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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had D&c Due To A Missed Abortion. Had To Clean The Uterus. Correct Process?

I have just had d&c due to a missed abortion . The sonographer said that the heartbeat had stopped and my ob said that the baby and sac looked good but since there was no heartbeat, we had to clean out the uterus . She said that they could not miss such a big thing and make a mistake with the sonography . I want to know if this is 100% accurate on the scan or should I have asked for a second scan just to be sure that they didnt miss the heartbeat cause my gut feeling was that my baby was still alive.
Mon, 25 Feb 2013
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General & Family Physician,  's  Response
hi and thanks for your question,
missing to detect heart beat by a sonogropher with a pregnancy greater than 12 weeks is very rare and unlikely. I would suggest you get another one for certainty. This should be done fast because, in case the fetus is dead, staying for a very long time could predispose you to other complications like disseminated intravascular coagulation especially.
Doing another ultrasound and rapidly if in doubt could help.
Thanks and best regards,
Luchuo, MD.
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Had D&c Due To A Missed Abortion. Had To Clean The Uterus. Correct Process?

hi and thanks for your question, missing to detect heart beat by a sonogropher with a pregnancy greater than 12 weeks is very rare and unlikely. I would suggest you get another one for certainty. This should be done fast because, in case the fetus is dead, staying for a very long time could predispose you to other complications like disseminated intravascular coagulation especially. Doing another ultrasound and rapidly if in doubt could help. Thanks and best regards, Luchuo, MD.