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6W1D fetal pole seen but no heart beat
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6W1D fetal pole seen but no heart beat

Hi ,

My wife is now 6 weeks 1 day in her pregnanacy .

We went for an early scan as our previous pregnancy is lost.

  The report of scan is :
  
  1) Gastenational Sac size of 1.8 cm which corresponds to 6 weeks 1 day
  2) Yolk Sac not seen
  3) Fetal Pole seen
  4) No cardiac activity
  5) CRL of 0.43 cm which is 6 weeks 1 day

We are so worried and the doctor asked us to come on in a weeks time for another scan

It is really difficult for us and we are praying god to have good baby this time

My doubt is :
1) When will yolk sac not seen and Fetal pole seen . Generally yolk sac is seen first and then the fetal pole . But our case is reverse which is worrying.
2) When is fetal cardiac activity seen .

Only positive at this time is fetal pole is seen at least and no other major problems like bleeding , pain for her.

Can any one give us some clue on our case and anyone faced such situation like us before.

Regards
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Avatar_n_tn
The test was done through vaginal scaning.

we are so worried by reading all the stuff in internet
1) Blighted Ovum when no yolk sac seen but scan is able to see a fetal pole . confused here
2) hearbeat not seen ?

We are worried and not havng proper sleep and thinking thinking.
we have another U/S next week . we have to wait till that time ?
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1428239_tn?1333460653
A blighted ovum is when there is a gestational sac with no yolk sac and no fetal pole.  Generally oblong shaped.  no heart beat.   They will not diagnosed a blighted ovum until  after 8 weeks.

What did your doctor say at this point about it?

the HCG beta blood test is the other options.  Remember, her HCG level would be expected to double in 48 hours.  So if her doctor is willing to test her tomorrow, she could go back for the 2nd test Monday and that would give a clearer indiction.  They may do that after her second scan..  But whatever you do, make sure you get her HCg tested  and then tested again in 48 hours before any conclusions are drawn.  
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Avatar_n_tn
No HCG Test is done yet we have to go and make it .
Doctor asked us to wait for one more weak to test the Ultrasound scan.

Is it possible to have a fetal pole with no yolk sac.

generally when i researched i came to know that yolk sac is first and then the fetal pole .
But in our case fetal pole is visualized which is 6w1d which is again matching to the gastenational sac size 1.78 cm ( 6w1d)
  
I tried finding about no yolk sac but fetal pole in net but no much information available as many people didnt face this problem ?

Our first pregnancy was a miscarriage at 12 weeks as the baby is having spinal deformity and cystic hygroma.

we are very worried now with this second pregnancy .

Does any one faced this kind of issue please let us know.

Thanks ,

Regards,
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1428239_tn?1333460653
As I said on the other thread, it is not uncommn for the heartbeat to not be found at this stage but I wasnt sure what it meant about the no yolk sac.

Just doing some reading up on what they expect in early scans and found
Failure to identify (with transvaginal ultrasound) a yolk sac when the gestational sac has grown to 12 mm is also usually indicative of a failed pregnancy.

12MM = 1.2Cm

Sometimes, with normal pregnancies, the fetal heartbeat is not visible until a fetal pole of up to 4 mm in length is seen. Failure to identify fetal cardiac activity in a fetus whose overall length is greater than 4 mm is an ominous sign.

A missed abortion is an abnormal pregnancy that is destined to miscarry. About one in five early pregnancies will not survive. These will grow for a while, with HCG in the urine and serum, but eventually will stop growing normally, and then will stop growing at all. Most of these (two-thirds) will have abnormal chromosomes. Evidence of a missed abortion using high-resolution transvaginal scanning includes:

Absence of any growth of the gestational sac or fetal pole over a 5-day period of observation.

Absence of a visible fetal heartbeat when the CRL is greater than 5 mm.

Gestational sac larger than 12 mm mean diameter without visual evidence of a yolk sac.

Yolk sac larger than 6 mm diameter

Yolk sac that is abnormally shaped or echogenic (sono dense rather than the normal sono lucent).

Loss of fetal cardiac activity that was previously seen.



i got this from a miltary OBGYN training site.  I hope everything turns out to be okay.

