QuestionCurrently I am 10 wks 3 days pregnant. I had an ultra sound done at 6 wks 3 days pregnant and a heartbeat was clearly visible through a transvaginal ultra sound. I returned at 9 wks 4 days pregnant, and the RN could not detect a heartbeat through the transvaginal ultra sound but the fetus measured the correct size, so she thinks it must have just stopped beating the day or so before. I had a second ultrasound done through radiology that same day and still there was no heartbeat detected. My question is, should I be rushing to have a d & c performed (they have schedule me for this week). I am having second thoughts. I have had one miscarriage over 10 years ago, which I did not need a d & c and I was about 8 wks pregnant. I then got pregnant and gave birth to a normal boy the following year. I am really hesistant due to the fact that the baby was the correct size it should be and I also have a very tilted uterus (could that possible play a role?) Should I wait it out and see if there are any changes or just go forward with it?
AnswerDear Sarah,
If two separate T-V ultrasounds did not find a heart beat, unfortunately it likely isn't there to be found at this point.
The standard is to perform the D & C. This would ensure that the uterus would be completely emptied to avoid any chance of infection, etc,.. If you did not have the D & C, you would miscarry on your own, however this can be a difficult experience and the chance of the uterus not completely emptying is greater. The tilted uterus would likely increase this risk.
If you are concerned that there may be a viable fetus there and are worried about doing a D & C in that case, ask about checking for a heartbeat again right before it is done - just to ease your mind. They should understand.
I hope this information has helped you and answered your question. It's a hard one - I wish you well and send you a hug of strength.
Brenda
