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Maternal & Child Community

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miscarriage risk after you see heartbeat

by kris1, Jan 18, 2006 12:00AM
Does anyone know what the miscarriage risk is after you see heartbeat on ultrasound? I am 6 weeks pg and at 5weeks 5 days they did an ultraound and saw the hr at 120 bpm. I am just worried b/c I just had a m/c last month and got pg again before I had a period. Also, my hcg levels are really high for my weeks( 5 weeks and 5 days it was 42,000) and my Dr is sending me to maternal fteal medicine high risk Dr to see what they think about the levels. Does anyone know what they do at those appts? And what the risk of m/c is after heartbeat is seen? Thanks!
Member Comments (36)

by baby4Staci, Jan 18, 2006 12:00AM
Not to alarm you but i had my first prenatal appt on 12/23 when my baby was 8 weeks 5 days old.  the midwife gave me an ultrasound and baby looked GREAT (her words).  Baby was floating around my uterus and had a strong heart beat.  11 days later on 1/3/06 i had a routine ultrasound to check baby's EDD and I learned my baby died.  I was 10 weeks 2 days pregnant  So, word to the wise.. anything can happen at any time.  I hope you have a  healthy 9 months.. with a great strong baby.  I didnt mean to be a bummer..

by ajaball, Jan 18, 2006 12:00AM
To: kris1
My doctor told me that the risk of miscarriage after a heartbeat is seen is about 10%.

by workingmom4, Jan 18, 2006 12:00AM
I had some spotting 2 weeks ago after BD, ( im 13 weeks now) and the nurse said when i questioned her that after the heartbeat is found, your MC chances go way down....

so it is a milestone...:)  however, keep your dr. informed about all your symptoms and what is going on.  i dont know about the levels...my probs were always with premature ruptured membranes....an altogether different worry.

good luck to you and a healthy 9 mo.  ;)

by jifnif, Jan 18, 2006 12:00AM
To: workingmom4
eeek!!! you had spotting after bd???  i did too at 7wks.  no cramping or anything after that.  i dont mean to intrude on privacy, but would you go into some detail about what happened.  my dh seems to think there wasnt much blood.  i on the other hand freaked out and thought for sure it was a miscarriage.  that was 4 days ago.  i seem to be fine but would love to hear about someone else who is fine.  especially since i had m/c last time at this same time.

by fasoltmn, Jan 18, 2006 12:00AM
I'm 8 wks 4d preg. and had a transvaginal ultrasound yesterday. Since a good heartbeat was seen, my doc said that the chances for miscarriage once you've seen a heartbeat are 7%. Once you reach 10 weeks, it goes down a little more. When you reach 12 weeks, your chances of miscarriage is 1 or 2%. Good Luck!

by workingmom4, Jan 18, 2006 12:00AM
To: jifnif
it was like 2 spots, 7 hours after BD.  no cramping.  but i've never bled after bd before.  after a ferning test, but not bd.  it scared me.  i didn't tell dh.  :(  sometimes i keep everything in....not a good thing.  i hope yours was light too...let me know!

:)

by jifnif, Jan 18, 2006 12:00AM
To: workingmom4
mine was worse than that.  dh had it on him and i had it when i wiped.  some light pink spotting here and there for the next few hours.  he still thinks that it wasnt that much but i feel like it was too much.  keeping my fingers crossed, and my legs and my toes and everything that crosses.

by workingmom4, Jan 18, 2006 12:00AM
To: jifnif
when i called my nurse the next day in a panic, the first thing she asked was if my dh and i had had bd.  I was embarassed, but i was like yes, but the wierd thing was, it was early in the morning, and the spots came later that evening.  took me by surprise.  but it must be a little common, as it was the first thing out of her mouth.

by jifnif, Jan 18, 2006 12:00AM
To: workingmom4
thanks for sharing.  i dont think mine was like that.  we had blood instantly.  we opted not to have any testing done, especially since we have been through this before.  we are sitting and waiting.  best wishes for you.

by cutiemama, Jan 18, 2006 12:00AM
To: Kris
It's great that you saw a strong heart beat really early on but it is still really early. I would say if you see a really strong h/b at 9-10 weeks then your chances of m/c drop dramatically. Could you be further along than you think? The high hcg couple with such a strong h/b suggests maybe the baby's older than you think??? Or is that impossible based on your m/c dates? Usually if you're lucky enough to see a h/b at 5 weeks it's in the 90s. Best of luck and keep us posted.

by NEYLIA, Jan 18, 2006 12:00AM
To: kris1
it is really after the hearbeat is heard with a doppler that the chance of m/c gets much lower so about 10 weeks.

by AndiJ.78, Jan 18, 2006 12:00AM
All of the information I have seen says it drops to under 5% once the heartbeat has been seen/heard during the first trimester, after the 12th week, it drops to less than 3%. While it can and does happen, it is very rare. I knwo it never helps when someone tells you to relax, but try to. Stress isn't good for you or baby ; )



Andi

by MelissaK, Jan 19, 2006 12:00AM
My HCG was off the charts too at 5w3d (24,000).  Doc stopped checking HCG because there is a conditionout there that is not common that can cause some women to have elevated HCG.  You're so lucky they saw a HB at 5w, they did not see one for me and my scan is scheduled for 7w5d... so we'll see.

by lisahope, Jan 20, 2006 12:00AM
6wks, 1day, not sure if little one is still there.  Have had bleeding.  I had a vaginal u/s on tues.  They saw the heartbeat but said it was weak and slow.  I called back to get the reading of bpm and they said their machine was not sophisticated enough.  (again ladies in the office, making me very livid again).  This was a fertility spec. office I was at that cost us $370.00, because med insur. would not cover it.  It gave me chills to read about the percentage dropping after hearing the heartbeat, but I have very low hcg levels also.  Still hoping and praying for all of us:)

by Yin, Jan 22, 2006 12:00AM
It is hard to be positive even when you see a heartbeat because of course things acn go wrong at any stage. But it is more encouraging than not seeing one.  I am 6wks and have had some bleeding a scan showed a strong hb but after 2 m/c I daren't get my hopes up. sorry if i sound negative i suppose outlooks are usually based on previous experience. if youve had positive exp then you will be pos and vice versa. good luck to you allxx

by fasoltmn, Feb 06, 2006 12:00AM
I had an ultrasound at 5 wks, 6 days and the baby had a 106 bpm. Because I've miscarried in the past, my doc also nice enough to give me another transvag us at 8wks, 3 days for my peace of mind. I just heard the heartbeat (doppler) today at 11wks, 2 days and everything is great! My doc said that if you see a heartbeat and it's strong, you have a 93% chance that you won't miscarry.

by chelebelle, Feb 16, 2006 12:00AM
Hi. Here is my history.....My DH and I have been trying to have a baby since Nov, 2002. I got preg for the 1st time in May, 2004 after SEVERAL rounds of clomid and miscarried at 6 weeks. I continued on Clomid and got preg the 2nd time in Oct, 2004 and miscarried at 5 weeks. I had a D&C in Jan, 2005 because Dr. thought he saw polyps on my HSG test. There was nothing....had a D&C for nothing. He increased my Clomid to 150mg Days 3-7. I got preg in Aug, 2005 and miscarried at 6 weeks again. This time he started me on PRogesterone Supps and low dose aspirin but they didn't seem to help. Got pregnant again in Oct, 2005 and miscarried at 7 weeks and saw nothing in the uterus at my 7 week US. Dr thought it was ectopic and wanted me to take methotrexate shot to abort pregnancy. Miscarried on my own the day before I was scheduled to take the injection at 7-1/2 weeks. In December, we had an accident because I was supposed to be seeing a fert specialist around the 1st of Feb and I got pregnant without any medication. On Jan 17th when my cycle was late I got a BFP on a home test and called the Dr right away to have my blood work done. My hcg was 76.5 and progesterone was 12. He right away told me to use 2 50mg prog supps a day. A week later my progesterone had dropped to 8.8. He then started me on PRogesterone in Oil injections (once/day) and Lovenox injections (once/day). We saw the baby and the fluttering heartbeat last Wednesday, Feb 8th and were so excited and thought this was it after 5 unexplained m/cs we finally did it. We just had a 2nd US yesterday Wed, Feb 15th and the Dr couldn't find anything in my uterus but only looked via transvaginal US for a few seconds and right away said he thought it was another m/c. Has anyone ever seen a heartbeat one week and then a week later saw nothing? I have no cramps, or bleeding and have had no bleeding since my last period. I don't know what to think anymore. I am hoping that he was not thorough in his US yesterday because our appt was so late in the day.....Is there still hope? Please respond! I am on pins and needles worrying about this one. This would be my first baby and 6th pregnancy since May of 2004.  I am currently 8 weeks, 5 days.  1st US was done 7 weeks, 4 days and 2nd US was done 8 weeks, 4 days.  LMP was Dec 17th.

