How to handle the situation when there is no fetal heartbeat after the second pregnancy

Patient's question:

During pregnancy, it is always particularly uncomfortable, and morning sickness is also very severe. How should I handle it if there is no fetal heartbeat after the second pregnancy?

Doctor's answer:

Generally, the reasons for multiple miscarriages include the following:
① Genetic factors mainly involve abnormalities in chromosome number and structure, accounting for 50% to 60% of miscarriages. They often lead to early embryonic development arrest and degeneration of the zygote, serving as a mechanism to eliminate poor offspring.
② Exposure to external toxic substances such as lead, organic mercury, DDT, and radiation.
③ Endocrine abnormalities, such as luteal function insufficiency, hyperthyroidism or hypothyroidism, and diabetes, which affect the development of the decidua, placenta, and fetus, leading to miscarriage.
④ Reproductive organ malformations or tumors, such as bicornuate uterus, uterine septum, uterine fibroids, and ovarian tumors.

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