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What Causes No Fetal Heartbeat At 6 Weeks Pregnancy?

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Posted on Tue, 24 Nov 2015
Question: Dear Sir/Madam,

I am 32years old. Got married in december 2013. I had one miscarriage in January at 4rth month ending. Problem started with bleeding. Next day ultrasound showed heartbeat and movement have been stopped. By oral medicine baby came out. Placenta doctor had to take out. I am again 6w6d pregnant. From last 4 days had brown and red spotting. Did ultrasound today. Sac is 17mm and fetus is just 2mm visible. Heartbeat is not seen. Very much worried. Internal bleeding is also seen. My question is should we wait for few more days for heartbeat? What are the possibility for successful pregnancy? In case of insuccessful pregnancy is it required to go for curating or oral medicine is fine?
doctor
Answered by Dr. Deepti Verma (23 minutes later)
Brief Answer:
Review ultrasound after one week

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.
Heart beat of the fetus is normally visible in a transabdominal ultrasound, when the gestational sac is around 25mm, by a transvaginal ultrasound it is visible by the time the gestational sac is 18-20 mm.
So, there is still some hope.
I will suggest you to get a transvaginal ultrasound after one week to review the condition.
If the heart beat still do not appears, then you can very well terminate the pregnancy by medical method including mifepristone and misoprostol.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepti Verma (1 hour later)
okay thanks a lot
doctor
Answered by Dr. Deepti Verma (3 hours later)
Brief Answer:
Happy to help

Detailed Answer:
Hi dear,
I am happy to have helped you.
You can get back to me for health related queries and review of next ultrasound report by asking a direct question to me on health care magic portal.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5064 Questions

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What Causes No Fetal Heartbeat At 6 Weeks Pregnancy?

Brief Answer: Review ultrasound after one week Detailed Answer: Hi dear, I have gone through your question and understand your concerns. Heart beat of the fetus is normally visible in a transabdominal ultrasound, when the gestational sac is around 25mm, by a transvaginal ultrasound it is visible by the time the gestational sac is 18-20 mm. So, there is still some hope. I will suggest you to get a transvaginal ultrasound after one week to review the condition. If the heart beat still do not appears, then you can very well terminate the pregnancy by medical method including mifepristone and misoprostol. Hope you found the answer helpful. Please do get back for further queries. Wishing you good health. Regards Dr Deepti Verma