What Causes A Missed Abortion?

Posted on Sat, 25 Mar 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 25 Mar 2017 Answered on

Wed, 19 Apr 2017 Last reviewed on

Question : hi ..! my last period was on 13th january 2017 and i had a scan on 22nd of march which says GS-31.3 mm and CRL 2mm, yolk sac 4mm with no heartbeat...frequency of my period has been approx 35 days...sonologist declared " missed abortion" in my report...i am scared...should i wait for another scan or go for abortion...

Answered by Dr. Purushottam Neurgaonkar (40 minutes later)

Brief Answer:
Repeat sonography after 7 days suggested.

Detailed Answer:
Hi there, Dr. Purushottm Neurgaonkar welcomes you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options.

First of all do not panic.

As per your history, you have period of 8 weeks of pregnancy.
Usually, if there is fetal pole or embryo seen in the sonography, it also shows heart activity.

If your sonologist has not been able to see the heart activity, by this time, he has concluded it as missed abortion.

If you have history of previous pregnancy loss or irregular cycles, you can get another second opinion sonography done after 5 to 7 days gap, to see if there is growth in the embryo size or any evidence of the heart activity, at that point of time .

Please feel free to communicate again in the future.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Purushottam Neurgaonkar (31 hours later)

Hi Doctor..I am not having any history of previous pregnancy loss and i have a daughter of 4 years and 10 months from first conceiving. However, My HBA1C which was done on 14th march showed 9.6 levels ..and my thyroid is 6.3..Is it possible my fetus can still survive and heartbeat and come...i will go for a repeat sonography on 29th march as per your suggestion...

Answered by Dr. Purushottam Neurgaonkar (3 hours later)

Brief Answer:
Repeat sonography. get GTT done. thyroid treatment.

Detailed Answer:
Hi there,
Thanks for appreciating the answer and reverting back. As you have mentioned that your HbA1C levels are in the higher range, I will suggest you to get glucose tolerance test done with 75 gram glucose load.
Secondly, please get help from your treating doctor for getting thyroid supplements.

Please, get in touch with once repeat sonography reports are available.

I hope this answer helps you. Thanks.
Dr. Purushottam Neurgaonkar

Above answer was peer-reviewed by : Dr. Kampana