Early Pregnancy Monitoring and Early Pregnancy Loss

Dr. Goldstein is an advocate for couples who have experienced a miscarriage. He works closely with couples in the early stages of their pregnancy to monitor and help maintain healthy pregnancies. He is a nationally regarded expert in early pregnancy (the first 10 weeks) and early pregnancy loss.

Early Pregnancy Monitoring

Dr. Goldstein monitors early pregnancy through ultrasounds and blood work to identify possible issues and help women maintain a healthy pregnancy. He focuses on the first 10 weeks of pregnancy. After 10 weeks, women are released back to their primary obstetrician for continual monitoring and eventual delivery.

Stages of Pregnancy:

Ovulation usually occurs approximately 14 days before a women’s period. An egg is released from the ovaries to await fertilization.

Fertilization occurs when the sperm meets the egg. The egg then travels through the fallopian tube to the uterus.  The egg is referred to as a zygote.

Blastocyst development happens once the zygote divides into a ball of cells and is implanted into the uterine lining. The embryo is formed from the main cell; additional cells will make up the placenta.

Embryonic development refers to the next six weeks of a pregnancy when much development occurs. Organs form, the heart and blood vessels, shortly followed by the spinal cord and brain.

Fetal development begins after the tenth week of the pregnancy, when the embryo develops into a fetus.

Early Pregnancy Loss

Pregnancy loss is devastating to an expecting couple. Dr. Goldstein works with couples who have experienced a miscarriage to identify possible problems and help maintain future healthy pregnancies. While many physicians wait until multiple miscarriages occur to do a full work-up, Dr. Goldstein believes once is enough and orders comprehensive testing and monitoring after the first failed pregnancy.

Dr. Goldstein sees all of his patients two weeks after the initial visit for an endovaginal ultrasound to identify the pregnancy, landmarks and cardiac activity. Early ultrasounds also enable Dr. Goldstein to identify if a pregnancy has lost viability before the patient begins to spot, bleed, cramp or hemorrhage. Identifying the loss of viability is important so an elective D&C (dilation and curettage) can be performed in a sterile environment and the tissue can be studied for abnormal chromosomes. If abnormal chromosomes are determined to be the cause of the miscarriage, then couples can try again for another pregnancy. If abnormal chromosomes are not identified, Dr. Goldstein will order further tests to identify the cause of the miscarriage so it can be avoided in the future.

Early Pregnancy Monitoring and Early Pregnancy Loss Expertise

Dr. Goldstein has been a pioneer in the use of endovaginal ultrasound and identifying the normal landmarks of early pregnancy and the progression of early pregnancy on ultrasound. He has championed the concept of chromosomal analysis on failed pregnancies so that couples do not have to undergo second or third losses before appropriate testing. Dr. Goldstein recently served on a national consensus panel of experts to accurately define what constitutes pregnancy failure.

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