Patient's question:
Hello doctor! My friend got pregnant a few months ago, but the fetus died at 50 days of pregnancy. She didn't realize it and didn't have much of a feeling. It wasn't until she was over 60 days that she started bleeding and went to the hospital, by then the fetus had already died. I don't know what could be the reason for this? According to her own account, she was helping her younger brother take care of her child, who was 1.5 years old, and she hasn't done much since then. So, could you please tell me what's going on?First follow-up question: Hello! But my friend took very good care of herself as soon as she knew she was pregnant and ate very well. She didn't take any medication during her pregnancy, and the climate where we live is also very good with little pollution. They...
Doctor's answer:
If there is pregnancy, it can be observed that there is a gestational sac in the uterus through ultrasound examination after five weeks of pregnancy. If it is more than 37 days pregnant, the result of the early pregnancy test using urine test strips will be positive. Currently, the blood HCG value is still relatively high, but there is no gestational sac in the uterus. This suggests the possibility of fetal arrest or that it may have already miscarried. In this case, if there is no bleeding at the moment, it is recommended to check the blood HCG test again after three days. If this indicator continues to decline and does not rise or show a doubling rate of increase, then it can be determined that it is a dead fetus or a miscarriage. This requires timely medical examination and the use of artificial uterine curettage to remove residual fetal tissue from the uterus.