March 2013 Moms

No hb on u/s... need advice/help

Today I went in for an u/s. The Dr. could not get a clear picture of a fetus and after about 5 minutes of trying could not get a heart beat. We were told about the possibility of a miscarriage, and sent to a women's imaging specialist.

We went to the specialist half and hr after the first appt and they quickly found a clear picture of the fetus, measuring at 7 weeks 4 days. They did not find a heartbeat, and we were told of our 3 options: wait to miscarry on your own, take medicine to promote miscarriage, and a D&C.

My lmp was 5/23, but I have longer cycles, mainly around 35 days. they thought I would be 8 weeks 6 days, but that is based on a 28 day cycle. I am not sure when I ovulated, but I thought I would be anywhere between 8 weeks 1 day, and 7 weeks 5 days. So it seems like the growth is right on schedule, which is what is confusing me. Unless it stopped growing yesterday and we just caught it early...?

I haven't had any cramping/bleeding etc. Do you think it might just be too early to see a hb, or do you think I should just mentally prepare for the miscarriage, like the Dr. suggested?

((sorry so long of a post, I am just confused))

Image and video hosting by TinyPic
Married since 08-06-11

BFP#1: 6-22-12. EDD: 3-4-13 MMC- 7-24-12 D&C- 8/10/12
Partial Molar Pregnancy

Re: No hb on u/s... need advice/help

  • Even if you were a week behind you would have probably seen a heart beat. I know that is probably not what you wanted to read. If you want a 3rd opinion to ease your mind, I would set one up, but other than that I would prepare or schedule the D&C. When I had a missed MC back in 12/ 2010 I went for the D&C and cried for a week after but I wanted to move forward and not wait around. I am so very sorry you are having to go through this. Its so hard. Sad.
    Warning No formatter is installed for the format bbhtml
  • Loading the player...
  • I am so sorry you couldn't get better answers from your doctors. How are you feeling? Have you had any morning sickness or other pregnancy symptoms? Maybe there's a chance your baby was just turned around and they could register the heartbeat? You shouldn't have to sit around and wait for your body to miscarry. They should be doing blood work to check your levels. Your blood will tell them how pregnant you are.

    Please keep us posted how you are doing the rest of this week - I'll be thinking of you every day until you know exactly what happens.  ((HUGS))

  • I would ask for a beta test, and demand another U/S in two days. Always follow your intuition. In the mean time try and stay cautiously optimistic. Please let us know what happens. T & P! x
    Lilypie Third Birthday tickers Lilypie Second Birthday tickers Lilypie - Personal pictureLilypie Pregnancy tickers
  • Thanks. I know that's what I need to do, but of course after googling I find all of this information about not seeing heartbeat, but seeing it a week later, etc. It's giving me false hope I think.

    Image and video hosting by TinyPic
    Married since 08-06-11

    BFP#1: 6-22-12. EDD: 3-4-13 MMC- 7-24-12 D&C- 8/10/12
    Partial Molar Pregnancy
  • I'm so sorry you are going through this.  I agree with PP though that by 7 weeks you should definitely be able to see a HB. 

    There is no easy answer, and you are certainly within your rights to seek a third opinion before you make any decision.  The only thing with D&Cs that is not necessarily true with medication induced MCs is that having a D&C can place you at a slightly higher risk for future ectopic pregnancies.

    Many, many hugs to you.

    ETA:  I would request bloodwork to see what your beta levels are doing

    TTC #1 since November 2011
    ** BFP #1 - M/C at 6 weeks 4/13/2012 **
    ** BFP #2 - expecting a little leprechaun!! EDD 3/21/13 | HB 7/30/2012 (6w3d) **
    NT Scan 9/4 - looked great! | Grow, baby, grow!!! | A/S 10/29

    ***All AL always welcome***
  • I'm so sorry!  If it were me, I'd schedule another u/s for a week away.  This type of thing did happen to my friend though.  She heard the hb on the doppler at home the night before, but when she went for the u/s the next, the baby had died.  It was awful.  She was about 9w.
    Warning No formatter is installed for the format bbhtml
  • I'm so sorry you're going through this. There's no harm in waiting to see what happens; don't rush into a D&C or medicine if you don't feel ready or confident. However, like PP mentioned, I'm afraid you should have seen a HB by now.

    I had a mm/c with my last pregnancy and I opted for a D&C because my baby stopped growing at 6w3d and I didn't find out until 11w1d. My D&C was at 11w4d, and I never had any sign that anything was wrong. No cramping/bleeding, still had all my symptoms in tact (and increasing, actually). If you do find out that your LO has indeed stopped growing, I suggest the medicine or the D&C. It would be awful to "wait it out" and have to wait as long as I did (or longer).

