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What Should Be Done Of No Gestational Sac And Fetal Pole Found?
i have one case study of my wife having a pregnancy of near about 7 weeks 5 day when i consulted doctor every thing was fine near about 5 weeks of pregnancy she start bleeding after that one week we gone though usg and found in report that embryo is empty and no fetal pole found. Then doctor rx methrgin for utres contraction after having a dose of 3 days bd of methergin again we gone through usg to find that gsac is there or not but we find that gsac having the cardiac activity and the report is intra sac hammerage so in this condition suggest me what to do. currently she is having natural micronised progestron and folic acid.
Sat, 5 Apr 2014
Hello and welcome,
I understand the issue.
Methergin is used to produce uterine contractions. However if will not cause an abortion or complete an abortion.
The effects of methergin on the baby have not been tested. So we do not know what it will do to the baby. If the sac is having hemorrhage, there are chances of abortion. So please discuss this with your doctor and then decide. In my opinion as we do not know the effects of the drug and also there is bleeding inside the sac, the amount of fetal compromise is difficult to estimate. Most of the times if the baby has been affected it inevitably aborts.
If you want to continue the pregnancy, please continue the progesterone and folic acid. Get an anomaly scan at 20 weeks to rule out any abnormalities in the baby.
Hope this satisfies your query.
Thanks for using HCM.
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
I understand the issue.
Methergin is used to produce uterine contractions. However if will not cause an abortion or complete an abortion.
The effects of methergin on the baby have not been tested. So we do not know what it will do to the baby. If the sac is having hemorrhage, there are chances of abortion. So please discuss this with your doctor and then decide. In my opinion as we do not know the effects of the drug and also there is bleeding inside the sac, the amount of fetal compromise is difficult to estimate. Most of the times if the baby has been affected it inevitably aborts.
If you want to continue the pregnancy, please continue the progesterone and folic acid. Get an anomaly scan at 20 weeks to rule out any abnormalities in the baby.
Hope this satisfies your query.
Thanks for using HCM.
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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