Can I Wait? Concerns About Early Pregnancy and Heartbeat Detection

I want to keep my baby?

My last menstrual period was on March 12, and my husband and I had intercourse on April 11.
I took a pregnancy test on April 16, which confirmed that I was pregnant.
At the beginning of May, I had an ultrasound, and the doctor said there was a heartbeat.
However, today, on May 19, I had another ultrasound, and the doctor said there was no heartbeat.
I went to two different clinics, and they both said the same thing.
They advised me to come back next Thursday, and if there is still no heartbeat, I would need to consider a termination.
However, I do not feel any discomfort or other symptoms.
Is there a possibility of error? I hope to keep the pregnancy.
If there is still no heartbeat next week, can I wait a little longer? Perhaps the embryo is just too small to detect the heartbeat.

Liu xia de bao bao ma ma, 20~29 year old female. Ask Date: 2005/05/19

Dr. Chen Xuhui reply Obstetrics and Gynecology

Hello, on April 16th, the pregnancy test was positive, indicating at least 4 weeks of gestation.
During the ultrasound on May 19th, it should have been at least 8 weeks, and if the fetus is normal, it should measure over 1.5 cm, with a clearly detectable heartbeat.
Both hospitals have confirmed this, so it can be trusted.
If you still wish to check for any possibility (even if the hope is very small), you can go for another ultrasound in a week.
A normal fetus should grow about 1 cm and the heartbeat should be more evident.
If there is still no heartbeat, it can only be said that there is no connection with the fetus.
Continuing to wait will only increase psychological and physiological burdens.

Reply Date: 2005/05/19

More Info

It sounds like you are going through a very challenging and emotional time regarding your early pregnancy and the concerns about the detection of a heartbeat. First and foremost, I want to acknowledge your feelings of anxiety and uncertainty; these emotions are completely normal for someone in your situation.
From what you've described, your last menstrual period was on March 12, and you had unprotected intercourse on April 11 and April 16. You received a positive pregnancy test in early May, and during your ultrasound, the doctor confirmed the presence of a heartbeat. However, during your most recent ultrasound on May 19, the doctor was unable to detect a heartbeat, which understandably raises concerns.

In early pregnancy, especially around the 6-8 week mark, it is common for some women to experience fluctuations in the detection of a heartbeat. The embryo is still very small at this stage, and there can be variations in the timing of when a heartbeat becomes detectable. Typically, a fetal heartbeat can be detected via transvaginal ultrasound as early as 6 weeks, but it may not be visible until around 7-8 weeks for some pregnancies.
Given that you have had two ultrasounds with differing results, it is important to consider a few factors. First, the absence of a heartbeat does not automatically indicate a miscarriage. There are instances where the embryo may be developing, but the heartbeat is not yet detectable due to its small size or positioning. Additionally, if the ultrasound technician or doctor is not experienced, they may miss the heartbeat, especially if the embryo is in a difficult position.

You mentioned that you are not experiencing any discomfort or other symptoms, which is a positive sign. Many women have healthy pregnancies even when faced with initial uncertainties. However, it is crucial to follow your doctor's advice regarding follow-up appointments. If your doctor has recommended another ultrasound in a week, it is likely because they want to monitor the situation closely.
While it is understandable to want to wait and see if a heartbeat appears in the next ultrasound, it is also essential to be aware of the potential outcomes. If the heartbeat is still not detected, your doctor may discuss options with you, including the possibility of a miscarriage. It is important to have open communication with your healthcare provider about your feelings and concerns. They can provide you with the necessary information and support during this time.

In the meantime, focus on self-care. Stress can have an impact on your overall well-being, so engage in activities that help you relax and keep your mind occupied. Surround yourself with supportive friends and family who can provide emotional support.
Ultimately, the decision to wait or to proceed with medical advice should be made in consultation with your healthcare provider. They can guide you based on your specific circumstances and medical history. Remember, you are not alone in this journey, and there are resources available to help you navigate through this challenging time.

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