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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause For My Foetus To Show 5 Weeks Development When I Am 9 Weeks Pregnant?

hello doctor, I am 9 weeks pregnant. Yesterday I had TV and the report appears as monochrionic diaminiotic twins and triplets (+) ? . They said it shows only 5 weeks and 6 days development and no cardiac activity. only one yolk has limbs development and the rest two shows no such development. I am 30 yrs and this is my first pregnancy(normal). Had no treatment or abortions earlier. I was on contraceptive ( we used only condoms). I am afraid and praying for the postitive. Doctor says I will have to wait till 7 weeks to read the cardiac activity. HOw come it shows 5 weeks and days when I am 9 weeks. LMP - dec 2nd 2013. My urine test after 5 days of expected period showed negative and on 10 th day i had beta hcg test to confirm
Sat, 8 Feb 2014
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OBGYN 's  Response
Hi,

Your report is a bit ambiguous. Was the doctor not sure if there were two or three fetuses?
Neverthless, there are three possibilities in your case.
1. You conceived late; meaning that ovulation occurred later than the expected date and hence the babies are smaller than expected.
2. It is a missed abortion ; meaning that the babies are not alive and hence look smaller than expected. This is common in twins and triplets. However, cardiac activity is better seen after 6 weeks. To confirm both of the above a follow up scan must be done after 2 weeks to see if the babies have grown by 2 weeks. If they grow, it means that the conception was delayed and the babies are all right.
3. As the babies are multiple it is difficult to make the exact size of the pregnancies. Again a follow up scan helps.

I suggest that you stop worrying and wait till the next scan. Take folic acid tablets and rest. Most of the times cardiac activity becomes visible after a few weeks.

Best of luck and take care.
Thanks for using HCM.
Dr Madhuri Bagde
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What Is The Cause For My Foetus To Show 5 Weeks Development When I Am 9 Weeks Pregnant?

Hi, Your report is a bit ambiguous. Was the doctor not sure if there were two or three fetuses? Neverthless, there are three possibilities in your case. 1. You conceived late; meaning that ovulation occurred later than the expected date and hence the babies are smaller than expected. 2. It is a missed abortion ; meaning that the babies are not alive and hence look smaller than expected. This is common in twins and triplets. However, cardiac activity is better seen after 6 weeks. To confirm both of the above a follow up scan must be done after 2 weeks to see if the babies have grown by 2 weeks. If they grow, it means that the conception was delayed and the babies are all right. 3. As the babies are multiple it is difficult to make the exact size of the pregnancies. Again a follow up scan helps. I suggest that you stop worrying and wait till the next scan. Take folic acid tablets and rest. Most of the times cardiac activity becomes visible after a few weeks. Best of luck and take care. Thanks for using HCM. Dr Madhuri Bagde