This Is of No Fetal Heartbeat with an Early Ultrasound

 

FIRST PREGNANCY ULTRASOUND! 6 Weeks Pregnant & No Heartbeat Yet

Video taken from the channel: The Fitzgeralds


 

Early pregnancy showing cardiac flicker

Video taken from the channel: 123radiology


 

6 weeks 3 days, no heartbeat �� ��

Video taken from the channel: Tracy


 

Causes of no Heartbeat in fetus | Aqsa Mehmood

Video taken from the channel: Aqsa Mehmood


You might not be able to hear a baby’s heartbeat at your first ultrasound. Most commonly, this is because it’s too early in the pregnancy. This doesn’t necessarily mean there’s a problem. The doctor may discover on ultrasound that the fetus is smaller than it should be and does not have a heartbeat or the mother may begin to have bright red bleeding and cramping.

If there is no visible heartbeat, a miscarriage is about to occur. Ultrasound measurements indicate that a heartbeat should have been present. Your doctor may also measure the crown to rump measurements with the foetal pole as a basis to determine the risk of a miscarriage.

If an embryo is larger than 5 millimetres and has no heartbeat, it may indicate a miscarriage. The transvaginal ultrasound is generally used because an abdominal ultrasound is much less accurate this early in pregnancy. The gestational sac is usually seen on ultrasound by 5 weeks gestational age but is sometimes seen as early as 3 weeks gestational age. The guideline is that if the gestational sac measures >16-18mm with no fetal pole or the fetal pole measures 5mm with no heartbeat (by vaginal ultrasound), then a diagnosis of miscarriage or blighted ovum is made. If the fetal pole is too small to take an accurate measurement, then a repeat scan should be done in 3-5 days.

crown-rump length (CRL) of ≥ 7 mm and no heartbeat on a transvaginal scan mean sac diameter (MSD) of ≥ 25 mm and no embryo on a transvaginal scan absence of embryo with heartbeat ≥2 weeks after a scan that showed a gestational sac without a yolk sac. The gestational sac, the yolk sac and the fetal pole were all visible but they did not see a heart beat. They said I could either be too early or that something happened (I was pregnant in December 2014 but had a natural miscarriage at 6 weeks) but were more focused on the missed miscarriage theory. The first 3 weeks after they told me the baby was dead i had no signs of a miscarriage, no cramping, no bleeding.

Then I had another ultrasound about a week ago and confirmed still no heartbeat at 11 weeks and still no signs of miscarriage except that the baby was still the size of an 8 week old fetus (it had not grown over the past 3 weeks). About 6 weeks or so in pregnancy, the heartbeat of the fetus may be detected via an ultrasound, which, however, might vary a lot in actual situations. Doctors usually won’t advise an ultrasound at 6 weeks, because it usually can show nothing or very little image of the fetus, even for a perfectly normal pregnancy. Pregnancy loss can occur during any stage of pregnancy, though it’s most common in the first trimester. If we do an ultrasound and the length of the baby is more than 7mm, we should always see movement of the fetal heart.

If we don’t, we know the pregnancy is not going to develop.

List of related literature:

Though hearing your baby’s heartbeat means your chance of miscarriage is slim, many pregnant women still feel nervous and unsure about their pregnancies until they see the baby with their own eyes.

“The Pregnancy Countdown Book: Nine Months of Practical Tips, Useful Advice, and Uncensored Truths” by Susan Magee, Kara Nakisbendi
from The Pregnancy Countdown Book: Nine Months of Practical Tips, Useful Advice, and Uncensored Truths
by Susan Magee, Kara Nakisbendi
Quirk Books, 2006

If continuous electronic fetal monitoring is being undertaken due to risk factors in the woman or baby, it is not unusual at this stage to see early decelerations of the fetal heart, with a swift return to the normal baseline after a contraction, and good beat-to-beat variation throughout.

