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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does A Fetus Without Heartbeats For 6 Weeks Need Expulsion?

i am 27 years old, now staying in gulf.now iam 7 week pregnancy. yesterday scan report shows that 6 weeks without heartbeats . doctor told to me this is bad pregnancy.and advised to Waite for natural expulsion by using iron tablet and eldervit.what is the solution for this?please. .
Wed, 28 Oct 2015
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OBGYN,  's  Response
Hello,
If fetal cardiac activity is not seen in a trans-vaginal sonogram done at 6 weeks of pregnancy, it is abnormal. Yet, as benefit of doubt, a repeat sonogram is to be done after another week since the cardiac activity may be missed in the earlier sonogram. Simultaneously, serial titres of serum beta-hCG can be done to assess the progress of the pregnancy. Doubling titres every 2-3 days is suggestive of good progress. If after everything, the pregnancy is missed, spontaneous expulsion can happen in a week or two, but, the ideal way of management is to induce a medical abortion under surveillance. Hope this helps.
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Does A Fetus Without Heartbeats For 6 Weeks Need Expulsion?

Hello, If fetal cardiac activity is not seen in a trans-vaginal sonogram done at 6 weeks of pregnancy, it is abnormal. Yet, as benefit of doubt, a repeat sonogram is to be done after another week since the cardiac activity may be missed in the earlier sonogram. Simultaneously, serial titres of serum beta-hCG can be done to assess the progress of the pregnancy. Doubling titres every 2-3 days is suggestive of good progress. If after everything, the pregnancy is missed, spontaneous expulsion can happen in a week or two, but, the ideal way of management is to induce a medical abortion under surveillance. Hope this helps.