What is the cause of fetal demise?

Patient's question:

Doctor, hello. I've been married to my partner for three years, and this year I finally got pregnant as I wished. However, in the subsequent tests, the doctor said that there was a miscarriage. What is going on?

Doctor's answer:

Hello, at 52 days of pregnancy, no embryonic pole or fetal heartbeat was observed. This may be due to delayed ovulation, or it could be caused by insufficient progesterone in the body, leading to delayed fetal development. The former is normal, while the latter is not, and requires treatment to support the pregnancy. We advise you not to worry excessively. You can have a blood test to check your progesterone and HCG levels. If they are normal, we recommend a follow-up ultrasound in one week, and it should then be possible to see the embryonic pole and fetal heartbeat. Based on your situation, it is necessary to have a follow-up at the hospital in one week. If the ultrasound shows that the embryonic pole and fetal heartbeat are already present, then the pregnancy can be supported. If the follow-up examination still shows no embryonic pole and no heartbeat, it is necessary to terminate the pregnancy promptly.

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