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Had incomplete miscarriage due to subchorionic hematoma. Showing positive pregnancy, blood test, scanning show sac or remains

Hello I had an incomplete miscarriage 26 days ago have had unprotected sex since then. I told my dr and she gave me a pregnancy test it showed up positive then I got blood work done my hcg level was 59. The next day I had an ultrasound the tech said it looks like I have a ges sac of 2-3 wks or remaining tissue the same day i got more blood work done my hcg was 50. I am very confused want to have another baby but am scared too had a subchorionic hematoma during my pregnancy and it caused my placenta to detach resulting in my sons death.
Asked On : Wed, 17 Apr 2013
Answers:  1 Views:  72
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OBGYN 's  Response
Dear Ahanyzewski,
There are three possibilities for your case, and as long as you have no bleeding and no sharp abdominal pains, I advise you to repeat the ultrasound and hcg level after 1 week and accordingly:
1- negative level and empty uterus: a case of complete abortion (either the previous one or a new one).
2- negative level and still the same ultrasound picture: incomplete abortion which requires evacuation either surgically or medically.
3- rising hcg level requires more patience as it may be a new healthy pregnancy.
Finally I have 3 important comments:
1- from the three above mentioned possibilities I expect the second one.
2- the possibility of ectopic pregnancy should be excluded.
3- if you have a negative RH group and your partner is positive, you should receive anti-D injection.
Finally, I hope tese words were concise and usefull and I wish you the best of luck.
Dr. Ahmed Bahaa.
Answered: Wed, 17 Apr 2013
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