Question 1

I'm really worried about my wife's scan; it was supposed to show a heartbeat at eight weeks, but there was nothing. We've already been through a miscarriage in 2019 and tried IUI and IVF in 2020 without success, along with fibroid removal surgery last December. She got pregnant naturally this time, but now there's no heartbeat. The report says the gestational sac has regular margins and a large yolk sac, but the fetal pole is there with no cardiac activity. It mentions a mean sac measurement around 19.73 and biometry CRL at 7.8 mm, with a single intrauterine nonviable gestation estimated at 6 weeks 5 days, and multiple uterine fibroids. I'm really anxious about whether there's any hope or if this is a miscarriage. Could you help us understand the situation better?

Accepted Answer

okk well and

Question 2

I'm a bit confused and hoping you can help. My wife is 16 weeks pregnant now and her first trimester scan at 8 weeks showed a normal single live intrauterine pregnancy. She's currently staying at her mom's and we're trying to figure out by when she should have the second trimester anomaly scan. We want to plan her return and schedule it properly. Also, with all the talk about the outdated MTP Act in our country, we just want to be on the safer side in case any serious complications arise. Could you advise on this?

Accepted Answer

The Anomaly scan (second trimester scan) is typically performed between 18-22 weeks of gestation, so your wife should plan to return and schedule the scan around 18-20 weeks, i.e., within the next 2-4 weeks.

Question 3

I'm a bit concerned because I took mifepristone and then 24 hours later, I followed it up with 4 tablets of misoprostol, just like my gynaecologist told me to. But I've only had a bit of spotting for a little while and then no bleeding at all, just some cramps and nausea. It's been over 21 hours since I took the misoprostol and I'm worried that it might not be working. Can you help me understand what's going on or what I should do next?

Accepted Answer

Given the lack of bleeding 21 hours after taking misoprostol, despite experiencing cramps and nausea, it's essential to follow up with your gynaecologist as soon as possible to assess the abortion's success and rule out any potential complications or ongoing pregnancy; you may recommend an ultrasound to confirm the outcome and provide further guidance.

How is preeclampsia diagnosed?

By checking Blood pressure during regular antenatal checkups and a urine sample is tested for proteins.

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