    Again, I'm so sorry. Praying for a miracle for you.

    Baby Birthday Ticker Ticker
    Image and video hosting by TinyPicImage and video hosting by TinyPicImage and video hosting by TinyPic
    My Blog: One Emerald
    BFP#1: 9-13-11 EDD: 5-26-12 MMC: 11-4-11 D&C: 11-8-11
    BFP#2: 7-6-12 Elizabeth Faye ("Zuzu") born 3-21-13
  • mab87mab87 member
    Thoughts and prayers are sent your way! I'm so sorry. Please keep us updated.

    Lilypie Maternity tickers

    Lilypie Second Birthday tickers
  • I would have them check your hcg levels and let your body decide. I've heard of cases too where a couple weeks later they see something. I wouldn't take the meds, or do the DNC. If it isn't viable your body should let it go, and if it is maybe another week or two and it may have been a false alarm. I can't imagine =(  Being pregnant is so scary sometimes.
  • I don't have any advice but I'm so sorry that you're going through this. You're in my prayers and keep us updated.

    Baby Birthday Ticker Ticker

    Pregnancy Ticker
  • I am so sorry, this must be very difficult for you. I have no advice for you, but wanted to offer my support and thoughts. HUGS.
  • I think you would see a HB already, like PP said. If it was me, I would not schedule anything yet though. I would want to wait until I was bleeding on my own or wait to do another u/s or blood work. So sorry you have to go through this. T&P for you.
  • imageChloBub:

    I'm so sorry you're going through this. There's no harm in waiting to see what happens; don't rush into a D&C or medicine if you don't feel ready or confident. However, like PP mentioned, I'm afraid you should have seen a HB by now.

    I had a mm/c with my last pregnancy and I opted for a D&C because my baby stopped growing at 6w3d and I didn't find out until 11w1d. My D&C was at 11w4d, and I never had any sign that anything was wrong. No cramping/bleeding, still had all my symptoms in tact (and increasing, actually). If you do find out that your LO has indeed stopped growing, I suggest the medicine or the D&C. It would be awful to "wait it out" and have to wait as long as I did (or longer).

    Again, I'm so sorry. Praying for a miracle for you.

     

    I completely agree and have waited out all of my m/c although I can understand why some opt for a D&C.  What do your betas look like?

    Kim Mom to DD - 9 Twin DS - 6 Missing my march baby and trying to pick up the pieces.
  • I'm so sorry you're going through this. Big Huge Hugs.

    I would agree that perhaps another u/s in a week will be conclusive and that if you're feeling uncomfortable and want to wait for the results, you should do that.

    I have been through both a "natural" miscarriage and a medically induced one. Both were hard in different ways. A D&C is the quickest easiest route. I have never had that done. With a D&C it's possible to have your clinic test the tissue to find out what was wrong, chromosomally with the baby.

    Feel free to post on Miscarriage/PG Loss for some advice regarding which method is right for you, if it comes down to that. 

    BzeetyD = 38, Mr. BzeetyD = 44 together 12/02 married 9/08
    TTC #1 since 1/10
    DX: Unexplained/??? MFI issues

    Our lil' lost sparks:
    5w3d loss 7/30/10 - EDD March 2011
    8w loss 4/15/11 - EDD November 2011
    8w3d loss 8/2/12 - EDD March 2013
    4w c/p loss 10/29/12 - EDD July 2013

    Long story: trying on our own + testing testing testing with 6 rounds of Clomid, more testing, injectables + TI, laparoscopy - one tube blocked, 2 IUIs with Follistim...BFNs.
    RPL testing all normal, Karyotyping normal

    Moving on to IVF.

    IVF #1 April 2012 = BFN, IVF #2 June 2012 = BFP. U/S 7/23 = saw heartbeat but measuring behind. Follow up U/S on 7/30 - no heartbeat. D&C 8/2. Trisomy 12. IVF #3 Oct 2012 = Chemical Pregnancy

    Phone consult with CCRM on 12/12/12 - ODWU 1/4/13 - both tubes clear(!) - AFC 24, AMH 3.2, FSH 9.6, LH 5.4, E2 25. DH has high frag rate but improved!
    IVF #4 March 2013 CCRM. EP protocol w/ Menopur, Gonal-F & Dexamethasone. ER 3/29 & IMSI, PICSI. 43R 13M 10F 6blasts bio'd. CCS testing reveals 3 normals!!!
    FET 5/31/13 of 1 4AA blast - thawed and expanded. 4dp5dt BFP.
    Beta 9dp5dt = 181, 11dp5dt = 427. 1st u/s showed a healthy heartbeat! EDD 2/16/14

    After 4 years of hoping and heartbreak, our sweet little bean was born on 2/19/14
    We are so in love with her.

