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Why is there no heartbeat detected during the eight-week pregnancy scan?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 23 years old and have mild PCOD. I got pregnant with the help of medications. Currently, I am not taking any medications. I was taking Duphaston and folic acid tablets. At six weeks, I had slight bleeding (two spots). Everything was normal in the scan taken at that time. At the eight-week scan, there was no cardiac activity or heartbeat sound. But the doctor informed me that there was an artery and vein sound and should repeat the scan after 10 to 15 days. Is my baby fine?

Kindly help.

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Thank you for your query.

I understand your concern. It could be a missed miscarriage.

If a person has polycystic ovarian syndrome (PCOS) and irregular menstruation, the cycle dates may not match the dates of the ultrasound. Thus the calculation of the expected date of delivery through ultrasound is better to manage the patient. If it is not a healthy pregnancy you may get symptoms such as bleeding, abdominal pain, or passage of clots. Kindly follow up with the scan report and details of your cycles, previous surgical, medical, and gynecological history, and the medications that were taken for conception. The treatment plan depends on the scan report and findings.

I suggest you to follow a few instructions mentioned below.

  1. Rescan after two weeks to check for a healthy pregnancy.
  2. Report to the hospital immediately if you experience symptoms such as bleeding, low blood pressure, dizziness, or fainting.
  3. Follow-up after two weeks.

I hope this has helped you. Thank you.

Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At December 6, 2022
Reviewed At July 5, 2023

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

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