Causes Of Slow Fetal Development?
Is it possible that if the fetus is developing slowly, it is definitely a miscarriage?rnrnI am 13w pregnant, when I was first taken at 11w the fetus was seen but the heart was not beating and the size was only 1.8cm the doctor said my fetus was small and 2 weeks old told I came back and was told to eat a lot.rn2weeks later I came back, when on an ultrasound the heart was visible and beating, it increased in size to 2.1cm, but the doctor said that the size of the fetus was too small for a 13w. So it’s possible that I miscalculated the HPHT or that the fetus was developing slowly and was given 5 mg of premastone.rnThen on the 3-6th I experienced light bleeding. Without accompanied by anything, without stomach pain/dizziness/nausea etc. On the 7th the bleeding stopped. But on the 8th I was bleeding again which was quite a lot from before and when I went to the toilet a blood clot with fibrous material came out. But still I don’t feel any pain/dizziness/nausea etc..rnrnSo my question isrn1. Is it possible that I am having a miscarriage due to a small fetus and slow development?rn2. Is it possible to miscarry without abdominal pain or other symptoms?rn3. Is it possible that pregnant people can still menstruate?rnrnThank you very much to the doctor who is willing to answer my question. Have a nice doctor’s day..
Hi Selviyana. In general, if there is a difference between your HPHT count and the results of the ultrasound examination, it is actually a natural thing to happen. This is because HPHT itself is a rough examination of gestational age and a more accurate gestational age can be assessed through ultrasound. There is no single method that can accurately assess the time of conception. Fertilization occurs when you have sexual intercourse and succeed where the risk of success is at its peak during the fertile period. This fertile period is 2 weeks before menstruation and your menstrual cycle is the calculation of this fertile period. Of course, for accurate results, calculating the age of the fetus is from the time of conception and is difficult so that what can be done can be done with a rough estimate of HPHT or with a more accurate ultrasound method.
Regarding the delay or small size of the fetus, the presence of malnutrition problems in the mother, placenta problems, problems in the uterus especially related to bleeding that flows through the fetus can affect. What you can do by consuming a balanced nutritional diet, getting enough rest, consuming enough water can help.
The presence of bleeding in early pregnancy is indeed several possibilities, namely miscarriage, miscarriage and blighted ovum. However, if the amount is small and the time is short, it can be caused by stress, further implantation of the fetal sac in the uterus. Although in general miscarriage is bleeding accompanied by abdominal pain, and loss of signs of pregnancy, in some women it may not be accompanied by abdominal pain.
Of course, someone who is pregnant no longer has menstruation because menstruation is a process of shedding the uterine wall where after 2 weeks the uterine wall thickens to prepare for pregnancy but there is no pregnancy so that due to the influence of hormones, shedding and menstruation occurs.
Consult your obstetrician regarding your condition for further information and examination, especially regarding your bleeding. Get enough rest, eat a balanced nutritional diet, avoid strenuous physical activity and manage stress to keep your pregnancy healthy. Hopefully helpful, and thank you. Regards, Dr Alyssa