What happens if the progesterone level is low and there is no fetal heartbeat at 60 days?

Pregnancy itself is a happy thing, especially for families who want children, it is undoubtedly the happiest thing. However, in recent years, many women have various problems when they are pregnant, especially in the early stages of pregnancy. For example, some people have no fetal heartbeat after 60 days of pregnancy, and their progesterone is also relatively low. This situation is very common in normal times. What is going on?

What's going on with low progesterone and no fetal heart rate at 60 days?

The pregnancy has been going on for 60 days, the progesterone level is relatively low, there is no fetal heartbeat, and the embryo has stopped developing. It can be confirmed that it is a missed abortion, which is caused by corpus luteum insufficiency. It is usually recommended to go to the hospital for treatment in time. Because abnormal coagulation function and heavy vaginal bleeding may occur after the embryo stops developing, it is recommended that hospitalization for medical abortion is relatively safe. Before the abortion, relevant laboratory tests should be completed, contraindications to abortion should be ruled out, and blood preparations should be made. During the medical abortion process, attention should be paid to abdominal pain and vaginal discharge. It is recommended to send the embryo discharge for pathological examination.

What is missed abortion?

Missed abortion generally refers to a phenomenon in which the fetus remains in the uterine cavity after a missed abortion or fetal death. In fact, this phenomenon is not uncommon during pregnancy. Missed abortion is characterized by symptoms of threatened abortion in the early stages of pregnancy, with the uterus no longer enlarging and early pregnancy reactions disappearing.

If the placental tissue is retained for too long, coagulation dysfunction may occur, leading to severe bleeding, and secondary uterine and pelvic infections may also occur. Long-term complications may include endometrial damage, irregular menstruation, and secondary infertility.

Although the occurrence of missed miscarriage is unavoidable and regrettable, as long as you pay attention to it in your daily life and develop good living habits, you can prevent pregnant women from having missed miscarriages. Medical experts also recommend that couples of childbearing age who are planning to have a baby should develop good living habits, reduce work pressure, and maintain emotional stability in the early stages of pregnancy. Pregnant women should develop a regular daily routine and receive prenatal care to avoid miscarriage.

Symptoms of missed miscarriage

First, missed abortion is manifested by symptoms of threatened abortion, with the uterus no longer enlarging or instead shrinking. If it is the second trimester, the pregnant woman does not feel her abdomen enlarged, there is no fetal movement, and gynecological examination shows that the cervix is ​​closed, the uterus is more than 2 months smaller than the gestational month, the texture is not soft, and the fetal heartbeat is not heard.

Secondly, missed abortion is manifested by abdominal pain. In early abortion, after the bleeding begins, there is blood in the uterine cavity, especially blood clots, which stimulate uterine contractions and cause persistent lower abdominal pain. In late abortion, there are paroxysmal uterine contractions first and then placental detachment, so there is abdominal pain before vaginal bleeding.

Furthermore, vaginal bleeding occurs. In cases of miscarriage within 3 months of pregnancy, the chorion and decidua separate, the blood sinuses open, and bleeding begins. When all the embryos are detached and expelled, the uterus contracts strongly, the blood sinuses close, and the bleeding stops.

When symptoms of missed abortion are detected, uterine curettage must be performed immediately; there is no need to preserve the fetus.