July 02, 2015
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Q: I couldn't hear baby's heartbeat and I'm exactly 7 weeks. This is my second baby, and I'm very concerned I'm going to miscarry. I've had no bleeding or spotting or cramping.

A: First of all, you should have a second ultrasound to confirm the initial findings of both no heartbeat and correct measurements. You also need to make sure the crown-rump length measurement is consistent with 7 weeks. If it is closer to 5 to 6 weeks, then not seeing a heartbeat is totally different. If you are measuring 6 weeks or less, then you just need to wait a week and recheck that the baby has grown and a heartbeat can be seen. If your measurements are consistent with 7 weeks and there is no heartbeat on two separate ultrasounds, then this is a miscarriage (it is a first-trimester demise) and you and your OB can choose one of three options: 1. Wait for a natural miscarriage 2. Take cytotec to hasten the miscarriage 3. Perform a D&C. I will be hoping for good news for you and hope that it is just wrong dates!!!!

Answered by Dr. Marra Francis

Comments (4)

Anonymous
October 17, 2020
Maam recently i lost my first baby on 4june 2020 and again i am pregrant. i am 7 weeks and 3days pregrant on 15 oct 2020 and my untrasound report says that there is no heartbeat of the baby my dr told me to go for the second ultrasound on 30 oct 2020 to confirm it. Kindly suggest me about this regard. What to do?
Anonymous
February 18, 2020
I did the D&C 😔
Anonymous
February 12, 2020
O
Anonymous
February 12, 2020
This happened to me, on my first ultrasound they saw fainting heartbeat and I was like 6 weeks, I had a second ultrasound and I was supposed to be 7 weeks but the embryo didn’t grow and there was no heartbeat 😕 I’m going to miscarriage, I have to choose one of the 3 options . Which one you recommend Dr Mara Francis?