    "I'm not telling you it's going to be easy, I'm telling you it's going to be worth it."

    Everybody is welcome!!!
  • sgb721sgb721 member
    I'm very sorry for all you're going through. If you're unsure of your dates or have doubts ask if you can go in for another look in 3-4 days. If they cannot find the heartbeat then, I would suggest a D&C.
    TTC since June 2010
    5 Angels

    Lilypie - (hlC0)
  • Thank you everyone for your kind words.

    I am not sure about my betas, but I think I will call tomorrow and find out what my levels were like, and then decide from there what to do. I had blood work done friday of last week, and maybe I should have some more blood work done just to see what the results are..

    Image and video hosting by TinyPic
    Married since 08-06-11

    BFP#1: 6-22-12. EDD: 3-4-13 MMC- 7-24-12 D&C- 8/10/12
    Partial Molar Pregnancy
  • I'm sorry.  It's a tough situation but I agree about the beta testing.
    Warning No formatter is installed for the format bbhtml
  • imageBoysenberry:

    I am so sorry you couldn't get better answers from your doctors. How are you feeling? Have you had any morning sickness or other pregnancy symptoms? Maybe there's a chance your baby was just turned around and they could register the heartbeat? You shouldn't have to sit around and wait for your body to miscarry. They should be doing blood work to check your levels. Your blood will tell them how pregnant you are.

    Please keep us posted how you are doing the rest of this week - I'll be thinking of you every day until you know exactly what happens.  ((HUGS))

    This 100%. I'm sorry you are going through this.

    Daisypath Anniversary tickers Lilypie Maternity tickers
  • I am so sorry. I agree with PPs that you should check beta levels!
    May PAL Siggy Challenge - Mom Humor
     image
    TTC Since June 2009 
    BFP #1 - 1/15/12, EDD 9/21/12, Missed M/C - 2/10/12 - I miss you Sapphire!

    BFP #2 - 7/1/12 - Met my lucky charm Alexandra on 3-16-13!!!


    image image image 
    image
    AL always welcome! 

  • I agree with PP about testing your betas.  T&P's for you! 
    Daisypath Anniversary tickers BabyFruit Ticker
  • I agree with those who suggest bloodwork.  You should be going in twice to compare levels, and maybe for another US in a few days/week before anything is done, IMO.
    Warning No formatter is installed for the format bbhtml
  • Just wanted to say I am sending prayers your way...I am so sorry.


    image 

    image

  • So sorry you are going through this.  I think PPs have given some really good advice.  Prayers sent.
    TTC #1 10/2011 || Diagnosed PCOS 5/2012 || SA - Normal! || HSG - Clear!
    Starting Metformin 5/2012
    BFP 6/25/2012!! EDD 3/7/2013!! IT'S A BOY!!
    BabyFruit Ticker
    image
  • Sending (((HUGS))).  I'm so sorry you are going through this.  

    Image and video hosting by TinyPic


    Baby Birthday Ticker Ticker

    Baby Birthday Ticker Ticker
  • Very sorry you are having to go through this.  You've already got some sound advice from PPs, but just wanted to add that I'm sending vibes!
    BabyFruit Ticker BabyFetus Ticker
  • I went through this same thing at 8 weeks and 6 days. We went in for our second ultrasound and the baby  measured really small and they were no longer able to find a heartbeat. They told us that our baby had probably died 2 weeks earlier, around Christmas day. I was so upset and in total denial. I went to a second doctor the next day and she confirmed that there was no heartbeat. She told us that we should have been able to pick up a heartbeat around the 6 week mark. I went straight into a D&C after being told all the complications that can happen with natural miscarriage. I was also told that it could take up to a month for it to happen on it's own.

    I wish I had waited at least another week before doing it though. Just to make sure that our timing was not off and that our baby was not just slow to grow. You need to do what your heart tells you. I agree with the other posts though. You should be going in for more blood work to check to see if your levels are rising or dropping. What ever happens I will be praying for you and your husband. I hope things work out for you, I don't wish anyone going through what I did. 

  • Hello there, I just had the exact same experience I thought I was about 7w 2d and went in for my first u/s he found the sac high up in my uterus but couldn't see the heartbeat.  He said that we might have miscalculated the o-date and I'm going back in a week to get checked again but he did say its about a 50/50 shot at whether it will be ok or if it is a miscarriage.  I know its heartbreaking and hard to hear and I really was hoping to see better-news responses but I just wanted to let you know I am in the same boat and you are not alone. Good luck 
This discussion has been closed.
Choose Another Board
Search Boards
"
"