My medscape subscription just offered up an article on predicting pregnancy outcomes, and I want to copy it and stick it up on the front page of every community board where someone is posting "no heartbeat at 7w does this pregnancy have a chance?" and getting lots of responses like - "Don't give up hope honey, I know someone who never saw a heartbeat and her son is now 4!!!"
The article says that three factors correlate to successful pregnancy outcomes. All factors can be measured by dildocam at between 33 and 36 days post-conception, or 6w5d - 7w1d. The three factors are fetal cardiac activity, yolk sac between 2 and 6mm and gestational sac diameter of 12mm or above. Importantly, "These markers were associated with favorable pregnancy outcome even in the poor prognostic subgroups of women of advanced maternal age and those with recurrent pregnancy loss." For women with recurrent miscarriage, 94% of pregnancies with these three markers resulted in take-home babies. For the over 40s, it was 82%. I know that's still a big grey area, but it's not a bad step in the right direction.
We all sort of knew this, but good to have it confirmed by 1092 pregnancies.