Is a lack of fetal heartbeat during pregnancy a sign of miscarriage?

Patient's question:

First pregnancy was detected without fetal heartbeat at around 80 days and underwent a miscarriage. When getting pregnant again, it still didn't have a heartbeat. Should I try to protect the pregnancy first? I don't want to lose it again. Is a miscarriage necessary if there's no fetal heartbeat during pregnancy?

Doctor's answer:

In this case, it is called fetal demise in medicine. The reasons for fetal demise are multifaceted. Generally, it may be due to genetic defects; it could also be caused by interference from external adverse factors such as chemicals, radiation, and other physical factors; or it may be related to maternal and male factors. It is recommended that both you and your partner undergo a comprehensive pre-natal and fertility examination at the hospital. Wishing the patient a speedy recovery!

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