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Fetal heart beats to confirm pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
User :   hi
User :   doctor i got married in November,18 of the 2011
Doctor :   yes, please proceed with your query.
Doctor :   you meant nov 2010?
User :   and my wife concieved on feb 17 as the date of periods ends in january 17th of 2011 we got confirmed the concieveness on 20 Feb of 2011
Doctor :   ok
User :   now i got a doubt that my doctor suggested me yesturday to take scanning for the baby to see how the baby heart is working
Doctor :   ok
User :   in that pathological doctor gave report as
User :   no cardiac active
User :   and missed abortion
Doctor :   was it the radiologist you meant?
User :   in this circumstances my doctor suggested me to take abortion
Doctor :   ok
User :   is this right i m not in a position to take the decision
User :   i am sorry radiology
Doctor :   ok
Doctor :   so you want ask if you have to proceed for abortion as suggested by doctor?
User :   yes but i am not interested in doing so please suggest me
Doctor :   ok, may I ask a few relevant questions before giving my advice?
User :   sure
Doctor :   what is your age and your wife's age?
User :   she is 24
User :   me 30
Doctor :   ok
Doctor :   how was the pregnancy confirmed on feb 20th, just by urine test or a scan done?
User :   yes by urine pregnancy test and my doctor done some blood test also
Doctor :   ok
Doctor :   why was scan done , routinely or your wife had any bleedig, pain , etc?
User :   its all in routine
Doctor :   ok
Doctor :   let me explain it to you
Doctor :   generally the first pregnancies most often will have sustaining problems.
Doctor :   as a routine after the urine test and blood tests a scan is advised
Doctor :   this scan will give us a lot of information.
Doctor :   as to how is the baby, the heart activity and even any anamolies.
Doctor :   on noticing that there is no cardiac activity, this means that the baby did not sustain.
Doctor :   as the cardiac activity is a marker of life .
Doctor :   hence they have concluded it to be an abortion.
User :   but the baby' age is noticed as 8 weeks 4days
Doctor :   generally if it aborts, there will be bleeding and by itself will cause abortion.
Doctor :   yes, the scan is showing the age of the fetus, but more important is the cardiac or heart activity.
User :   but my wife didnot have any bleedings
Doctor :   if there is no cardiac activity, it means that we have to terminate the pregnancy.
Doctor :   bleeding is not compulsory.
Doctor :   it does not indicate abortion specifically.
Doctor :   one may abort without bleeding or any symptoms
Doctor :   that is the reason scan is done to check.
Doctor :   scan is the best test to actually see the activity of the baby,its growth , its heart and its problems.
Doctor :   since it is a missed abortion and detected on scan, she needs a procedure to abort the same.
Doctor :   when there is no cardiac activity , then we have to terminate the pregnancy.
Doctor :   are you with me?
User :   yes
Doctor :   shall i continue?
User :   is there any chance of getting cardiac activity active through medicines
Doctor :   It is unfortunate to listen to this, but i'm sorry , it may not be possible to revert the cardiac activity by any method.
Doctor :   as the report already suggests there is a missed abortion.
Doctor :   if you do not get an abortion , it could lead to complications for your wife.
User :   if abortion is done procedurally is there any delay of getting 2nd pregnancy
Doctor :   No, it will not affect the second conception , but I suggest you give 3 months minimum gap before trying for next.
User :   ok
User :   what is the general reason in getting so
Doctor :   since she has conceived once, it would not be a problem to conceive again , but as soon as she conceives see the doctor .
Doctor :   generally it is due to hormonal and chromosomal changes
Doctor :   which are very common in early pregnancy to abort.
User :   sorry i am not get into your language
Doctor :   it is due to hormones changes in the body.
User :   is this any hereditary
Doctor :   and some genetic changes in the embryo or the growing baby.
Doctor :   no , it is not hereditary.
Doctor :   are you related to your wife?
User :   no
Doctor :   ok
User :   i am taking treatment from a psychological doctor is this a problem for this
Doctor :   I would suggest you to visit the doctor for abortion and then if you wish to try, she needs to start on folic acid supplements before conception, which will be prescribed by her doctor.
Doctor :   No, I do not feel that your problem can be a cause for this.
User :   ok
Doctor :   But, when you see the doctor please give them all the details of you and your wife.
User :   ok
Doctor :   so that if needed they will suggest few tests and medicines for future.
User :   ok
Doctor :   did you follow my suggestions?
User :   sure
Doctor :   generally as this is first pregnancy, you do not worry, but please check everything before trying next.
User :   ok
Doctor :   I hope i have answered all your questions.
Doctor :   are there any other questions for me to help you with?
User :   yes sir thank u and again i will be in touch with you
Doctor :   sure, you could always chat with our doctors and me 24/7
Doctor :   pleasure here.
User :   i am very thank ful to you as u gave me good suggestion
Doctor :   thank you
Doctor :   thanks for consulting me
Doctor :   wish your wife a speedy recovery.
User :   bye doctor
Doctor :   Bye for now.
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