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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (2): 297-298    DOI: 10.12891/ceog4708.2019
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Successful live delivery despite an inappropriate rise in the serial human chorionic gonadotropin level
J.H. Check1, 2, *(), D.L. Check1, R. Chern1
1Cooper Institute for Reproductive and Hormonal Disorders, P.C., Mt. Laurel, NJ, USA
2Cooper Medical School of Rowan University, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, NJ, USA;
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Abstract  

Purpose: To describe a second case of viability past the first trimester despite an inappropriate rise of the serum human chorionic gonadotropin (hCG) levels in the early pregnancy. Materials and Methods: A serum beta hCG level was obtained 17, 28, and 31 days after conception. Serial sonographic studies were performed throughout the first trimester and into the early second trimester. Results: The first serum hCG level at 17 days from conception was appropriate at 484 mIU/mL. The serum beta hCG level did not appropriately increase at 28 and 31 days (4, 844 and 9, 585 mIU/mL), respectively. Nevertheless fetal viability was seen on sonography throughout the first and early second trimesters She delivered a full-term healthy baby. Also for the first time a full-term delivery of a healthy baby from the first described case is reported (this case had only described surviving the first trimester. Conclusions: A delivery of a healthy baby despite inappropriate rising serial beta hCG levels is possible but rare.

Key words:  Serial hCG levels      Live delivery      Doubling time     
Published:  10 April 2019     
*Corresponding Author(s):  J.H. CHECK     E-mail:  laurie@ccivf.com

Cite this article: 

J.H. Check, D.L. Check, R. Chern. Successful live delivery despite an inappropriate rise in the serial human chorionic gonadotropin level. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 297-298.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4708.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I2/297

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