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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Absent Fetal Heart Beat During Pregnancy?

Hi!I am 9 weeks pregnant today.At 7 weeks the doctor sow the fetus heartbeat and after one week, 8 weeks no more heartbeat.And today no heart beat.The sac is more bigger than the last scan and with fetus inside.I have no bleeding, not abdomen pain .I did trans-abdominal scan.I am 43 yearsold.I am taking abby aspirin.folic acid and crione gel 8% morning and evening.I did IVF .Thank you
Fri, 24 Jun 2016
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OBGYN 's  Response
Hello,
I have gone through your query and understood the concern. I would ask you to repeat the sonogram through the trans-vaginal route to confirm the absence of the fetal cardiac activity. You can couple this with serial titres of serum beta-hCG. Good progress is indicated when the titres double every 2-3 days. If negative, missed abortion is confirmed. You may wait for a week for spontaneous expulsion failing which, an induced medical or surgical abortion is needed. Hope your query has been clarified. Take care.
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What Causes Absent Fetal Heart Beat During Pregnancy?

Hello, I have gone through your query and understood the concern. I would ask you to repeat the sonogram through the trans-vaginal route to confirm the absence of the fetal cardiac activity. You can couple this with serial titres of serum beta-hCG. Good progress is indicated when the titres double every 2-3 days. If negative, missed abortion is confirmed. You may wait for a week for spontaneous expulsion failing which, an induced medical or surgical abortion is needed. Hope your query has been clarified. Take care.