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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Undergo Abortion For Lack Of Fetal Growth?

hello doctor my lfirst day of ast period is 12dec 2013. when i missed my period expected on 12 jan 2014 i tested and showed positive . after that from that day doctor prescribed me to take dyhyrogesterone 10mg. from last 2 day there is spotting so today ultrasound was taken and the intrauterine G.Sac 1.3cm no yolk seen no fetal pole and doctor is saying according to size this pregnancy seems to be of 4 week and and suggest to abort due to lack of growth . what should i do
Thu, 13 Feb 2014
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OBGYN,  's  Response
Hi,

Thanks for the query.

It seems that the pregnancy has not grown. We call it a missed abortion in medical terms. You should have been 8 weeks by now but the baby is only 4 weeks and there is still no evidence of the baby inside the pregnancy sac. So all the findings do suggest a missed abortion.

The only other possibility is a delayed conception that happens in women with irregular periods. Here the pregnancy occurs late as compared to the date of menstrual period as the ovulation is erratic. The best way to rule our this possibility is get a second ultrasound after 2 weeks to look for fetal growth. If the baby grows then it is a delayed conception, if there is no growth, it is definitely a missed abortion.

Sometimes while waiting for a second ultrasound, some women start to abort spontaneously and may need an emergency evacuation surgery. So this possibility must be kept in mind while deciding about the future course of treatment.

I have full sympathy with you and understand your concern. I hope this advice will help you in your decision making.

Thanks for using HCM.

Dr Madhuri Bagde
Consultant Ob Gy
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OB & GYN Specialist,  Dr. Richa Agarwal's  Response
Hi,
Thanks for writing to us.
Yes, You should consult a gynaecologist for abortion.
In your report foetal growth is not appropriate.
I think I have answered your query If you have further questions I will be happy to help you.
Good Luck.
Regards
Dr. Richa
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Should I Undergo Abortion For Lack Of Fetal Growth?

Hi, Thanks for the query. It seems that the pregnancy has not grown. We call it a missed abortion in medical terms. You should have been 8 weeks by now but the baby is only 4 weeks and there is still no evidence of the baby inside the pregnancy sac. So all the findings do suggest a missed abortion. The only other possibility is a delayed conception that happens in women with irregular periods. Here the pregnancy occurs late as compared to the date of menstrual period as the ovulation is erratic. The best way to rule our this possibility is get a second ultrasound after 2 weeks to look for fetal growth. If the baby grows then it is a delayed conception, if there is no growth, it is definitely a missed abortion. Sometimes while waiting for a second ultrasound, some women start to abort spontaneously and may need an emergency evacuation surgery. So this possibility must be kept in mind while deciding about the future course of treatment. I have full sympathy with you and understand your concern. I hope this advice will help you in your decision making. Thanks for using HCM. Dr Madhuri Bagde Consultant Ob Gy