Patient's question:
Early pregnancy, no vomiting or other symptoms, no bleeding, pain, or other symptoms. Fatigue and sleepiness. Case: Last menstrual period on May 8th, ultrasound date on July 8th. A gestational sac echo was observed in the uterus, with a fetal pole length of 15.9mm and a gestational sac size of 3635mm. Question: Based on the above situation, the clinical doctor recommended a repeat ultrasound scan on July 12th, stating that if the fetal heartbeat is still not visible, it may indicate a miscarriage, and antibiotics may be needed. My questions are: 1. Will several days of exhausting travel during early pregnancy affect embryo development? 2. I found clinical records of a case where the fetal heartbeat was not detected until 70 days after the last menstrual period. Specifically, how long must pass without a fetal heartbeat before it is necessary to give up?Doctor's answer:
Analysis of the condition:1. Excessive fatigue during the early stages of pregnancy can affect the development of the embryo.
2. If the gestational sac is larger than 2.5 cm without a fetal pole or fetal heartbeat, it is considered possible embryonic dysplasia. If implantation was delayed, the gestational sac would not be this large.
3. The absence of a fetal heartbeat is referred to as missed miscarriage, and the incidence rate of this condition is also very high.
Recommendations:
Because fetal demise can lead to infection after a period of time, antibiotics are needed to prevent infection. In cases of fetal demise, medication-induced abortion should be the first approach. Direct dilation and curettage (D&C) is highly damaging to the endometrium, and it becomes more difficult to perform as time progresses. Medication should first be used to soften the cervix, and only after the cervix is ripe can the D&C be performed.