“Myles' Textbook for Midwives E-Book” by Jayne E. Marshall, Maureen D. Raynor
from Myles’ Textbook for Midwives E-Book
by Jayne E. Marshall, Maureen D. Raynor
Elsevier Health Sciences, 2020

If either the uterus is less than 24 cm in size or fetal heart tones are absent, the pregnancy is probably too early to be viable, and treatment is directed solely at the mother.

“Rosen's Emergency Medicine Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition Enhanced Online Features and Print,7: Rosen's Emergency Medicine Concepts and Clinical Practice, 2-Volume Set” by John A. Marx, Robert S. Hockberger, Ron M. Walls, James Adams
from Rosen’s Emergency Medicine Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition Enhanced Online Features and Print,7: Rosen’s Emergency Medicine Concepts and Clinical Practice, 2-Volume Set
by John A. Marx, Robert S. Hockberger, et. al.
Mosby/Elsevier, 2010

Sometimes it’s too early to see a fetal heartbeat or visualize the fetal sac on ultrasound, even in a healthy pregnancy.

“What to Expect When You're Expecting 4th Edition” by Heidi Murkoff, Sharon Mazel
from What to Expect When You’re Expecting 4th Edition
by Heidi Murkoff, Sharon Mazel
Simon & Schuster UK, 2010

An ultrasound scan will reveal an amniotic sac and fetus and the fetal heart can be seen pulsating if the pregnancy is at least 7 weeks old.

“Obstetrics and Gynecology in Chinese Medicine E-Book” by Giovanni Maciocia
from Obstetrics and Gynecology in Chinese Medicine E-Book
by Giovanni Maciocia
Elsevier Health Sciences, 2011

Early fetal demise occurs when a pregnancy is identified within the uterus on ultrasound consistent with 8–12 weeks size but no fetal heartbeat is seen.

“Essential Obstetrics and Gynaecology E-Book” by Ian M. Symonds, Sabaratnam Arulkumaran
from Essential Obstetrics and Gynaecology E-Book
by Ian M. Symonds, Sabaratnam Arulkumaran
Elsevier Health Sciences, 2019

When the image quality of the fetal heart at 12 weeks’ gestation is suboptimal, even with the use of transvaginal scan, rescan in 2 or 3 weeks is a reasonable option if a woman still prefers ultrasound monitoring to an invasive testing.21 Of note, the placenta of an affected pregnancy may be large but not thick.

“Fetal Medicine E-Book: Basic Science and Clinical Practice” by Pranav P Pandya, Ronald Wapner, Dick Oepkes, Neil Sebire
from Fetal Medicine E-Book: Basic Science and Clinical Practice
by Pranav P Pandya, Ronald Wapner, et. al.
Elsevier Health Sciences, 2019

Phrases such as ‘I cannot see a fetal heartbeat’ can be taken by parents to mean that the operator cannot be sure or is not sufficiently trained.

“Obstetrics & Gynaecology: An Evidence-based Text for MRCOG, Third Edition” by David M. Luesley, Mark Kilby
from Obstetrics & Gynaecology: An Evidence-based Text for MRCOG, Third Edition
by David M. Luesley, Mark Kilby
CRC Press, 2016

fetal heartbeat may be successful as early as 9 weeks of gestation and are nearly always positive by 12 weeks.

“Hacker & Moore's Essentials of Obstetrics and Gynecology E-Book” by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel
from Hacker & Moore’s Essentials of Obstetrics and Gynecology E-Book
by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel
Elsevier Health Sciences, 2009

The availability of the foetal heart Doppler signal from the twelfth week of gestation onwards, its usually good signal-to-noise ratio, and the lack of maternal interference makes it practical for measuring each and every heart beat interval.

