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Are HCG And USG Shots Safe During Pregnancy?

Posted on Wed, 22 Jun 2016

Question: Currently 5 weeks 5 days pregnant (baby's growth showing 6 weeks 2 days). Two days back I had brown spotting and was diagnosed with choriodesidual separation of 0.01 cc. Dr recommended hucog 5000 iu injection twice a week for 4 weeks and emergency USG on bleeding characterized by fresh blood. Last night had bleeding and got a repeat USG in emergency that showed an increase in separation to 0.02 cc but the baby had a strong heartbeat of 122 bpm. Since the diagnosis of pregnancy I have been on progesterone 400 vaginal suppositories twice a day, folic acid ,thyronorm 50 MCG and complete bed rest. I have a h/o ectopic pregnancy in 2013 and cervicitis. When I found out about my pregnancy I had just completed a course of rifagut and was still taking neksium which I immediately stopped. Is it safe to take these injections as it is classified as a class x drug by CDC and it causes birth defects? And why could the baby be self aborting? On reading online i found this usually happens if there is a chromosomal defect. Please advise, very worried.

Answered by Dr. Deepti Verma (26 minutes later)

Brief Answer:
You can take hCG safely

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
HCG is secreted by the pregnancy tissues which are implanted in the uterus. So, if one has choriodecidual separation, the support to the fetus is weakened by the uterus.
To maintain the pregnancy, hCG injections are given in such cases to support the pregnancy.Though mentioned as cat X drug, it is not found to cause any birth defect in fetus till now, and is routinely given by the obstetricians in cases of threatened abortion and choriodecidual separation.
There is nothing to worry in taking them.
First trimester abortion are mostly due to chromosomal anomalies, however if the choriodecidual separation is there, chances of chromosomal anomalies are less.
Choriodecidual separation is itself the cause of bleeding in early pregnancy.
Rest, hCG injections, and progesterone support can help you overcome this situation.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (6 hours later)

in such cases how frequently are chromosomal anomalies found and if the doubt is chromosomal anomalies y do they push to maintain pregnancy? and what is the success rate of the treatment i am taking.

Answered by Dr. Deepti Verma (14 hours later)

Brief Answer:
exact percentage not known

Detailed Answer:
Hi dear, chances of chromosomal anomalies in subchorionic haemorrhage is low, however exact percentage is not quoted.
Generally subchorionic haemorrhage is treated by medications, that is why your doctor has advised you the medication.
I suggest you to wait and watch.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar