Fetal buds appeared, but the fetus stopped? This has become the distress of many pregnant mothers, who are not pregnant and look forward to winning the lottery quickly, but after they are really pregnant, they are terrified. It was heartbreaking to see these sisters.
I want to get pregnant, but now the epidemic problem can only be postponed. Two consecutive 8 + 7 + fetal heart fetal buds, and then fetal stop, physical and mental exhaustion ah
I am more than seven weeks, fetal bud 0.8 has a fetal heart, to 12 weeks to do NT fetal bud 1.6 but no fetal heart, gestational sac 5.8 * 2.8. This time before the pregnancy preparation did a comprehensive series of examinations, the card also did the examination, want to know the reason for fetal cessation, what do you need to check again? How long does it take to prepare for pregnancy?
34-year-old second child. The first child was induced by deformity at 6 months, and after 3 months, she was pregnant and gave birth to a healthy baby. After eight years, the second child was stopped on the 12.2nd due to fetal stop for painless abortion surgery, January 2nd came to menstruation to the 10th, but now the 4th has not come, really worried, if it is really pregnant again will not have an impact?
Above is the patient's message, everyone is asking why this situation occurs? How to avoid it? What happens when it happens? There are 4 high-risk factors, let's take a look!
1, HCG value is not high enough
Pregnant, fetal heartbutch fetal buds appear, but the villi are not exuberant, and when the fetus continues to grow, it is still easy to stop the fetus. Whether the villi are exuberant or not mainly depends on the value of HCG. For normal pregnancies, before 70 days of gestation, HCG should reach 100,000 or higher.
HCG is too low, it will be fetal stop, according to the experience of recent years, many fetal heartbusts fetal buds appear, but HCG only 1-20,000 will eventually stop. The lowest fetal reachable full term in the medical record is HCG of 50,000. Therefore, for pregnant women who have a history of fetal arrest, in addition to B ultrasound to see if the fetal heart rate appears, it is generally necessary to monitor the rise of HCG. If HCG rises slowly, look for the cause in time and try your best to treat it.
Because, the root from the seed down to grow, in the root growth process is the best time for treatment, if to stop menstruation 50-60 days, villous growth is completed, at this time if the HCG is found to be low, the effect of re-treatment will be poor.
Therefore, for patients with recurrent miscarriage, it is generally necessary to check the cause before pregnancy and intervene immediately after pregnancy, so it is generally recommended that recurrent patients come to the doctor on the same day or the next day after knowing pregnancy. HCG monitoring at least twice a week during early pregnancy.
2. The supply of blood flow to the uterine arteries is very poor
If the fetal heart rate appears, the HCG can reach about 100,000, but if the supply of blood flow to the uterine arteries is very poor, it is easy to stop the fetus.
Just like a farmer's uncle planting a tree, the buds grow out, and if they are not watered, the buds will wither away. Therefore, pregnant women with a history of fetal arrest we will generally do a resistance index of uterine arteries at the same time when preparing for pregnancy and doing fetal heartburn B ultrasound after pregnancy, if the uterine arteries are absent or inverted, we must intervene in time. Treatment is at least with aspirin and daltazeplin, and if immune coagulation can be found that cause arterial absence, immunodrugs are added.
3. The embryo quality is not good
Sperm and eggs may encounter various assembly errors during the process of encounter.
Large errors manifest as biochemical pregnancy, medium-sized errors, such as triploid 69XXY, which can be miscarried when there is no fetal heartbeat, and trisomy of a single chromosome, such as trisomy 16 and trisomy 12, can occur after the appearance of fetal heart rate. Smaller chromosomal abnormalities, such as Trisomy 21 and Trisomy 18, allow the fetus to live to full term in the uterus, so Down screening is needed to catch them out.
Fetal stops with poor embryo quality are not worth the heartache, the survival of the fittest. But to know if it is an embryo quality problem, it requires the embryo villi to send chromosome examination.
4. Elderly women with second child
Poor embryo quality is also the most important reason for embryonic abortation in elderly women.
Because no matter how well maintained women, after the age of 40, ovarian function begins to decline, that is, women begin to enter menopause, at this time, the function of the ovaries is not as good as when they were young, and higher FSH is needed to stimulate follicle maturation, so that the quality of the follicle begins to decline, and the eggs in the follicles are prone to errors when meiosis. The binding process of eggs and sperm is also prone to error.
Because of the increase in age, such a risk is increasing, so the Maternal and Child Health Law stipulates that amniotic fluid puncture is required after the age of 35. Older women who have two children should look at the second child more rationally, and if they are pregnant, they should pay special attention to prenatal screening and prenatal diagnosis.
With the increase of age, hypertension, diabetes, endocrine diseases increase, the second leading cause of fetal arrest at an advanced age is immune coagulation. Others, such as anatomical factors, already have two children, and the anatomical factors are basically not. Infectious factors and endocrine factors are also not considered for the time being.
What should I do if I have stopped having a fetus?
Once the fetus is confirmed, it is necessary to actively cooperate with the doctor to terminate the pregnancy as soon as possible.
Some expectant mothers who suffered fetal cessation did not have obvious symptoms themselves, no abdominal pain and no vaginal bleeding, but found that the fetus had stopped developing during routine obstetric examinations, and were diagnosed with fetal cessation. When doctors recommend terminating pregnancies, expectant mothers often can't accept it, are unwilling to face reality, and instinctively want to wait and see.
In fact, once the fetus stops developing and the fetal heartbeat disappears, there is no need to protect the fetus. Moreover, after the fetus is stopped, the embryo will release some substances, resulting in abnormal coagulation function of the mother. For expectant mothers whose embryos are not naturally excreted, if the pregnancy tissue is not removed from the uterine cavity in time, it may cause serious consequences such as heavy bleeding or incomplete miscarriage. Once the long-term unused embryo is muscled and wants to be cleared, the trauma to the uterine lining will be very large, which will directly affect future pregnancies.
What tests should be done after fetal cessation?
If it is the first fetal cessation, many times it is only a probability event, you can not do the examination, and there is no need to be nervous.
If it is repeated fetal cessation (≥ 2 times), you can consider screening sequentially from non-invasive to minimally invasive examination sequence, including the man's semen routine, the couple's chromosomes, blood type, the woman's TORCH (including rubella, herpes, Toxoplasma and other examinations), gynecological B ultrasound, sex hormones, thyroid function, progesterone, part of the immune antibodies, such as anti-sperm antibodies, anti-endometrial antibodies, etc. Further tests such as hysteroscopy are required if necessary.
How long can I try to conceive after a miscarriage?
After the first miscarriage, in general, there is no need to do any special examination, conditioning for 3 to 6 months, if the menstruation is more regular, the bad physical factors are corrected, and the indicators are basically normal, you can get pregnant again.
In general, most pregnancies will be normal, the probability of re-abortion is still between 15 and 20%, and of course there will be two consecutive miscarriages, about 1 to 3% in the population.
For patients with more than 2 recurrent miscarriages, it is necessary to seek the help of a doctor to find out the cause of symptomatic treatment.
What should I pay attention to next pregnancy preparation?
Fetal buds with fetal heartbeat can not avoid the occurrence of fetal arrest, the cause of fetal cessation is complex, a single fetal cessation may be the cause of the embryo itself or accidental factors, in this case can be tried again, such as repeated fetal stoppage should be a comprehensive system examination to clarify the cause of fetal stoppage.
Although a fetal stop is a random event, there are too many situations that we can't control, but there are still many things that can be beneficial to pregnancy. For example: maintain a good attitude, insist on exercising, enhance physical fitness; wash your hands frequently, ventilate frequently, and don't go to crowded places; don't eat raw fish and raw meat, avoid parasitic infections, etc.
If the mentality is good, the body will be good, and the baby will choose a healthy you as a mother.