Possible Fetal Heartbeat Concerns: What To Do After ER Ultrasound

Question
am 11 weeks now its been one week and a half i went to the ER for vaginal bleeding. they did an ultra sound and vaginal too. they couldn't find no heart beat on the fetus and the fetus is at 8 weeks that last time i went. i haven't have no symptoms of miscarge. is there a chance my baby is still a live? my next regular appt. is on the 26 should i wait till that day or do a check up? friends tell me that some times you cant hear a heart beat till a couple months later? should i keep taking my prenatal vitamins? please help answer my questions
thank you

Answer
Dear Cindy

Usually the difference between the period of amenorrhea and ultrasound estimation of the pregnancy's age does not exceed few days in the first 12 weeks of pregnancy. When u had your ultrasound almost 10 days ago, it showed 8 weeks fetus although u had 9 and half weeks amenorrhea. This with vaginal bleeding, especially if the blood looked dark and not fresh, and absent heart beats is not reassuring. However, it is important to keep in mind that exceptions do exist and that is why a final diagnosis cannot be made except after a repeat ultrasound usually between 1-2 weeks from the first ultrasound.

There is no harm of prenatal vitamins and you can continue them until a final diagnosis is made.

Good Luck