In early pregnancy, it can go either way.   They can easily miss something that they dont think is there....  The fetal pole and sac are measuring right so that is a positive sign.  The next steps woudl be to get the HCG lvl tested and have the 2nd scan.  
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Avatar_n_tn
But will there be a fetal pole with out yolk sac ?
If so what does it mean ?

Thanks Petite.
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1428239_tn?1333460653
I searched several sites trying to find something that about no yolk sac with a fetal pole and couldnt find any..  I am hoping they maybe just missed the yolk sac or had a hard time identifying it.  It is a weird situation.  I would have hope you would have gotten more responses by now but it does seem to be a more unique situation.  More people mgiht response come morning.  I hope everything works out for you and your wife.

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Avatar_n_tn
Thanks Petite.
Yes it is unique situation as no information found in net regarding " No yolk sac found but fetal Pole "
Hope everything goes fine .
But it is really tough time to wait till next week and thinking on all posibilites.
Thanks once again for your responses.
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945369_tn?1320833037
hi, it is very common to see only the fetal pole and no heartbeat this early. I went in a 5wk2d and saw the fetal pole but no heartbeat. I went back at 7wks and heard the heartbeat.
I was told by the doctor that until 12 weeks, the yolk sac is responsible for producing progesterone to sustain the pregnancy. After 12 weeks, progesterone is produced by placenta and the yolk sac dissappears.

It is possible that they missed the yolk sac. Since you saw the fetal pole, it would be best to have a scan after 1 week to look for heartbeat, but it should be a transvaginal(internal scan).
One thing which I would suggest is.. do call your doctor and ask him about the possibility of having a low progesterone since the yolk sac was not seen.
In my case, the doctor put me on 400 mg of progesterone supplements for vaginal use.
It was discontinued after 12 weeks were over.
A lot depends on how much rest is taken by the mother and how relaxed she is. Do make her comfortable and ask her to rest and sleep as much as she can.

In my 5wk2d scan I was told the sac measured only 4wk3d ( 6 days behind). My doctor put me on complete rest saying the more rested I am, the chances are that the baby's growth is better. In my 12 wk scan, I measured 11wk6d, only 1 day behind, which was such a relief.
Good Luck!
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945369_tn?1320833037
oops, there is a slight error in my post above.. When i went for scan at 5wk2d, there was only gestational sac, and yolk sac and NO fetal pole and NO heartbeat, and the measurements said 4wk3d.
By 7wk0d scan, fetal pole of .5cm and heartbeat was heard, and I measured 6wk2d, so the baby's growth picked up when I rested.
Good Luck, keep us posted.
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Avatar_n_tn
Thanks for the support.
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Avatar_n_tn
Hi,


We went in today for another ultra sound.
Still th e baby looks 6w1d as of last week . No improvement in the baby and no heartbeat.
But this time yolk sac was seen and doctor asked us to wait for one more week if we can see the heartbeat otherwise she recommend for an abortion.

Hope something with heartbeat will be seen next week as yolk sac was seen this week.
Praying God.
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Avatar_n_tn
Hello everyone,

   Any one faced such kind of situation or any idea or experience on what can happen . Is it still possible we can hear heartbeat next week or not .

Thanks in advance,
Kishore.
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1428239_tn?1333460653
The fact that they did not see any growth between your last ultrasound and this one is not a good sign...  

Have they tested her HCG levels?  If so, are they doubling every 48--72 hours..

If they are doubling, then I would say that there is still some hope that there will be some growth.

I wish you best next week with your ultrasound. Hoping there is positive results

Im so sorry you are going through this
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Avatar_n_tn
This is actually second time in a year we are facing such issues.
1) Last december my wife had to go for an abortion at 12 weeks time because the baby is having cystic hygroma and spinal deformity .
2) This time baby not growing at 6 weeks time .
We dont know why we are having such problems but it is very heard to belive it is happening always . We really want a baby and it is not happening some how .

What can we do not to happen such type of issues . Unfortunately there is nothing science or technology can do at this early stage to save a baby .
Is there any thing friends we can do something in the first Initial days or before conception  not to get into problems.
Why is it happening for me and my wife is there is any problems with us which we can solve through medication/

Regards,
Kishore.
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Avatar_n_tn
Hi All,

  Can anyone here know can we prevent these type of issues in a baby .

