The Importance of Early Pregnancy Monitoring

 

 

Dr. Steven R. Goldstein MD is a top Obstetrician and Gynecologist in Manhattan. In practice for over 25 years, Dr Goldstein works closely with pregnant patients or those considering a family to make sure all aspects of the pregnancy are covered. As an early pregnancy monitoring doctor in New York, Dr. Goldstein ensures that the pregnancy meets established milestones. One of the ways this is done is by analyzing the Human Chorionic Gonadotropin (HCG) levels.

A developing pregnancy will produce detectable hormone of pregnancy by eight days post conception. That means it is there and present prior to being late for one’s menses. Home pregnancy tests turn positive at around the time of the expected menses (approximately fourteen days after conception). The rate of rise of hCG in normal healthy pregnancies is extremely well established.

Thus, if there is any concern for the health of a pregnancy, measuring the hCG rate of rise at 48 hour intervals will tell us a great deal about the health of the pregnancy (although, it does not tell us anything about the pregnancy’s location). Ectopic pregnancy can occasionally result in a relatively normal early development, which may follow normal doubling times of hCG.

Ectopic pregnancy is when the developing embryo is located outside of the normal uterine cavity. 98% of these are in the fallopian tube. If they develop and rupture, they can cause hemorrhage requiring emergency surgery and transfusion

Usually, the hCG level doubles at 48 hours. However, there is a minimum rate of rise of approximately 35-45% in early pregnancy depending on the starting value of testing. Dr. Goldstein has published and lectures extensively on early pregnancy, both its detection by ultrasound and how to diagnose pregnancy failure before miscarriage, as well as, diagnosing ectopic pregnancy early enough to be treated non-surgically with medication.

 Dr Steven R. Goldstein MD, is a top obgyn in Manhattan, who does early pregnancy monitoring to ensure that there is a healthy pregnancy and to prevent miscarriage. Miscarriage is the spontaneous passage of the pregnancy tissue after the pregnancy loses its viability. Early pregnancy monitoring detects that the pregnancy has lost its viability, so that a Dilation and Curettage procedure can be performed instead of the patient winding up in the emergency room with a painful miscarriage.

 

Dr Goldstein has not had a patient miscarry in more than 30 years of private practice. Although he has patients who experienced pregnancy failure. He was able to detect it and schedule a Dilation and Curettage (D&C) procedure to avoid a painful miscarriage.

 If you are a pregnant woman or planning a family, then a consultation with Dr Goldstein, an obgyn in Manhattan for pregnancy monitoring may be in order.