“Compendium of Biomedical Instrumentation, 3 Volume Set” by Raghbir Singh Khandpur
from Compendium of Biomedical Instrumentation, 3 Volume Set
by Raghbir Singh Khandpur
Wiley, 2020

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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45 comments

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  • OMG I’m the same gestation as you with #4. I sneeze this morning and gagged like crazy. Then when you coughed and gagged, I gagged too ���� ugh the struggle

  • Meri age 30 hai n shadi ko 4 yrs horaha hai… Mam mere b 2 miscarriages hogaye 6 to 8 weeks wait kare doctor’s then 1st time DNC kare n 2nd time pills se clean kardiye.. Me bht ziyada pareshan hu plz mujhe reason bataye alhamdulillah me healthy hu… I want a baby soon��������plz reply me

  • hi, when i was in first pregnancy after 6 weeks baby dose not heart beat and at last in 10 weeks result abortion, now i have second time pregnancy and in 6 week baby have no heart beat would you you like to tell me whats a problem and whats a reasons behind that, and how i can i resolve this problem please suggest me thank u

  • Every time you say “don’t get spicy”…. i swear my heart laughs! It makes my day!! I’m currently 4 weeks 4 days with baby #3 and these hormones are nooo joke! Lol

  • Asalamualaykum muja 3 bar misscarraige hua hai yahi fetal heart ke problem hai 11 week mai hota hai fir dnc karawani padtee hai please muja is ka wajah bataye

  • I have 3 months 1week but baby not heart beat clearly plzz suggest me this is my first pregnecy plz pray for God doctor says may chances is there for miscarriage plz pray for god

  • D. R ka khena ha mery baby ke heartbeat a gai the but ab nai ha 11 weeks ka baby ha no heartbeat mujhy kuch dard ya kuch feel nai ho rha ha meri shadi ko 5 years ky bad Allah pak ny meri dua kabool ke ha ab bohat pareshan hun samjh nai a rahi kia karun ma?

  • Mera ek baby c section se hua tha uske bad 2nd baby k tym mjh dnc karwai phad gai dnc k bad ab mjh baby hota ha to uski heartbeat khtm hojati ha

  • Dear sister ma 7 week pragnit ho pr mera baby ki hartbeat absant ha dr na 2 hafta wait ka kha ha mujha blading bhi nai hoi ha ape batai ka ma kiya karo ka baby ki hartbeat ajai

  • I’m 5 weeks and 5 days, and I’ve been having nausea not as bad as you but I feel really hungry then when I eat I feel really sick and wobbly. But like you said in your video we can complain but I’m so happy I’m pregnant! This is my first baby so I’m nervous.
    Good luck ���� I will be following your journey and living it at the same time!! Xxx

  • If my 9th weak completed still no heart beat rest all symptoms are their of pregnancy still no heart beat I am waiting still for more 1weak..is their chances for heat beat to come in 10th weak please do rply… madam or should go for abortion still now no bleeding no miscarriage symptoms..please do rply…

  • Aoa mam mjy aj 8 weeks ghuzr gy hain pragnency k to dctr keh ri hai k heart beat ni hai aur growth b ni o e ri aur keh ri k abot krwao halan k mjy koi pain koi spott ni hai
    Jb mjy pehli pregnency hui ti to to misscarige huatha lkn us wkt mjy spotting thi…
    Can u guide me… Plz

  • Maray 2 miscarriage ho chukay Hain.heartbeat na any ki waja say.saray test b clear hain.ya batayn k main kia Karun.k next conceiving mein asa na ho?

  • MRI 12 week pregnancy h abi �� beat ni ayi and yolk sac is absent or gestational sac is 4.11 it’s better to abort answer me plz m waiting or I can wait

  • Complain all you like.
    Babies are amazing but pregnancy SUCKS!!
    And take all the medication you need to feel better. In my first pregnancy I threw up all day every day for the first 20 weeks. Lost 8 kilos from 6-8 weeks pregnant, baby ended up 2 weeks behind in growth. If it wasn’t for Zofran in my next 2 pregnancies I would not have gotten through! Had 2 chunky beautiful baby boys with zero health issues. Nothing wrong with medication, and complaining ��

  • Even I m 7 weeks pregnant, yolk sac,fetal pole, everything is fine but doctor said growth is slow it’s showing as 5 weeks 6 days fetus without heartbeat.docter asked me to wait till 8th week that’s all..I am not feeling to go for abortion..I want this baby alive healthy.

