Another hCG question

Posted by Rosemary on May 07, 1999 at 17:23:33
I had high levels of hCG on my triple marker test and so was advised to have amnio. This turned out normal, as did the ultrasound. I am now being told that I have to begin fetal monitoring at 34 weeks because high levels of hCG are related to fetal distress at delivery. Everything has progressed normally and my baby is very active and has a normal heart beat. Is this necessary? From what I've read elsewhere and here, it seems that "normal" hCG levels can be all over the place. Thank you in advance for your answer.

Posted by hfhs.md.rcs on May 18, 1999 at 10:07:28
Dear Rosemary:
You are correct: normal hCG levels have a wide range of normal. An elevated level is one that is greater than two standard deveations above the average (the normal range measured as the people whose measures are within 2 standard deviations  defines 95% of a population and hence those outside this group are called abnormal. This does not mean they have a problem: it means only that their numbers are different than 95% of people.
An association is two things that have occurred together, often enough, that we pay attention: for example, icy roads and accidents are an association. Thus, when you suspect ice on the roads, you drive differently.
This is the problem you now face. The hCG level may have no meaning (yes there is ice, but the traction is just fine and there isn't a car within 100 miles). The issue for you and your healthcare provider is how much of a chance are you willing to take?
Keywords: high hCG
This information is provided for education purposes and is not a medical consultation. If you have specific questions, please speak with your healthcare provider.