Blighted Ovum at 9 Weeks: Decision-Making & Options - Expert Advice

Question
Hi all..i would like to ask your honest opinion in my case...i would love to hear you cause we're on the mid crisis of going or not going to have a dnc...my pregnancy resulted as blighted ovum....please help me to enlighten our mind as to what are we suppose to do or decide.....i'm 41 y/o and already a 3 time mom....my youngest is 10...i am 9 weeks pregnant by my Lmp which is july 11, 2011...my First visit to my dr,aug 27,2011 she immediately do my first transv u/s...and saw only a gestational sac age of 6w2d...impression: (-) subchorionic hemorrhage.cervix long and close......dr said it might be a blighted ovum, and scheduled me to have a follow up u/s after 2 weeks...last sat sept 10 my 2nd u/s showed another gestational sac and nothing more...and same impression...dr said if i want to have another u/s by 2nd opinion to other dr, i may do so......today sept 12, 2011...i went to have a second opinion and my 3rd u/s revealed these things:
"Within a gravid uterus is a single gestational sac with good trophoblastic reaction. within it is a single embryo with a crown-rump-length of 1.12 cm, this is equivalent to 7 weeks 2 days of gestation. yolk sac is intact, No fetal cardiac rate note at this time of examination. Minimal subchorionic hemorrhage is seen. cervix is closed and measures
2.97 x 3.03 x 2.37 cm. No free fluid is noted in the posterior cul de sac.
IMPRESSION :  single early intrauterine pregnancy with gestational age of 7w2d based on crown rump length measurement. However no fetal cardiac activity detected. suggest follow-up study after 2-3 weeks to determine viability. subchorionic hemorrhage. ultrasound edc = april 28, 2012. closed cervix."

please find time to answer my condition....i have no cramping nor bleeding....just a normal pregnancy, craving for foods,breast sores, always sleepy, and easily get tired....no vomiting or morning sickness...pls help...thank you and God bless your heart...

Answer
Dear Sally

Although the situation looks a bit complicated, I would wait for 1-2 weeks (no more)as a maximum to have a repeat ultrasound to take a final decision. A vaginal ultrasound should be able to visualize cardiac activity; if present, better than abdominal ultrasound.

During this 1-2 weeks you should be careful if you felt that you bleed easily from different orifices such as bleeding from nose or rectum.

Good Luck