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Ultrasound done. Suggestions?

My wife ultrasound report shows:
Ultrasound Lower Abdomen

LMP: 2/2/2013
Gest Age by LMP: 8W

Uterus is gravid. Single well defined gestation sac (MSD 25.5mm) with adequate decidual reaction is seen implanted in the fundal cavity.

A fetal node (C.R.L. 4.2 mm) is present within the gest. sac.
Fetal cardiac pulsation are not appreciable.

Gestational age by CRL = 6 weeks +/- 5 Days.

Gestational age by MSD = 7 weeks 4 days +/- 7 Days.

Yolk sac is larger in size.

Cervix is normal in length. Os is closed. No evidence of cervical ballooning.

No free fluid is seen in POD.

IMP:Single intrauterine gestation of 6 weeks +/- 5 days with disproportionate CRL & Mean sac size.
: Fetal cardiac pulsation not appreciable.
Adv. Follow up USG to rule out early pregnancy failure.

doc suggested D & C but we have so many hopes for our child..
Please advise what should we do
Asked On : Tue, 2 Apr 2013
Answers:  1 Views:  292
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The ultrasound scan reveals that a gestation sac is present in the uterus.
However, the fetus developing in the gestational sac is not normal.

An ovum or fetus without cardiac activity at this stage is called blighted ovum.
This implies that the conceptus is not viable, has some abnormalities (most often chromosomal) and will not develop further till term.

So, the next step is medical termination of the pregnancy as it is not viable.
The procedure should be carried out as soon as possible as complications increase as the period of gestation increases.
Consult your gynecologist at the earliest.

Thanks and take care.
Dr Shailja P Wahal

Answered: Tue, 30 Apr 2013
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