Patient's question:
My aunt is 43 years old this year. Due to various reasons, she wants to have another child. Last year, she tried in vitro fertilization, but it didn't work. Later, she used many folk remedies and got pregnant naturally. However, around two months into the pregnancy, she started experiencing spotting. It wasn't a lot, just a little bit every time. Later, she went for a check-up and was told there was no fetal heartbeat. She was prescribed medication to support the pregnancy, but it still didn't take, and the pregnancy stopped developing, eventually leading to a miscarriage. This year, she got pregnant again using various folk remedies about three months ago. Previous check-ups said everything was fine, and the pregnancy was healthy. But today, she experienced spotting again. When she went to the hospital, they said there was no fetal heartbeat again and recommended she be admitted for a miscarriage. But this child is truly hard-won. I want to ask the doctors if there are any other ways to save the child. Also, both times she experienced spotting around two or three months into the pregnancy and there was no fetal heartbeat. What could be the reason for this? Please, please, help me understand!Doctor's answer:
The situation with your cousin, where she has had two consecutive pregnancies without a heartbeat and experienced a miscarriage due to cervical effacement, suggests that there may be an issue with the embryo itself. A lack of a heartbeat is like an adult without a heartbeat sound—it cannot be treated. If she gets pregnant again, she should receive treatment to support the pregnancy from the very beginning until the baby is 12 weeks old. It is recommended not to rush into another pregnancy. Instead, the couple should first get tested for chromosomal abnormalities and a semen analysis to investigate the reason for the lack of a heartbeat in both pregnancies. Then, they should receive targeted treatment before considering another pregnancy.