by clarabear, Feb 19, 2006 12:00AM
oh.  I( read the last post and I feel dreadful for you.  It's a difficult time.  I cannot answer your specific question, except to say that I'm so sorry, it is unlikely that your baby is still alive, but it could happen.  I am assuming that by tans-vag ultrasound, you mean one of those lo-res portable machines.  When you are deciding if you can trust your doctors assessment, you might consider the following.  I was once told at an early pregnancy assessment clinic at 10 weeks that on portable ultrasound and signs that I appeared to by 10 weeks pregnant with a single healthy foetus, and that I shouldn;t be alarmed that the small machine hadn't picked up a heartbeat.  I was referred for a full U/S the same morning, which found that the baby had died many weeks previous.  Basically, the portable ultrasound does not provide a definative answer.    I had a miscarriage specialist for my last pregnancy and I found that helped tremendously.  He was someone who believed in running tests and finding reasons, most imprtantly I trusted him.  If your doctor is not someone that you trust, they are not the person to be doing this with.  It is probably worth asking around for a miscarriage management clinic or specialist doctor - there are also some good books out there (try amazon), but they are unlikely to be completely up to date as treatments have come and gone in fads.  Giving progesterone shots is - as far as I know - out of fashion unless there is a specific condition being treated.  My thoughts are really with you and I hope you have a lot of support.  In answer to an earlier question, my specialist felt that the chance of miscarriage was below 2% if a heartbeat was demonstrated at 10 weeks.  By this stage, the chance of miscarriage due to foetal genetic problems is low, because much of the developement is complete.  Obviously, foetal heatbeat doesn't reduce the (small) chance of miscarrriage due to maternal factors.  My 10 wk U/S is nextr week, and I have stopped sleeping.  I'm a wreck, but hanging in there.

by merri23, Feb 22, 2006 12:00AM
To: chelebelle
HI read your comment and I wanted to say that I think you need to see a Reproductive Endocrinologist.  I have used the SIRM Institute and they are wonderful.  I don't know what area you are from but they have locations on the East and West Coast.  If you go to www.haveababy.com you can post a question on the discussion board and a doctor will answer your question.  They are wonderful and they do an incredible job of finding out the problems you may be having.  I would check out their website and maybe ask a question on their boards.

by chelebelle, Feb 23, 2006 12:00AM
We had our 3rd sono yesterday and there was a sac but no embryo and no heartbeat.  I stopped my injections and am waiting to m/c on my own.

by merri23, Feb 23, 2006 12:00AM
I am so sorry to hear about your loss.  Those progesteron injections are rough, though.  I've been doing them for 5 weeks now and I can barely walk.  When you feel healed emotionally and physically I really hope you find a good dr. who can help you.  Again I really recommend the SIRM Institute.  My prayers are with you.

by Nashy, Jul 18, 2007 05:06AM
To: nattu
had two miscarriages . first one on 15 May 2006 at 6 weeks. second one in 28 April 2007 at 13 weeks. got preg with clomid. have access wight due to plycistic ovaries. very depressed. does nay one know a good doc in india or srilanka?thanks

by Clare1981, Jul 19, 2007 07:11AM
To: All
Hi there, Ive had some light brown bleeding for 2 days now, nothing much, just when I wipe (Sorry if tmi)

Well today I went for a scan - they found a heartbeat and baby measured perfect for my days, 6 weeks and 4 days,  she said the yolk sac was smooth which meant that it wasnt damaged in any way...

