Brief Answer: Defective embryo, infections, progesterone deficie Detailed Answer: Hi, Thanks for the query. The possible causes for absent heart beat in the fetus are : - Blighted ovum or nonembryonic pregnancy. Means in this case, only gestational sac develops with out embryonic pole. This can occur due to abnormality in the zygote, either because of abnormal ovum or abnormal sperm or both. -Abnormal embryo. In this case embryonic pole can be seen. But because of defective development heart beat may not be seen. In the above two cases heart beat does not develop. - Sometimes heart beat can develop but may stop after few weeks due to defective growth of the fetus. This can occur if mother gets affected with infections like rubella etc. - Deficiency of progesterone, which is the hormone responsible for maintaining the pregnancy, can also lead to defective growth, absent heart beat and miscarriage. Usually most of the cases will occur due to defective embryo only. And mostly this may not repeat in next pregnancies . Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. Take care.

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Brief Answer: Investigations Detailed Answer: Hi XXXXXXX Usually embryological abnormalities may not repeat. With your doctor's advice, your wife can undergo investigations like : Hemoglobin Blood sugar levels TORCH panel VDRL Thyroid profile Antiphospholipid antibodies etc. For you: Blood sugar levels VDRL In case of consaguinous marriage, both should undergo genetic profile. After undergoing these investigations, one conclusion can be drawn regarding the possible cause for abortion and depending on that treatment can be planned. If no abnormality detected, you can plan for pregnancy after 2 to 3 months. And from nowonwards she has to take folic acid supplementation. After conceiving she can continue with regular antenatal checkups and ultrasound examinations. Take care.

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Brief Answer: Blood relation Detailed Answer: Hi, Consanguinity means having blood relation between wife and husband. Like marrying sister's daughter or maternal uncle's daughter etc. In case of consaguinous marriage, there is more possibility for abnormalities or birth defects in babies. Folic acid supplementation in the form of tablets to be started 2 to 3 months before planning for pregnancy. Usually 1mg tablet, once a day is advised. Take care.

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Brief Answer: Genetical analysis may not be needed Detailed Answer: Hi, In case of nonconsuinous marriage, genetical analysis may not needed as there was only one abortion. And chances of recurrence of abortion is less. In case of recurrent first trimester abortions (1 to 12 weeks) genetical analysis is needed for nonconsuinous couple also. But better to undergo remaining tests I mentioned previously. Take care.

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