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Blighted Ovum (Unembroic pregnancy) O imile fela nwana gase a bopega This is a pregnancy without a baby developing in the uterus. The woman has missed period, has symptoms of pregnancy like , nausea, change in appetite, but on sonography examination there is no fetal pole seen. Only a gestational sac which is empty. The other name is “anembryonic pregnancy” i.e. pregnancy without an embryo. Below are some stories of some women with experience of blighted ovum Pregnant, But No Fetus This is a common story of blighted ovum I was blissfully pregnant until three days ago. I had to have a D&C because at a term of eight weeks, I started spotting, and my GYNAECOLOGIST found through vaginal ultrasound that I had "an embryonic gestation" -- a conception implanted with no growing fetus. The doctor said this is sometimes called "blighted ovum." The gestational sac was intact and growing at the rate it would have been if there were a fetus. My husband and I are devastated, as is our seven-year-old son. What causes this? How common is it? What are the chances of it happening again? None of my friends had ever heard of this condition, and neither had I. It was surprising Blighted Ovum I recently had an ultrasound, which revealed my pregnancy to be a blighted ovum. What does this mean? These are some of the stories and questions women ask me. A blighted ovum is considered to be a form of inevitable spontaneous miscarriage and is characterized through ultrasound by the absence of an embryo (anembryonic pregnancy). Blighted ovum, like other first trimester miscarriages, is associated with a high incidence of chromosomal abnormalities. In a blighted ova pregnancy there is fertilization and development of preembyonic cells, but the embryo does not form. A placenta is also formed, but the placenta and a functional vasculature are not formed normally. In blighted ova pregnancy, specific proteins, such as alpha feta protein and pregnancyspecific protein beta 1 glycoprotein are not produced in normal quantities. Your doctor will explain the different modalities of management of blighted ovum. Ultrasound picture of blighted ovum Empty gestational sac of blighted ovum or anembroic pregnancy Dr D T Mahapa www.drmahapa.co.za