Patient's question:
Detailed medical condition and purpose of consultation: Two months pregnant with a small amount of vaginal bleeding. B examination did not detect fetal heartbeat. Urgently want to know if the fetus has died, to decide in a timely manner whether to undergo a D&C or to preserve the pregnancy.Duration and course of the current illness: December 15 to 23, 2005
Current general condition: Normal
Medical history: None
Previous diagnoses and treatment history and outcomes: None
Ancillary tests: Bimanual examination showed fetal size consistent with gestational age; a urine early pregnancy test on the night of December 23 was positive.
Doctor's answer:
Hello, under normal circumstances, a fetus's embryonic development and heartbeat can be observed via ultrasound at 7 weeks of pregnancy. The appearance of the embryonic development and heartbeat should not be later than two months, based on your description. This may be a case of fetal demise. There are many reasons that can lead to embryonic arrest, mainly including the following aspects: incomplete embryonic development, abnormal fertilized egg; poor placental development, Rh incompatibility between mother and child; endocrine dysfunction in women, medication during pregnancy, or viral infection; male sperm quality issues. After confirmation, it is necessary to undergo an abortion procedure promptly.