A Case Report on 29-Year-Old Female Intrauterine Pregnancy 11 Weeks Gestational Age with No Fetal Cardiac Pulsations
1, 1, 2, 1, 1, 1, 1
- 1Department of Pharmacology, The Oxford College of Pharmacy, Begur Road, Hongasandra, Bengaluru, Karnataka, INDIA.
- 2Department of Pharmacognosy, The Oxford College of Pharmacy, Begur Road, Hongasandra, Bengaluru, Karnataka, INDIA.
CORRESPONDENCE
Pallavi N
Department of Pharmacology, The Oxford College of Pharmacy, Begur Road, Hongasandra, Bengaluru, Karnataka, INDIA.
Volume 60, Issue 5 (KrupaPharmaCon 2026) · pp. 319-322 · 2026 · DOI: 10.5530/ijper.krupapharmacon.49
ABSTRACT
Background: Early first-trimester pregnancy loss affects 10-20% of clinically recognized pregnancies. Missed abortion, a type of embryonic pregnancy loss, requires timely diagnosis, appropriate management, and psychological support to reduce its emotional impact. Case Presentation: A 29-year-old woman confirmed pregnancy with a home β-hCG test. Serial β-hCG levels increased from 124.50 to 257.80 mIU/mL over 48 hr. Initial ultrasonography at 5-6 weeks showed a gestational sac (mean sac diameter 1.06 cm) with a yolk sac but no fetal pole. A repeat scan two weeks later demonstrated a fetal pole (crown-rump length 0.84 cm, corresponding to 6 weeks 5 days) without fetal cardiac activity, confirming a missed abortion. Management and Outcome: Although medical termination was advised, the couple opted for expectant management. Five days later, mild vaginal bleeding prompted repeat ultrasonography, which confirmed persistent nonviability and a subchorionic haemorrhage. The patient received 200 µg misoprostol but developed severe abdominal pain and heavy vaginal bleeding within 2 hr, requiring emergency hospitalization. Surgical evacuation by Dilation and Curettage (D&C) was successfully performed.Conclusion: This case highlights the unpredictable course of medical management in missed abortion and the potential need for emergency surgical intervention. It also emphasizes the importance of individualized management, close follow-up, and comprehensive psychological counselling to support patients and their partners following early pregnancy loss.
KEYWORDS
REFERENCES
As publishedShowing references and in-text citations exactly as published.
Cite this article
SELECT FORMAT
N, P., Sravanthi, A., K, C., Muthukumar, A., Srivastava, N., Bhavani, K., & Reddy, G. V. K. K. (2026). A Case Report on 29-Year-Old Female Intrauterine Pregnancy 11 Weeks Gestational Age with No Fetal Cardiac Pulsations. Indian Journal of Pharmaceutical Education and Research, 60(5), 319-322. https://doi.org/10.5530/ijper.krupapharmacon.49
Copyright and licence
© 2026 Author(s)
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited. CC BY 4.0