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Is The Lack Of A Fetal Heartbeat At 9 Weeks Of Pregnancy Normal?

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Posted on Mon, 28 Jan 2019
Question: Wife is 40 yr old and is pregnant, her last period was on 2nd January 2018 (abt 9 week) pregnant. Her transvaginal ultrasound yesterday showed fetus size 7.4 mm but no heartbeat.
Please advise.
doctor
Answered by Dr. Dr. Rakhi Tayal (25 minutes later)
Brief Answer:
Detail below.

Detailed Answer:

Hello,

At 9-week fetus size should be more than 16 mm and it should have a heart beat.

As for the fetus size 7.4 mm and no heartbeat, it is a matter of concern, so consult your gynecologist for missed abortion.

I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.

Wishing you good health.

Regards,
Dr. Rakhi Tayal
OBGYN
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Rakhi Tayal (2 hours later)
What procedure to be follow for abortion. Is any tablet or other process. For d and c process patient has to be hospitalized for how many hrs or day
doctor
Answered by Dr. Dr. Rakhi Tayal (6 hours later)
Brief Answer:
Can be done with medicines.

Detailed Answer:

Hello.

In a missed abortion, the procedure can be done with the help of medicines. Medical abortion pills are to be taken as per prescription and correct schedule that your doctor explains to you.

I can explain the general protocol to you, but again, taking them without consulting a doctor is not just illegal, but potentially life threatening.

Generally, 1 tablet of Mifepristone is taken orally. 24 hours later, 2 tablets of 200 mcg Cytotec are taken orally or vaginally followed by 2 more such tablets another 24 hours later.

After this procedure, bleeding and cramping might start within 24 - 48 hours and continue for upto 2 - 3 weeks.

Another way is D&C in which hospitalization is needed for one day.

Hope my answer is helpful.

Regards,
Dr. Rakhi Tayal
OBGYN
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Rakhi Tayal (29 minutes later)
Which procedure will be best. Medical abortion Pills or D&C, in my case where complete 9 weeks today. Size is 7.4 mm already told.
doctor
Answered by Dr. Dr. Rakhi Tayal (47 minutes later)
Brief Answer:
Pills will be better.

Detailed Answer:

Hi,

The size of the fetus is less than 7 weeks. So, you can use the pills to abort after consulting your gynecologist. It is associated with lesser complications.

Hope I have answered your query.

Regards,
Dr. Rakhi Tayal
OBGYN
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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Is The Lack Of A Fetal Heartbeat At 9 Weeks Of Pregnancy Normal?

Brief Answer: Detail below. Detailed Answer: Hello, At 9-week fetus size should be more than 16 mm and it should have a heart beat. As for the fetus size 7.4 mm and no heartbeat, it is a matter of concern, so consult your gynecologist for missed abortion. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards, Dr. Rakhi Tayal OBGYN