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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. No Growth And Heart Beat. What Can Be The Result?

Hi doctor,my sister in law is 24th years old,she merried in dec.2011,her last period dated 23rd feb.we confirmed her preganancy by blood test ,it was positive.then we have done first US on 17th april,as per dr.it was 5wk6d,delayed about 2wk,we have done today 2nd US as per dr.there is growth but not much,no heart beat yet,what we can do?is it normal?she have hypo thyroid n she is on medicine,please guide us,we are living in Tanzania,east Africa.
Wed, 26 Dec 2012
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OBGYN 's  Response
Hi,
Thanks for the query.
Usually by 7 weeks fetal pole and cardiac activity should be seen.
But as there was 2 weeks lag in the development and also there is no fetal heart beat there is possibility of blighted ovum.
Means gestational sac will develop without fetal pole.
So you wait for one more week, if there is no heart beat even after that better to to terminate the pregnancy.
Take care.

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Pregnant. No Growth And Heart Beat. What Can Be The Result?

Hi, Thanks for the query. Usually by 7 weeks fetal pole and cardiac activity should be seen. But as there was 2 weeks lag in the development and also there is no fetal heart beat there is possibility of blighted ovum. Means gestational sac will develop without fetal pole. So you wait for one more week, if there is no heart beat even after that better to to terminate the pregnancy. Take care.