  • Girl, I feel you! Nearly 10 weeks pregnant with a 17 month old at home. The constant nausea and dry-heaving is miserable! I’m also on diclectin (pretty sure that’s the b6 med you’re talking about) it doesn’t take away the nausea but I puke far less often! We currently are in a state of emergency and all non-emergency obstetrics appointments and imaging are suspended, so I’m scared A.F. having zero prenatal care and no idea when I’ll be able to be seen… GAH! This covid shit sucks

  • Hang in there lex. You don’t sound ungrateful in any way. You can be grateful and still cry cause the nausea and vomiting is so overwhelming. I had horrible nausea and vomiting from around 7 or 8wks up til 27 weeks maybe 28 29. It’s hard to say to be honest. It was all one big blur. I would throw up so bad I would pee myself so I would sit on the toilet when I knew I needed to throw up and double bag our small trash can and I would sit there for a good 20 min vomiting. I didn’t go to work as much cause it was so so bad. I was nauseated from the moment I woke up to the moment I went to bed. I would wake up in the middle of the night nauseated and I would throw up. I was never ungrateful of our son. He was our rainbow baby after 3 miscarriages. Your human your allowed to feel things and still be grateful for your little blessing. I was also given diclegis and it worked for me. It was a life saver.

  • Mam mre 8th week me embroy seen hua h mgr heartbeat nai h…doctr ne kaha ek week me ni aya heartbeat to terminate kr denge….muje koi spotting ya kuc ni h muje kya krna chaiye mai ky kru

  • Sister Meri 6 weeks men pregnancy diagnosed hogaye thi 2nd visit Mai 8weeks 4 days Mai jb ultrasound karwaya to pata Chala k fetal pole nhe bna or naa hi heart beat aaye thi to Dr ne mjhe Abortion ka boldiya or kaha k koi hope nhe Mai wait kerahi ho or mera 9 weeks 4 days chalraha hai Maine aaj beta hcg karwaya to usmai size apne sahi time k sath beta hcg level increase horaha hai is situation Mai baby Mai koi abnormality ka issue to nhe hota mjhe mazeed wait karna chahiye ya nhe mjhe ab tkk koi bleeding ya spotting nhe howe hai plzzz telme I m so worried sis altrasound Mai Dr ne gastational sac ka bataya tha

  • I had my baby girl 47 years ago. I had horrible nausea every single day for the entire pregnancy. I did not have any more children. I couldn’t. We adopted instead. But I still have flashbacks about that nausea. You can complain all you want.

  • Nenu 3 months lo scan thiyinchukunnaa heart beert bagundi annadu but eppudu naku months padi 4 days avuthundhee baby movements telustalevu please cheppandi am cheyali

  • I also in a same situation 7 week no heart beat and the doctors give option of abbortion…and then my baby is abborted…I lose my baby at 7 week with so many pain of abbortion with tablets and I miss him /her so much������
    Plz pray for me that God give me a healthy baby next time��������

  • To anyone worrying about heart beat before 8 weeks, don’t! You can’t always find a heartbeat before 8 weeks! Stay strong. They are still so little.

  • I need your prayers pls, am 6 was 3days pregnant but am in my periods l went for ultrasound and everything seem to be okey but no heart beat am worried alot

  • Plzz Meri Mami k liye Dua kre 8 week hgay Hy lkn baby growth nhi kra doctor ne abortion ka bola Hy plzzz Dua kry k uska baby growth krlyn

  • 6 weeks is exactly when the baby heart began to beat and at that stage it’s just a flicker on the screen. Very hard to see or pick up. Don’t worry ladies…

  • I’m so happy for you, Lex! I started miscarrying my third baby (first loss) yesterday so now I get to vicariously live my lost pregnancy through yours. You and Dan are such amazing parents and Baby Bear is so loved already!

  • I’m 10 weeks pregnant and I’m on a bleeding or just like a brownish redish discharge my second transvi has no heartbeat does it normal?

  • After 10 years of trying I just got pregnant alhumdulliah thanks to Allah I’m 5/6 weeks had early scan as recommend but no fetal pole seen in sac or yolk please allah�� let me see progress in a fetus ��allah it’s my last hope ����������please I’ve been so patient it’s been so hard
    Pray for me all pliz ��update alhumdullialah its ok now week ahead I wil pray for all inshallah

  • Don’t apologize for complaining! You can still 100% be blessed and happy but still feel like shit lol pregnancy is hard! But on the bright side, the fact that you feel like shit shows that the baby is healthy and growing lol

  • I had 2 miscarriages before my son and when I got pregnant with him I had hyperemesis gravidarum (extreme morning sickness) it was AWFUL. Complain girl.. morning sickness sucks! In good news, once the baby was born I was like dang this is so easy! Haha

  • Mere pregnancy 6 week 4 days ki he par bacche ki heartbeat nhi aaei hai to bacche ki heartbeat kon se mahine me heartbeat aati hai please muze bataye

  • I’m in same condition..I’m completed 10week’s and doctors says that no fetal growth in ultrasound report’s it says only 6week 2days only n no heartbeat.. Is it possible that I listen my baby’s heartbeat in next ultrasound

  • Assalam o alaikum mery b 7 weeks hogy pregnancy k shadi k 3 saal bad hui h pregnancy baby heartbeat nhi arhi kb tak w8 krna cheye mj

  • I am supposed to be 8 weeks pregnant planned parenthood did a vaginal ultrasound and said the baby has no heartbeat and they suggested immediate abortion. There is a baby in the sack but it only Measures 6 weeks and 5 days. What should I do? They told me I had a missed miscarriage. Should I still have hope? God bless

  • Same im so sad my docter didnt check properly as she shoul then she did do the heartbeat soun in computer just a couple of measurment and just said im sorry i acnt see the heard and nothing else im 10 week pregnant

  • It’s stressful being pregnant. I feel like crap all the time. No amount of healthy food, snacks, iron pills since I am anemic makes me feel okay. I cry to my husband because I feel like all I do is sit around but I have no energy. I can’t wait till it’s over and I have my baby in my arms and forget all about it

  • Hlo dear.
    I am 7 week and 2 days old pregnant. But my twins baby have no any heartbeat at this time.
    Doctor is saying that go for abortion ����.
    Plz guys pray for me.
    I want my baby plz. Plz. Plz pray for me.

  • I’m near 8weeks pregnant but not heartbeat it’s so heartbreaking…its our 1st baby and 1want it..guys plz suggest me what to do ������

  • I had the same experience! Back in March I went to my ultrasound at 6 1/2 weeks, no heartbeat. I had a lump in my throat. They told me to come back a week later. It was the hardest, most anxiety ridden wait I’ve ever had to do. Went in and the heartbeat was as strong as ever! I’m now 15 weeks with a healthy baby boy, Carson Denton:)

  • I feel bad that the doctor was put on the spot with a camera recording. Now I understand why my hospital doesn’t let you record anything during an ultrasound.

  • Aisa mere sath bhi ho raha a mera baby 6 weeks aur aaj 3 din ka ho gya hai doctor mujhe bhi ik hafte ka wait karne ko bol rahe hai…am so worried about baby…plz pray for me eh mera pehla bacha hai

  • I’m 7 weeks and days pregnant and at the bottom of the ultrasound says my baby’s dead. There’s no heartbeat. �� And they already told me to wait for the Dead fetus to go out. Observe.
    I don’t want my first baby to be just like that. If only I
    Have the money, I’ll go to another doctor and hospital right away. But I don’t

  • Awwww I feel so bad for you and so happy for you at the same time! I never had any nausea at all with my pregnancy, but I hate that nauseated feeling, so I feel bad for you. And yet I’m so happy that baby is in your uterus instead of your tube. Thank God!