What should I do if there is no fetal heartbeat after four months of pregnancy?

Patient's question:

Doctor, I've been pregnant for four months without a fetal heartbeat. After the miscarriage, there was a slight increase in bleeding that night, and it decreased slightly by the third day. Is this normal? Besides the fact that the placenta came out completely on the day of my miscarriage, do I still need a D&C?

Doctor's answer:

I'm glad to clarify this for you. Based on the medical history you provided, it is recommended to carefully check the color Doppler ultrasound. It is common to have fetal membrane remnants after a miscarriage, and excessive remnants can lead to vaginal bleeding or uterine infection. It is advised to undergo a color Doppler ultrasound check and, if remnants are found, to undergo a uterine curettage treatment. The above content is the complete answer to the question: "I'm four months pregnant and there's no fetal heartbeat, what should I do?" I hope the patient can soon overcome the disease and recover quickly!

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