No fetal heartbeat but with fetal stalk, is it a missed miscarriage?

Patient's question:

57 days without fetal heartbeat, will there be a missed miscarriage if there is a fetal bud? If there is a missed miscarriage, will the human chorionic gonadotropin continue to decline?

Doctor's answer:

Analysis of the condition: Hello, this situation may be caused by implantation delay.
Advice: It is recommended to have a follow-up ultrasound after 1 week, and you can also check progesterone and HCG. If they are normal, there is no need to worry. Wait for another week to see if a fetal heartbeat can be detected. Generally, doctors will advise women with signs of miscarriage risk to maintain a balanced diet, avoid spicy and stimulating foods, as well as cold foods. Additionally, patients should create an environment that promotes emotional stability and stress relief. Wishing the patient a healthy delivery.

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