What does the pregnancy ultrasound report indicate?
Below is the report content from radiologist:
Single intrauterine gestational sac
MSD: 1.7cms 6weeks 3 days
Yolk sac seen
Fetal node not visualized yet.
Both ovaries are normal in size.
No adnexal mass
No free fluid in pelvis
This scan was not transvaginal. Since my wife is not willing for transvaginal.
She had 1 miscarriage earlier. D&C happened on 3rd Feb 2015. Doc said if we dont see heart beats by 23rd we need to take action so that we dont need to go for D&C again.
So what is your opinion? Can we wait after 23rd may if no heart beats seen on that day. How many days we can wait before going for D&C. Please give your suggestion
Thanks for the query to healthcare magic.com for an opinion,
Considering her LMP to be 3 April, as of 19th may, your wife would be 6 weeks and 4 days pregnant. The ultrasound suggests a med or mean sac diameter of 6 weeks + 3 days, thats fine but there is no foetal pole yet which should have been visible by 5-6 weeks of gestation.
In absence of foetal pole at present even at 6 weeks + 4 days, the next step is to look for HCG levels with serial beta hcg monitoring on alternate days. If the levels show a rise of more than 65% then that indicates a developing pregnancy and there may be a chance of expecting a foetal pole in another week but if the levels are decreasing and in absence of foetal pole in the gestational sac, this would be a chemical pregnancy or an embryonic gestation without foetus inside the sac.
It is after that the decision to terminate pregnancy by medical methods should be taken which is safer till 49 days of pregnancy or 7 weeks. Post 49 days to 63 days D& C may be a possibility if natural abortion doesn't occur.
So it is wise to get a serial beta hcg test done hence and a repeat Ultrasound preferably transvaginal at 7 weeks now.
I hope i have answered your query in detail,
Wishing you good health,
"this would be a chemical pregnancy or an embryonic gestation without foetus inside the sac. " in layman's language? Becuase i did not understand it. can you please reply.
Thanks for the follow up,
This simply means that the baby has not started forming at all. The appearance of foetal pole is the start of formation of the baby first and then comes the heart beat and then the baby grows further.
Now as there is no foetal pole, this is an empty gestational sac with NO BABY in layman's terms . This foetal pole should ideally arrive by 7 weeks or by XXXXXXX 8 weeks depending on the serial hcg levels.
An empty sac is called an embryonic or chemical pregnancy.
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