I am so sad the other day. A pregnant patient handed me her ultrasound result. She had a prenatal check up earlier that day and was advised to have an ultrasound because when the midwife who checked her did not hear the heart beat of the baby. It is sad to know that her baby is already died inside the womb or it is called fetal demise. She was crying. It broke my heart. She is just only 19 weeks pregnant. There are so many factors to consider why it happens.