   Me and my wife both did Karyotyping as well . Which is normal .

  But doctors are saying there can be chromosomal abnormalitles while forming the baby .
How we can prevent them ?

Regards,
Kishore.
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945369_tn?1320833037
Hi Kishore, Sorry to hear you both are going through this. Yes it is better to wait another week, sometimes the heartbeat is not picked up until the 8th week. Miscarriage in 1st trimester do happen.. I too had the same thing happen to me in my last pregnancy. I was also told there may have been chromosomal abnormality due to which baby did not develop.
I now got pregnant again and I have entered the second trimester and baby is doing fine thankfully...
What I did do differently was to exercise regularly, eat healthy, I took vitamin B-complex with Vitamin c regularly.
I also took homeopathic agnus castus (vitex) supplement to have a healthy ovulation.. sometime the egg quality is not good enough to develop a healthy embryo.. Vitex is to be taken upto 14th day of menstrual cycle and discontinued until next cycle starts.
Along with that, my husband also took Himalaya supplements for men, called Tentex-Forte and Speman. We had to take these supplements for about 2 months and got pregnant.
Do have faith in God, you would find a lot women on this forum who suffered multiple losses and then went on to have a healthy pregnancy finally.  God bless you both!

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Thanks yaar.

Everything happens for a reason . Lets hope something good is waiting for us in future.
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1330108_tn?1333680904
If it is chromosomal abnormalities it could be a random fluke (random genetic mutation) or it could be that one or both of you have a genetic mutation that is being passed along. I would suggest folic acid (vitamin) possibly the highest amount possible based on scientific studies of what's safe. Or there is a possibility that you could try IVF where they can use the "healthy" eggs and sperm or if one of you have a genetic issue and the other is fine you can try donor sperm and do IUI (insemination) or IVF (invetro fertilization).

I'm so sorry that you have had to go through such heartache. I know my husband and I were devastated after experiencing a miscarriage at 6wks pregnant. It then took us 34 months to get pregnant again and we truly see the blessing in pregnancy and appreciate it in a way that we never could before. I am now 29 weeks pregnant.

I wish you and your wife the best of luck. I hope that you are able to have your baby soon. Also keep in mind that adoption is a BEAUTIFUL thing. There are so many children and babies out there who would give anything for a loving home and someone to call mommy and daddy.
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Avatar_n_tn
Hi ,

Thanks for the Support.
Best of luck for you in your pregnanacy .

Yes this time we want to go for all tests and if there is any problem with my sprems or with her egg we will go for IVF.

Regards,
Kishore.
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Avatar_n_tn
Hi All,


  We went for an another doctor visit yesterday on second opinion.

  She said she is able to see a little heartbeat . She said still there is a chance and hope and she has given one
   1) ONE HCG Injection to my wife
   2) Progrosterone Tablets
   3) Ecosprin tablets

Is these tablets good in Initial weeks.

We are totally confused now . This doctor has not given any scan reports but she told orally that there is a little fetal movement and said it could be little heartbeat.

Guys what can i do now ?
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945369_tn?1320833037
hi, thats really good news! progesterone supplements are safe and helpful for the pregnancy.
ecosprin must be a low dose asprin, it keeps the blood thin and avoids miscarriages which happen due to blood clotting and insufficient blood supply to fetus.
Please take the medication and on your next visit, your doctor should be able to tell you the fetal heart rate as well. All the best!
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1326003_tn?1321663008
Hey, that sounds like some good news, take it easy, and good luck to you both!
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Avatar_n_tn
Thanks Yaar .

As i said earlier whatever happens is for a reason .Lets hope all the things will go best.Praying god and confused with all these doctors and their reports.
I am from India and from bangalore.Doctors are really becoming money minded.

Regards,
Kishore.
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Avatar_n_tn
Hi All,

Its all bad news for us .
we went to the scan again on last friday . Still there is no heartbeat and the fetal size also when compared to last scan become lesser.
The doctor said baby is not growing in fact died .

  So doctor has given the tablets for abortion.

My wife started using them and all over now.

Its second time for us .
We will try third time and rest all is in gods hand when to give us a Kid.

After how many months we can start trying again and any precautions we can take this time.

Regards,
Kishore.
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