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PRECIOUS FEET PREGNANCY
TEST
Precious Feet Pregnancy Tests are highly sensitive urine-based tests
that can be confidentially used to indicate pregnancy. This page
is designed to provide information about using and reading the tests.
What is hCG?
Human chorionic gonadotropin, or hCG, is a protein hormone
produced by the placenta.
What does hCG have to do with pregnancy tests?
Unrine-based pregnancy tests analyze the presence of hCG. The appearance
and increased levels of hCG provide an excellent indicator of pregnancy.
hCG is released into the mother's circulation almost immediately
after implantation (5 - 8 days after conception). hCG is produced
in minute amounts and then, rising exponentially, the concentration
doubles approximately every 2.2 days.
What does "the hCG level rises exponentially" mean?
This means that in a normal pregnancy, hCG doubles every 2.2 days.
Because of this, testing very early in the pregnancy can give a
negative result. Yet 2 days later, because the hCG level has doubled,
testing can register positive.
What does "mIU/mL" mean?
mIU/ml is the unit of measure for hCG. It stands for mili International
Units of hCG per milliliter of urine. Simply put, it is a measure
of the concentration of hCG in the client's urine.
Do all pregnancy tests have the same sensitivity to hCG?
No. There are many types of tests on the market for both professional
and home use. They have different sensitivity levels for detecting
hCG. Some over-the-counter home tests only detect 150-250mIU's of
hCG. This means they may not pick up the pregnancy until well after
the first missed period. The Precious Feet Pregnancy test, one of
the most sensitive urine-based tests available, detects concentrations
as low as 20 mLU/ml
Are the levels of hCG in all pregnant women the same in any given
week of pregnancy?
No. The production of hCG can vary greatly from women to women in
any given week of pregnancy with as much as a 20-fold variation
in individual levels. Some women with high hCG may come up positive
on the test very early, while others with low hCG may not show up
until after the first missed period. In a recent study, reported
in the Journal of American Medical Association, 10% of 250 women
tested had not even implanted by the first missed period. Therefore,
their hCG was so low that no urine test could detect it.
How early can Precious Feet Pregnancy Tests give positive results?
Because our test is so sensitive, it may pick up a positive result
as early as 7 - 10 days post conception (21 to 24 days after the
first day of the last period) depending on when implantation occurs
and the client's personal hCG levels. If hCG is detected at this
early stage, the test line would be expected to be light as hCG
levels are just beginning to build. However, when testing this early,
the results should be verified after the first missed period. This
is because, although the test picks up the presence of hCG, it does
not guarantee a viable pregnancy. hCG may also be produced by an
EPL or "early pregnancy loss". This is an embryo which
fails to implant properly in the uterus, or is rejected by the uterus.
It is followed by a normal or slightly heavier than normal menstrual
period, which may be 2 to 3 days late. hCG levels may rise in the
week following implantation (second week of conception) like a normal-term
pregnancy. When EPL occurs, hCG concentration in the urine reaches
a peak 2 weeks after conception then rapidly declines.
What is the significance of Early Pregnancy Loss (EPL)?
Most women are unaware that they have had an EPL. EPL's are much
more common than people realize. Some reports indicate that EPL's
may occur in 31% of pregnancies overall. CPC lay counselors need
to be aware that women may get a positive result from a test taken
before the first missed period. However, the fertilized egg may
not implant correctly, or the uterus may reject the embryo. An EPL
can delay menses up to three days which would further lead the client
to believe she is pregnant, while in reality that is no longer the
case.
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Can this explain why two tests, taken a few days
apart, give conflicting results?
Yes it can. This happened to a woman at one center. A young man
took home a pregnancy test a few days before she missed her
period and it was positive. She then came to the center a week later
and was sure she was pregnant her period still had not started.
But the center's test come back negative. By the time she came to
the center she had experienced an Early Pregnancy Loss. Her hCG
had dropped to undetectable levels. The woman was urged to get a
blood test, which verified the center's results. It is good to understand
this issue as you may have a similar case occur.
If you tested before your first missed period should you be retested
if your period still has not started after 31 days?
Yes. If you test earlier than 31 days, you should know that even
if it is negative, a test should be given at 31 days to verify the
results if your menses has not started. This is because your hCG
level may have been too low to register on the first test. Or, if
it reads positive, you should be advised that there is still a chance
of Early Pregnancy Loss. It is our recommendation, and that of the
leading hCG researcher, Dr. Laurence Cole of the University of New
Mexico, that any test that indicates possible pregnancy before 31
days after the start of the last menses should be repeated on or
after the 31st day. This assures accurate detection of a viable
pregnancy.
Are there any other factors that may give conflicting test results
at two different times?
Yes. Another factor is how diluted the urine is at the time of the
test. The more concentrated the urine, the greater the concentration
of the hCG. Remember, woman's levels of hCG can vary markedly. If
a woman who has low levels of hCG takes a pregnancy test early in
her pregnancy using her first morning urine, it may come out positive
because of higher concentrations of hCG. If she then goes to a center
later in the day after consuming liquids, her urine will be very
diluted and there may not be a high enough level of hCG to detect.
If there is a question about the test results, confirm results by
retesting using a first morning sample.
For early pregnancy tests, should you give us your first morning
urine?
Yes. In fact, when results vary or are questionable, you should
be retested with the first morning urine. If this is not possible,
you need to limit liquid intake and go as long as possible without
urinating before you come in. Remember, the more concentrated the
urine is, the more concentrated the hCG will be. In such cases it
may also be a good idea to wait 48 hours before retesting so that
the hCG level can double to a more detectable level.
Are there any other conditions that may produce false readings?
There are some medical conditions that will skew the test results.
They are complicated and uncommon. If you test negative after 31
days and your period does not start, you should be encouraged to
see your doctor. He will be able to order a blood test that will
determine if hCG is present and if there are any medical concerns.
If you test positive as the result of a medical condition, the doctor
will be able to advise you on further medical care.
How does the information that you provide play a role in the
testing?
When conducing pregnancy testing it is important to remember that
a center is relying on your self reporting about the last menses,
the regularity or irregularity of your menstrual cycles, and your
sexual activity.
How are Precious Feet Pregnancy Tests done?
To use the test, place it on a level, dry surface and put on protective
gloves. Then take the dropper from the package and squeeze the bulb
at the top of the dropper to remove the air. Place the tip of the
dropper in the urine and release the bulb while holding the dropper
upright. While continuing to hold the dropper upright, squeeze the
bulb to release four drops of urine in close succession into the
sample well. After the urine has moved across the testing window,
set your timer for five minutes and wait for the results. Do not
immediately dispose of the urine in case there is any need to redo
the test. Within four minutes the control line "C" will
begin to turn pink. If the test is positive, another pink line will
appear under the "T" or Test zone. If the test is negative,
the zone under the "T" will not change color. The test
line may show a variety of shades of pink from light to bright depending
on the levels of hCG. If any shade of pink appears, even a very
slight line, the test should be considered positive. If no pink
line occurs in the control zone "C" the test is invalid.
High sensitivity urine-based pregnancy tests performed on specimens
containing levels of hCG below 20 mIU may show color development
over time, indicating the need to restest in 48 hours. Do not read
the test after 10 minutes.
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