So what are my chances? Any ideas? Ive had 3 previous miscarriages and have had a healthy baby since then. I had a good feeling about this one, lots of symptoms etc... and just a general good feeling!!

by meganleigh_mae, Jul 27, 2007 12:39PM
I went for an ultrasound Tuesday July 24th, 2007 and had a strong heartrate of 171bpm. My doctor told me at a previous appointment that I would of been 9 weeks 3 days but the ultrasound showed that the baby measured to be around 8 weeks 5 days. I've been worrying myself sick about this pregnancy because this is my first and I'm not sure what to expect. I've had some pretty bad "cramping" in the past few weeks but not like a menstrual cramp, I haven't has any bleeding except for the occasional spooting early on but I'm worrying myself sick thinking that I'll have a miscarriage. I find myself on the computer quite often trying to find anyone out there is having the same or similar problems so I thought I'd post a comment and see if i got any results. Thanks for reading. Megan

by lynne1276, Jul 27, 2007 02:23PM
Its normal to be a few days off.  Your only 5 days behind.  Cramping is normal.  I spotted and cramped with this pregnancy till 10 weeks.  I'm getting ready to meet him soon.  Once you see the h/b your chances do decrease.  Don't worry until you have a reason to.  

by Lily5884, Sep 12, 2007 12:47AM
I'm about 13 weeks 2 days previously had a m/c 1 Aug last year at 12 weeks 3 days (suspected blighted ovum). So obviously I am stressing still.......terrified that my appt next week to find the heartbeat etc will tell me my baby has died or that I have another blighted ovum. Does anybody know the chances of this happening at my stage? Would I have miscarried by now? No spotting, cramps (except mild backache etc). Pregnancy symptoms still strong.

by stac19, Sep 12, 2007 08:26PM
To: kris1
miscarriage risk after seeing heartbeat is 5% and 1% after you have finished the first trimester. Maternal-fetal medicine doctors specialize in pregnancy complications, maternal medical or genetic hx, and fetal abnormailites.

by #1 girl, Sep 12, 2007 08:35PM

by ILUVHORSES, Sep 19, 2007 12:41PM
Hi everyone, I am 9 weeks pregnant to the day and in my 7th week i had an ultrasound which showed a heartbeat of 158. They say that the baby looks good and it measured exactly what it should have. The only thing is that since about 4 weeks in I have had spotting off an on about once or twice a week of brown/pink bd. We could the spot on the ultrasound. I wonder if someone could let me know if this is normal? The spotting has me freaked beacuse they put me on modified bed rest because of it. This is my first pregnancy and I really hope that everything will be okay. Is 158 a good heart rate for my 7 week 4 day ultrasound?

by Fxybrn2, Feb 15, 2008 01:20PM
To: Iluvhorses
I had miscarriage at 6wks in Dec 15, 2007 did not see heartbeat. Pregnant again Jan 2, 2008 with no period. I am 6 wks 2 days, went to doctor yesterday and saw heartbeat. Doctor has me on prometrium 200 mg due to low progesterone. Back in Dec my progesterone was at 5, was on prometrium but started taking it too late and pregnancy failed. With this pregnancy progesterone level was 18 initially before dr put me back on prometrium. However, 2 weeks after taking prometrium I started spotting between brown and pink blood, nothing heavy, but been consistent for past week. Dr. said cervix was closed and all test results came back favorable. Dr said don't have exact explanation for breakthrough bleeding but as long as it is not fresh bright red blood followed by cramping and clotting then not much to worry about, but will keep watch to make sure. I am schedule for another U/S on next 2/21 and 2/26. Will keep you posted and keep you in prayer

by diddles11, Apr 29, 2008 09:36PM
i got pregnant of june last year and had a miscarriage at 7 weeks. I tried to get pregnant for a while and then my doctor put me on clomid. the 1st two months i didnt get pg even though the 2nd month i did ovulate. i just took  a test three days ago and got an immediate positive and i wasn't due for my period until the next day. i took 4 pregnancy tests over the course of 2 days and each line was darker. could this indicate a strong pregnancy?

by Karmah, Nov 28, 2008 09:58PM
i am seeing a high risk doctor they moniter you a lot im on blood thinners so i have to go alot. im 4 weeks still no bby heart beat and i was spotting a few days ago then it stopped but i kep getting cramps like its that time of the month and some days its bad so just wondering if any one has advice first baby for us and i had a misscarriage before but i never made it this far and im scared to lose the baby we tried for 2 years and nothing till now

by lucky12304, Mar 02, 2009 03:31PM
I saw my baby's heartbeat for the first time at 7.5 weeks but the baby was only measuring 6 weeks, which worried me, but my doctor said the measurements weren't always precise. Then a week later on a Thursday, I started spotting...it was light at first with some cramping. I went to the emergency room where the doctor said everything looked fine - the baby's heartbeat was still strong and I should stay on bed rest through the weekend...so I did.

