Dr. Steven R. Goldstein MD - Best Obgyn in NYC for Early Pregnancy Monitoring

Dr. Steven R. Goldstein MD, is the Best Obgyn in NYC to monitor your pregnancy from its early stages, particularly if you are prone to miscarriages.  He is a Professor of Obstetrics and Gynecology at New York University School Of Medicine, a Past Chairman of the American College of Obstetrics and Gynecology, New York section, Past President American Institute of Ultrasound in Medicine and is currently the Director of Gynecologic Ultrasound at NYU Langone Medical Center.

At Dr. Goldstein’s practice, he works closely with pregnant patients or those considering a family to make sure all aspects of the pregnancy are covered. Dr. Goldstein ensures that the pregnancy meets established milestones, and one of the ways of doing this 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 one of the Best Obgyn in NYC in practice for over 25 years. You may also visit his website at www.goldsteinmd.com for more information.