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What Do The Following Blood Test Reports During Pregnancy Suggest?
Posted on
Sun, 28 Jun 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 28 Jun 2015
Answered on
Mon, 20 Jul 2015
Last reviewed on
Question : hi,
this is XXXX ,25 years old.i am in my 14 th week pregnancy and this is my first pregnancy.1 week before i gave my blood and urine test.im much worried about my blood test report.please help me to find out whether it is normal or not?5 days before my lmp i got chicken pox immeditely after i took zovirax 800 mg 3 times a day and it got suppressed within 5 days
lmp:march 23
nuchal thickness:1.8mm crl:67.4mm
gestational age at sample date:13+0
fetuses:1
wt in kg:65 ht in cms:162
smoker,ivf,diabetes:unknown
origin:asian
previous trisomy 21 pregnancies:unknown
free beta hcg:296.0ng/ml 8.99 mom
papp a:5.68mIu/ml 1.29 mom
trisomy 21 1:297 cut off 1:250
trisomy 13/18 <1:10000
both tests are below cut off
but why my free beta hcg is very high?is there any other reasons?will my baby get affected by downs? all other thyroid and blood tests are normal.please help.is there any other way to solve my doubt?
thanks
this is XXXX ,25 years old.i am in my 14 th week pregnancy and this is my first pregnancy.1 week before i gave my blood and urine test.im much worried about my blood test report.please help me to find out whether it is normal or not?5 days before my lmp i got chicken pox immeditely after i took zovirax 800 mg 3 times a day and it got suppressed within 5 days
lmp:march 23
nuchal thickness:1.8mm crl:67.4mm
gestational age at sample date:13+0
fetuses:1
wt in kg:65 ht in cms:162
smoker,ivf,diabetes:unknown
origin:asian
previous trisomy 21 pregnancies:unknown
free beta hcg:296.0ng/ml 8.99 mom
papp a:5.68mIu/ml 1.29 mom
trisomy 21 1:297 cut off 1:250
trisomy 13/18 <1:10000
both tests are below cut off
but why my free beta hcg is very high?is there any other reasons?will my baby get affected by downs? all other thyroid and blood tests are normal.please help.is there any other way to solve my doubt?
thanks
Brief Answer:
Karyotyping advised
Detailed Answer:
Hello mam, thanks for trusting health care magic.
There is nothing to worry as it is common to have raised levels of bHCG in IVF conceived pregnacies.
All in all since the range of cut off is within normal limits and you are very young in age so nothing to worry in my opinion.
But since you have previous history of trisomy 21 at least you should get a karyotyping of yourself and your partner.
In case you have other questions, I will be glad to answer.
Regards
Dr Manisha
Karyotyping advised
Detailed Answer:
Hello mam, thanks for trusting health care magic.
There is nothing to worry as it is common to have raised levels of bHCG in IVF conceived pregnacies.
All in all since the range of cut off is within normal limits and you are very young in age so nothing to worry in my opinion.
But since you have previous history of trisomy 21 at least you should get a karyotyping of yourself and your partner.
In case you have other questions, I will be glad to answer.
Regards
Dr Manisha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hello mam,
u have mentioned that raised levels of fb hcg is commom in ivf pregnancies but i did not get conceive through ivf.i got married on 25th march,2015 and my lmp was on 23 rd march,2015and i confirmed my pregnancy on 6 th may,2015.is anyway chicken pox which i got on 19 th march,2015 connected to my current pregnancy?
is that the reason for raised fb hcg? when i googled most of them mentioned that fb hcg should be less than 1 mom but mine is 8.99 mom(very high).high fb hcg should be one of the reasons for downs?what is kryotyping?should i go for amnio or cvs?there is no birth defects in my family.everyone yields a healthy baby.
u have mentioned that raised levels of fb hcg is commom in ivf pregnancies but i did not get conceive through ivf.i got married on 25th march,2015 and my lmp was on 23 rd march,2015and i confirmed my pregnancy on 6 th may,2015.is anyway chicken pox which i got on 19 th march,2015 connected to my current pregnancy?
is that the reason for raised fb hcg? when i googled most of them mentioned that fb hcg should be less than 1 mom but mine is 8.99 mom(very high).high fb hcg should be one of the reasons for downs?what is kryotyping?should i go for amnio or cvs?there is no birth defects in my family.everyone yields a healthy baby.
Brief Answer:
Repeat test after 3-4 weeks
Detailed Answer:
I just realized that you have mentioned report just like that and and thus got a mixed impression that it was your previous obstetric history.
So according to your profile bHCG levels are definitely raised.
But since the other risk parameters are normal and the test was done at 14 weeks which is an early gestation to get this test.
So now plan of action in your case is repeat the test after 3-4 weeks from now (and no need to get karyotyping).
I hope by then the levels will normalize or may fall in risk category and thus warranting further evaluation.
Right now nothing active needs to be done as nuchal thickness is normal which is the main parameter at this gestation.
All the best.
Repeat test after 3-4 weeks
Detailed Answer:
I just realized that you have mentioned report just like that and and thus got a mixed impression that it was your previous obstetric history.
So according to your profile bHCG levels are definitely raised.
But since the other risk parameters are normal and the test was done at 14 weeks which is an early gestation to get this test.
So now plan of action in your case is repeat the test after 3-4 weeks from now (and no need to get karyotyping).
I hope by then the levels will normalize or may fall in risk category and thus warranting further evaluation.
Right now nothing active needs to be done as nuchal thickness is normal which is the main parameter at this gestation.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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