If your doctor is concerned about miscarriage, blighted ovum, or ectopic pregnancy, the gestational sac and
fetal pole (if visible) will be measured to determine what type of
development should be seen. The guideline is that if the gestational sac measures >16-18mm with no fetal pole or the fetal pole measures 5mm with no heartbeat (by vaginal ultrasound), then a diagnosis of miscarriage or blighted ovum is made.