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No cardiac activity seen

This is my 2nd pregnancy. First was aborted in 10 weeks. After six months again i conceived. TVS has done in 6w 3d. No activity has seen. After two week again do tvs still no activity. And CRL is still 5.2mm means it shows 6w2d.doc advise me for D/C other wise possibility of infection... What should i do. Do i wait for spotting or do D/c..
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Doctor Answers (8) on No cardiac activity seen

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Dr Nikita Gandotra Delhi | Gynecologist
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For your concern if you want you can still wait  for a week..
(Crl is 5.2mm)
If still no activity..go for SE and yes send sample for evaluation too...
Also you need to take a break..prepregancy counselling is the key..
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Dr. Astha Jain Mathur Indore | Obstetrician
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Dear Practo user, CRL still the same , that means no growth, no point in waiting further , you can opt for S&E ,
and also send the product of conception for karyotyping , just to r/o any genetic cause
Next Steps
You definitely need prepregnancy counselling before u decide to plan again (should be after 6mths ideally) with early initiation of some medicines like folic acid and Aspirin
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Dr. Rita Bakshi Delhi | Gynecologist/Obstetrician
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Hello, Since there is no cardiac activity seen, so there is no growth. This is a missed abortion. You can go for d & c.
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Dr. Mamta Pattnayak Gurgaon | Gynecologist
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Hi, you have once Ultrasound in 6 wks and then again after 2 wks , if no cardiac activity,  its no growth.missed abortion is there. You can go for s&e or can take  medicine.
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Dr. Pritam Prakash Sulakhe Pune | Gynecologist/Obstetrician
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CRL is 5.2 mm. So u can wait. If there is absence of heartbeat in less than 7 mm CRL doesn't rule out Missed miscarriage. So can wait..NO HARM..
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Dr. Sarika Dahiphale Pune | Infertility Specialist
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For your concern.. You can still wait for a 10 days repeat scan .. If no Growth then definitely  no  need to wait.. Undergo d & c
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Dr. Sheila Bharathan Chennai | General Physician
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I assume you had aspontaneous abortion at 10 weeks . Are your periods regular ? Sometimes conception may have happened later and cardiac activity not seen .
Next Steps
If you have no spotting, bleeding or pain I suggest you wait for another week and repeat a scan provided your periods are regular ie 28 to 30 days . If your periods happen to be delayed every month by a few days then you should wait for another 10 days. Meanwhile you can also have a serum beta HCG which will tell you if you have a normal pregnancy
Health Tips
If you do have symptoms of bleeding/pain then see your gynae
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Dr. Prerna Jain Indore | Gynecologist
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No point in waiting now since it is Missed abortion.you can go for D&C or Medical abortion.
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