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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lack Of Fetal Heart Beat On Pregnancy Scan?

I will be 7 weeks pregnant this Thursday. I had a vaginal ultrasound on Monday and the doctor did not see a heartbeat. He told me to expect the worst but that he would do another ultrasound on Friday. I have had mild spotting (mostly brown for about a week). My hormone levels have been good so far, though he did want to see my hcg levels rise even higher (they were 4700 at about 6 weeks and my progesterone was 23). He told me to do another bloodtest to see if the hormones are continuing to rise. This morning I woke up to heavy bleeding and passed some pretty large clots. I was convinced that I miscarried. The doctor called me today with results of the bloodtest I did yesterday. He said that the hormone levels look good, but that does not necessarily mean that the embryo is developing normally. Since I am RH negative, I am going in tomorrow for a Rhogham shot and the doctor may do another ultrasound to see if I have miscarried. If the embryo is still there, is there a chance it is still too early to see the heartbeat? I should add that last week he did see the gestational sac in the uterus, as well as afetal pole.
Wed, 2 Mar 2016
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General & Family Physician 's  Response
Hi,
Thanks for the query.
Fetal heart sounds are seen by 7 weeks of pregnancy in USG scan. but as the date of conception/ ovulation time tend to differ from person to person, it's better to wait for a week & repeat the scan to confirm absent heart beats.
- heart beats are not seen when heart is not developed,but all other signs & hormonal set up is like pregnancy. The condition is called blighted or chemical pregnancy. This usually is expelled out / evacuated.
Anti D is taken after evacuation.
Thanks.
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What Causes Lack Of Fetal Heart Beat On Pregnancy Scan?

Hi, Thanks for the query. Fetal heart sounds are seen by 7 weeks of pregnancy in USG scan. but as the date of conception/ ovulation time tend to differ from person to person, it s better to wait for a week & repeat the scan to confirm absent heart beats. - heart beats are not seen when heart is not developed,but all other signs & hormonal set up is like pregnancy. The condition is called blighted or chemical pregnancy. This usually is expelled out / evacuated. Anti D is taken after evacuation. Thanks.