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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Determine Age Of Fetus In Pregnancy?

HAD A TRANSVAGINAL SCAN TODAY A 1ST SCAN WHICH REVEALS AM 6-WEEKS PREGNANT( I THOUGHT WOULD BE 8 WEEKS LAST MENSTRUATED AROUND 16TH DECEMBER) BUT THERE WAS NO HEART BEAT OR FETAL POLE AND HAVE STARTED TO BLEED LIGHTLY RED BLOOD INTERMITTENT SINCE YESTERDAY THAT WAS WHY I WEANT TO THE A/E LAST NIGHT THEY TOOK A SCAN AND SAID I WAS AROUND 5-WEEKS AND THIS MORNING THEY SAID 6-WEEKS ANOTHER SCAN SCHEDULED FOR NEXT WEEK
Mon, 4 Apr 2016
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OBGYN 's  Response
Hallow Dear,

The calendar method calculates the period of gestation from the date of last menstrual period (LMP). Actually, the conception takes place about 2 weeks after LMP. Ultrasonography scanning measures the length of the embryo to assess the age of gestation. Hence, in early stages of pregnancy, a lag of 2 weeks between calendar calculations and scan assessment may be observed.

Probably, 5 weeks is too early to appreciate the foetal heart activity. Please wait for a week to 10 days more and then get another scan done. If even then the foetal heart activity is not noted and the baby is not growing, it may suggest non-viable baby. In such event, you may have to terminate the pregnancy.

Since you are having some amount of spotting, till the status of baby is ascertained, please take some Progestational preparation with the advice of your Obstetrician to stabilize the pregnancy. If the baby is viable and if the baby's heart activity is noted, you may continue the Progestational preparation with the advice of your Obstetrician.

I hope this will help you.

Dr. Nishikant Shrotri
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How To Determine Age Of Fetus In Pregnancy?

Hallow Dear, The calendar method calculates the period of gestation from the date of last menstrual period (LMP). Actually, the conception takes place about 2 weeks after LMP. Ultrasonography scanning measures the length of the embryo to assess the age of gestation. Hence, in early stages of pregnancy, a lag of 2 weeks between calendar calculations and scan assessment may be observed. Probably, 5 weeks is too early to appreciate the foetal heart activity. Please wait for a week to 10 days more and then get another scan done. If even then the foetal heart activity is not noted and the baby is not growing, it may suggest non-viable baby. In such event, you may have to terminate the pregnancy. Since you are having some amount of spotting, till the status of baby is ascertained, please take some Progestational preparation with the advice of your Obstetrician to stabilize the pregnancy. If the baby is viable and if the baby s heart activity is noted, you may continue the Progestational preparation with the advice of your Obstetrician. I hope this will help you. Dr. Nishikant Shrotri