The sonography report says there is no cardiac activity in the fetus. What should be done?

Hello,

Welcome to icliniq.com.

Thanks for the query.

Considering that your last menstrual period date, that makes you ten weeks and one day pregnant as of date today. But having gone through the latest ultrasound for a dating scan (attachments removed to protect the patient's identity) dated it shows that the mean gestational sac diameter is about 27 mm, corresponding to 7 weeks and four days with the presence of yolk sac, but no fetal cardiac activity.

This is a definitely failed pregnancy or termed as an anembryonic gestation, where the embryo is not formed at all. Ideally, by seven weeks, the crown-rump length is measurable, and a primitive fetal heartbeat is evident, but as of the date, you are already ten weeks and one day (by LMP), so it is evident that pregnancy stopped growing after seven weeks and four days.

I am afraid that you need to undergo a medical abortion by medical method for the same, or it is likely that it may be spontaneously aborted over the next few weeks.

This would be my opinion.

Thanks.

Regards.

Hello,

Welcome back to icliniq.com.

I am afraid, as I mentioned, it is an anembryonic gestation without evidence of fetal pole and gestational sac diameter at 27 mm (7 weeks only). This is a failed pregnancy and would have to be aborted. It would be better if you plan for a medical abortion rather than a surgical one, as this is your first pregnancy. Also, there is apparently no chance of it growing further. However, if you wish to be further sure, then you can get serial beta hCG levels done 48 hours apart. If there is less than a 65% rise from the first hCG level, it would further confirm a failing pregnancy. This is a blood test that measures hCG levels, to be done 48 hours apart.

Regards.