But I never really stopped bleeding...Then on Sunday the bleeding got worse and I went back to the ER where the doctor said the baby was STILL doing great and that it could go either way. He'd seen women bleed for weeks and go on to deliver healthy babies and he'd also seen women miscarry after bleeding so much. All I could do was wait...

By Tuesday when things weren't better I knew losing the baby was inevitable. It happened Tuesday night after a lot of cramping and pain. Fortunately, I was able to take the tissue in for genetic testing which was a godsend...two weeks later we found out that the baby was a girl...but she had an extra set of chromosomes due to a problem with the egg splitting at conception or due to two sperm fertilizing the egg at the same time (very rare). She would never have lived past being born -- we felt a HUGE relief knowing that even though she had a strong heartbeat up until the end, my body or god knew that she wouldn't make it on the outside. It was a blessing it happened at 10 weeks and not later in the pregnancy.

I thought for sure the fact that she had a heartbeat until the end meant that it was something that was wrong with me....but when in reality it was her. I'm now pregnant again (almost 12 weeks) and I have a ton of anxiety about losing the baby. But so far so good and what gives me strength is knowing that most of the time miscarriage happens because the baby is not viable. Good luck to everyone - lots of baby dust :-)

by LosingBabyHopes, Mar 05, 2009 11:29AM
I had two miscariages last year, both at about 6 1/2 weeks.  It was very difficult, but my dh and I decided to try again at the beginning of this year and we got pregnant in one try in January.  Mr Dr. put me on Progesterone (Premetrium) right at 4 weeks.  We had our first u/s at 6 weeks and were so thrilled to see a heartbeat!  We had never made it that far before and we really felt that it was a sign that everything woud be OK this time.  I had a 2nd u/s today and the baby had stopped developing, no heartbeat.  I am devestated and do not understand how this can happen a 3rd time.  We have both been tested extensively and they have found nothing wrong.  I just don't get this.  It does not seem fair.  And now I have to decide about a d&c, I can't even think straight.  My Dr. gave me valium.  I just want to escape all of this.  And I am realising that I may never have a baby and I do not undertand why.  I was so scared to get my hopes up this time, but that heartbeat seemed to be a good sign.  Now I have to tell everyone what happened - again!  I feel like such a failure and this is the hardest thing I have ever gone through.  Thank you to all of you for listenning to my story.
Lori

by Nola1118, Jun 15, 2009 05:17PM
I had a sono at 13 1/2 weeks and saw a strong heartbeat. 4 weeks later at 17 weeks I found out my son had died at 16 weeks 6 days. So, it can always happen and you might not know it. I had my labor induced and had to go through a full L/D. I don't mean to be a downer, but if I have learned ANYTHING in this terrible process it is that you have to appreciate every MINUTE that you are pregnant because it can end at any time. (Just a side not I had had 2 completely normal pregnancies before that).
I am currently 13 weeks now, and I will not relax until I have this baby home in a car seat.

by oneontheway4, Jun 25, 2009 12:47PM
I am now 11 w and 2 days pregnant, and already have a long story. At 9 weeks 2 days i was at a town event and started bleeding, bleeding so much that by the time i got to the hospital my pants were soaked in blood, i thought for sure the baby was gone. I had had 2 previous sonos at 5 weeks and again at 7 that both showed some kind of a fetal HB obviously with the one at 7 weeks better than the one at 5 weeks. Then again a sono at 9 weeks showed the HB again at a whole 180 and my hormone levels very high at 109,000. My cervix was still closed and what they found is a subchorionic hemhorrage and placenta previa. I have been of the sports off the sex and off anything strenuous for two weeks now with no bleeding and still pregnant as far as i know. So i do believe anything can happen and anything is possible. I have lost a previous baby at 11 weeks when i went in for a routine sono. I had had a previous sono at 7 weeks with a heartbeat and then the 11 week sono showed that the baby had died but my body wasnt expelling it!! so i had to have a D/C for fetal demise, but that was years ago before my second and third children were born, keep your head up!!!
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