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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Have A D&C If There Is No Fetal Growth And Heartbeat?

I had my first tranvaginal ultrasound at 9 weeks 6 days. The doctor said there s no heartbeat and the fetus stopped growing at 8 weeks. He wanted me to schedule D&C within a week. Its been 4 days. I have no spotting. I did a blood test for HCG level, but have not seen the result. What should I do? I am so lost. Thank you so much for any advice.
Fri, 12 Sep 2014
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OBGYN,  's  Response
Dear madam,I understand your concern.in my opinion if there is no fetal growth and heart beat at even 9 wks then its better we terminate the pregnancy by D&C.mostly this may be a missed abortion where in you wont have any pain or spotting and it is confirmed by ultrasound.D&C is a simple procedure and you will be ok in a day.dont worry some genetic abnormality might be the cause.relax its not that it will be repeated in further pregnancy.mostly they will be normal.just plan next pregnancy after 3 months and take folic acid from one month before planning the pregnancy.all the best.
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Should I Have A D&C If There Is No Fetal Growth And Heartbeat?

Dear madam,I understand your concern.in my opinion if there is no fetal growth and heart beat at even 9 wks then its better we terminate the pregnancy by D&C.mostly this may be a missed abortion where in you wont have any pain or spotting and it is confirmed by ultrasound.D&C is a simple procedure and you will be ok in a day.dont worry some genetic abnormality might be the cause.relax its not that it will be repeated in further pregnancy.mostly they will be normal.just plan next pregnancy after 3 months and take folic acid from one month before planning the pregnancy.all the best.