Is the irregular shape of the gestational sac with a fetal pole and fetal heartbeat an indication of the baby's development?

Patient's question:

Last year, I had a miscarriage at two months, and at three months, the fetal heartbeat was detected during an examination, but it disappeared. After a half-year, I got pregnant again. My last menstrual period was on April 18th, and it has been 53 days today. At five weeks, I had an ultrasound which was normal, but the progesterone was low. I took progesterone capsules, and yesterday, the progesterone level was high again. The doctor reduced the dose from six pills a day to one. The ultrasound showed the uterus was anteverted and enlarged, with an intrauterine gestational sac measuring 302218 mm, with an irregular shape and visible fetal pole and fetal heartbeat. No significant abnormalities were observed in the bilateral adnexal regions. The doctor also prescribed medication for fetal preservation. Is the irregular shape a sign of poor development?

Doctor's answer:

Analysis of the condition: Based on your description, there are no abnormalities for the time being. Suggestions: Hello, please rest in bed, receive medication for fetal preservation treatment, and avoid sexual intercourse.

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