Ultrasound shows fetal pole without fetal heartbeat, is it already a missed miscarriage?

Patient's question:

The gestational sac and embryo are much larger than others—is this abnormal development? Is it already a missed miscarriage? Can it be saved? I heard that fetal heartbeat development can be delayed in some cases. My gestational sac is a bit large, but it's actually just around 60 days. Could it be that the fetal heartbeat hasn't appeared yet? How much longer do I need to wait? (Thank you, doctor, for answering me so quickly—how should it be treated and prevented.)

Doctor's answer:

Analysis of the condition: Hello, according to your test results, your baby may have already stopped developing.
Recommendation: Hello, based on your test results, your baby does not have a fetal heartbeat, which may indicate that it has stopped developing. If you really want this child, it would be cautious to have another hospital examination. If the results are the same, then it cannot be kept, and an abortion will be necessary. I hope my advice can be helpful to you!

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