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Should I Continue Pregnancy Inspite Of Ultrasound Showing No Fetal Heart Activity?

Posted on Tue, 1 Apr 2014

Question: i was 6 weeks pregnant and in my ultrasound had tiny fetal node with no cardiac activity and i tested positive for torch rubella -1.38 cmv- 1.68 herpes -1.32 S/Co my doctor suggested me for an abortion .was this a correct step?

Answered by Dr. Bhagyashree.B (42 minutes later)

Brief Answer: as fetal heart activity is absent abortion correct Detailed Answer: Dear member, Thanks for writing to healthcare magic. As your ultrasound shows no fetal heart activity there is no point in continuing pregnancy. Rubella infections in early pregnancy effects the fetus and causes many anomalies. So it's better that this pregnancy is terminated. Thanks Dr Bhagyashree

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyashree.B (36 hours later)

i had my abortion on 5 of XXXXXXX 2014 but the bleeding continued for 20 days and then on 4 feb my menstrous started then after6 days it stopped but again on 20 but lasted for one day .meanwhile i always had blood with my vaginal fluid .then again bleeding started on 28 but it was very less and on 4 of march it became heavy.so i am a bit concerned .my haemoglobin is also 10 and i easily get tired and has a lot of pain during my menstrous.is this normal?? i have also been on antiviral medication (spiramycin,natclovir,acyclovir)due to my torch positive report for 28 days as suggested by my doctor.

Answered by Dr. Bhagyashree.B (31 minutes later)

Brief Answer: tab mefenamic acid and tranexamic acid will help. Detailed Answer: Dear member, Thanks for writing back. I believe you took medical method of abortion -mifepristone and misoprostol regimen. This usually causes the abortion to be prolonged bleeding, though the bleeding after 1st week is usually light. Any minimum retained pieces/ products causes repeat spotting later in the cycle which is common. If bleeding is so irregular and heavy as to cause low hemoglobin then it is better to do an ultrasound and check for any retention. Tab mefenamic acid and tranexamic acid will help reduce pain and bleeding significantly. I use this combination regularly at my clinic. You can discuss with your gynecologist about the same. The antiviral Drugs you are taking are recommended for toxoplasma infection. Also consider iron and multivitamin supplements for anemia. Please don't worry as irregular bleeding is common after an abortion. If it still persists then oral contraceptive pill for 2 cycles will regularise the period. Write back if any doubts. Thanks Dr Bhagyashree

Above answer was peer-reviewed by : Dr. Prasad