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01-26-2013 at 6:33 AM
thelma&lou...
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thelma&lousie is not online. Last active: 04-29-2013, 12:24 AMNewbie

6 weeks no heart beat

I had my first doctors visit yesterday and they told me they could not see a heart beat.  I had my last period on thanksgiving 11-19-12, but my husband was away at work and didnt' get home until the begining of December.  I just went off the pill in Oct. and my period was irregular before i was on the pill.  I took a pregnancy test on Dec 17 and it was negative, a week later i still didn't have my period and took another test on Dec 24th and it came out positive.  At the doctors visit she said according to my last period I should be further along and that they it looks like the baby stopped growing at 6 1/2 weeks and that there is no heart beat and that i should schedule a D&C.  Has anyone else had a simular situation?
 
01-26-2013 at 6:43 AM
abartow
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I am very sorry for your loss.  In case you don't know this, there is a miscarriage and pregnancy loss board that you can post on as well in case you don't find what you are looking for here.

again, very sorry. ((hugs))


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01-26-2013 at 6:58 AM
megaboosmo...
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I can't believe they didn't tell you to come back in a week or two for another ultrasound. Since you have no idea when you ovulated, I wouldn't schedule a D and C until you've had a second ultrasound. The dating could very well just be off.

 
01-26-2013 at 7:07 AM
katharine2...
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First, measuring at 6 weeks is often too early to actually see a heartbeat. It's a bit hit or miss at that stage.

Second, It's really not accurate at all to base it on your LMP. Everything about your posts says that you ovulated later than the "standard" 14 days which dating by LMP assumes. 


Instead, let's adjust how far along you are by  when you got your positive. In general, the earliest you can possibly get a line on a HPT is 7 days after ovulation (most don't actually get it until 10-12, but we'll be extra  cautious here). At that point  you would be 3 weeks pregnant. That would then make you 7 week and 4 days pregnant today.   So really, you should be seeing a heartbeat, and measuring +/- 7w. HOWEVER, I can name a few stories of women i know and trust from these boards where they were measuring up to 2 weeks behind (knowing when they ovulated, etc) and everything turned out ok. One of them has a 5 weeks old in her arms right now. Pregnancy can be weird, and not all are text book cases.

  The protocol to confirm miscarriage should be to have a follow-up ultrasound a week later to see if there's any growth or not.  I would never suggest intervening until you're 100000% sure. Your doctor can also run repeat HCG tests to see what the numbers are doing. If they are decreasing, then sadly you can be sure you have miscarried.

 So my advise, wait for either HCG test or a follow up ultrasound before proceeding with a D&C (or cytotec, or waiting it out naturally - you do have other options) to confirm. I I think you should hope for the best, but expect the worst. At this stage, there's still a small chance that things could be ok, and the one thing you never want is to wonder, "what if"

 I'm so very sorry this is happening to you.  I've been there and I wouldn't wish it on anyone.

 


***I can spell, my iphone can't***
Married My Love on 6/18/2006
BFP#1 10/1/2011. Our perfect little girl, Her heart stopped @ 12w1d. D&E 11/23/11
BFP#2 3/13/12 Weird CP/Possible EP @ 6w0d
BFP#3 5/28/12 CP @ 5w0d
BFP/WTF#4 10/26/12 CP
BFP#5 12/10/12 EDD 8/23/2013 Boy oh Boy!!
Chasing a Rainbow: The Chart/The Fruit
 photo ellie.gif Photobucket
“All our dreams can come true, if we have the courage to pursue them.” - Walt Disney
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01-26-2013 at 7:14 AM
SoxFan777
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I'm not sure about the timing of everything but I'm sorry you're going through this.  If it were me, I'd wait a bit and let myself process it before going back.  I'm not sure, but 6 weeks is early for a HB, isn't it?  Wait for some of the more experienced ladies to weigh in.  Again, sorry this is happening to you. 

"Words go straight up in a thin line, quick and harmless... sin and love and fear are just sounds that people who never sinned nor loved nor feared have for what they never had and cannot have until they forget the words." -- Faulkner --- Missing my little one lost at 9 weeks on 2.24.13. brokenhearted but not broken... d&c 5/21/13... Still Healing, Still Standing... Dear God, Since I couldn't hold my little one in my lap and tell him about you, could you hold him in your lap and tell him about me?  
01-26-2013 at 7:22 AM
jszy10
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I'm going to piggy back on what someone said a few comments up.  You may have O'd late and be earlier along than you think.  I am shocked that they are trying to plan a D&C already!?!?!  You should go back one more time in a week or two for another ultrasound before confirming a MMC.  I'm sorry you are going through this, but don't lose hope.  It is common not to see a hp at 6 weeks -- my OB didn't set up my first appt until the 8-10 week range to make sure I was far enough along.  GL...(fx)

BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12 
01-26-2013 at 8:02 AM
PrimRoseMa...
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I'm so sorry for your loss.

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01-26-2013 at 8:05 AM
fuzzylogic
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You don't know that you've lost it yet. It sounds like your period was irregular, so you might have ovulated much later than all of you thought.

I measured 6w1d yesterday, and we couldn't see the heartbeat. The tech told me it was just too early, and that it was likely there, but that science hadn't caught up to our wants and needs yet. I get re-probed next week.

I would schedule another ultrasound in the next week before scheduling the D&C.

Otherwise, if you have lost your nugget, I'm very sorry. It doesn't sound like your situation was handled very well by your medical staff, either, and for that, I am also very sorry. 


 
01-26-2013 at 8:17 AM
thelma&lou...
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thelma&lousie is not online. Last active: 04-29-2013, 12:24 AMNewbie
thanks for all the feed back guys, the dr really didn't say much, just that she didn't see a heart beat and that it only looked to be 61/2 weeks, john (my husband) had mentioned that he only been home for about 7 weeks but she said u should be able to see a heart beat by 5 weeks, she called another docotor in and he agreed. One of my friends told me that they told him and his girlfriend the same thing but they went back a few weeks later and there was a heart beat and now she's 4 months pregnant and doing fine. It was my 1st appointment and they drew blood (i don't know what for though, this is my 1st pregnancy). From reading what people have said on this formum and others i'm gonna ask her for another sonogram in like 2 weeks and if nothing has changed then get the d&c.. thanks for all your help!
 
01-26-2013 at 8:28 AM
fuzzylogic
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thelma&lousie:
thanks for all the feed back guys, the dr really didn't say much, just that she didn't see a heart beat and that it only looked to be 61/2 weeks, john (my husband) had mentioned that he only been home for about 7 weeks but she said u should be able to see a heart beat by 5 weeks, she called another docotor in and he agreed. One of my friends told me that they told him and his girlfriend the same thing but they went back a few weeks later and there was a heart beat and now she's 4 months pregnant and doing fine. It was my 1st appointment and they drew blood (i don't know what for though, this is my 1st pregnancy). From reading what people have said on this formum and others i'm gonna ask her for another sonogram in like 2 weeks and if nothing has changed then get the d&c.. thanks for all your help!

Blood draws were for maybe hcg and progesterone, among other normal things. Progesterone is the steroid your body makes to make the fetus grow. If you don't have enough, growth can stall, and you can have a miscarriage (though not always).

The heartbeat at 6 weeks is not guaranteed. I would probably start looking for another doctor... 


 
01-26-2013 at 8:28 AM
leahaustin
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katharine25:
First, measuring at 6 weeks is often too early to actually see a heartbeat. It's a bit hit or miss at that stage.Second, It's really not accurate at all to base it on your LMP.
Everything about your posts says that you ovulated later than the
"standard" 14 days which dating by LMP assumes.nbsp; Instead, let's adjust how far along you are bynbsp; when you got your positive. In general, the earliest you can possibly get a line on a HPT is 7 days after ovulation most don't actually get it until 1012, but we'll be extranbsp; cautious here. At that pointnbsp; you would be 3 weeks pregnant. That would then make you 7 week and 4 days pregnant today.nbsp;nbsp; So really, you should be seeing a heartbeat, and measuring / 7w. HOWEVER, I can name a few stories of women i know and trust from these boards where they were measuring up to 2 weeks behind knowing when they ovulated, etc and everything turned out ok. One of them has a 5 weeks old in her arms right now. Pregnancy can be weird, and not all are text book cases. nbsp; The protocol to confirm miscarriage should be to have a followup ultrasound a week later to
see if there's any growth or not.nbsp; I would never suggest intervening
until you're 100000 sure. Your doctor can also run repeat HCG tests to
see what the numbers are doing. If they are decreasing, then sadly you
can be sure you have miscarried. nbsp;So my advise, wait for either HCG test or a follow up ultrasound before proceeding with a Damp;C or cytotec, or waiting it out naturally you do have other options to confirm. I I think you should hope for the best, but expect the worst. At this stage, there's still a small chance that things could be ok, and the one thing you never want is to wonder, "what if"nbsp;I'm so very sorry this is happening to you.nbsp; I've been there and I wouldn't wish it on anyone. nbsp;


THIS. I am sorry you are having to go through this.

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01-26-2013 at 8:55 AM
daileym
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I'm so sorry you are going through this. I would personally want a second look in about a week or two just to make sure, before taking any action. When I was in the wait for the second ultrasound after seeing a sac that was two weeks behind with no HB, I started to bleed on my own. I have seen some miracle stories on here that people were encouraged to get a D&C and went back for a second ultrasound and saw a heartbeat. It isn't common, but would make me want to be sure. I wish you the best of luck. 

Dailey 10/29/2009 BFP! 7/12/2010 Welcomed our beautiful baby boy TTC#2 Since 10/2011 5/21/2012 BFP! 6/30/2012 Missed Miscarriage 1/4/2013 BFP!! Baby Boy #2 Due 9/16/13  Baby Birthday Ticker Ticker  Pregnancy Ticker  
01-26-2013 at 8:56 AM
katharine2...
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thelma&lousie:
thanks for all the feed back guys, the dr really didn't say much, just that she didn't see a heart beat and that it only looked to be 61/2 weeks, john (my husband) had mentioned that he only been home for about 7 weeks but she said u should be able to see a heart beat by 5 weeks, she called another docotor in and he agreed. One of my friends told me that they told him and his girlfriend the same thing but they went back a few weeks later and there was a heart beat and now she's 4 months pregnant and doing fine. It was my 1st appointment and they drew blood (i don't know what for though, this is my 1st pregnancy). From reading what people have said on this formum and others i'm gonna ask her for another sonogram in like 2 weeks and if nothing has changed then get the d&c.. thanks for all your help!

 

To the bolded, just realize that they automatically add two weeks from conception. So if you only had sex once 7 weeks ago  and that was baby making sex,   then you would be like 9 weeks. Obviously if you've has sex multiple times after that it could have been any of those times.

 And your doctor is incorrect when they say most people see a heartbeat at 5 weeks. At 5 weeks even seeing a fetal pole is unlikely.  Most people DON'T see a HB until s  6 weeks or so, but even then it's iffy. Unfortunately the only thing to do if wait it out a bit.

Hang in there, and best of luck to you!!


***I can spell, my iphone can't***
Married My Love on 6/18/2006
BFP#1 10/1/2011. Our perfect little girl, Her heart stopped @ 12w1d. D&E 11/23/11
BFP#2 3/13/12 Weird CP/Possible EP @ 6w0d
BFP#3 5/28/12 CP @ 5w0d
BFP/WTF#4 10/26/12 CP
BFP#5 12/10/12 EDD 8/23/2013 Boy oh Boy!!
Chasing a Rainbow: The Chart/The Fruit
 photo ellie.gif Photobucket
“All our dreams can come true, if we have the courage to pursue them.” - Walt Disney
AL Always Welcome  
01-26-2013 at 11:27 AM
KerCo51
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As others have said, I an very surprised that your doctor is suggesting a D&C already.  I think it's time to start looking for another doctor, because I'm not sure that this one knows what she is doing.

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BFP: 1.19.2013 - EDD: 10.2.2013
 
01-26-2013 at 11:37 AM
magdalina....
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I would ask for another u/s before doing a d&c. Since you don't know when you ovulated, you could have ovulated later and not be far enough along for the heartbeat yet.
01-26-2013 at 2:01 PM
tocoolforu...
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wen i had spotting at 5 weeks and went to the er they didnt find a heart beat but the sace and everything looked fine and my blood work came back good so everything was fine...it is possible to hear a heart beat at 5 weeks but unlikely...from wat my dr told me and from what i have read sometimes it is hard to find a heart beat till about 8/9weeks along...and depending on what kinda sono they do...
 
01-27-2013 at 9:57 PM
LiebeMama
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megaboosmom:
I can't believe they didn't tell you to come back in a week or two for another ultrasound. Since you have no idea when you ovulated, I wouldn't schedule a D and C until you've had a second ultrasound. The dating could very well just be off.

This

 
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