be considered.

PMID:
16322422
[Indexed for MEDLINE]
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