A Molar Pregnancy Detected by Following -Human Chorionic Gonadotropin Levels after a First Trimester Loss

L. T. Dresang
2005 Journal of the American Board of Family Medicine  
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 ␤-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
more » ... , 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. (J Am Board Fam Pract
doi:10.3122/jabfm.18.6.570 fatcat:iqayuqiuuzgmvo4zedxd2ct65q