10 week fetal heartrate, Dr?

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Question 1: How accurate is the count when he just counts for like 6 or 10 seconds and multiplies it? He only did the count because I asked, not because he felt it necessary.

Question 2: He didn't seem overly concerned with this low of a heartrate (but he didn't realize until after that that I wasn't the 12 weeks he thought I was until he looked at my chart, we didn't measure at this ultrasound since I've had a couple), but the articles I've been reading seem to say otherwise, is this slow of a heartrate at this point generally reason for concern?

Question 3: If this heartrate is of concern, is it more likely of fetal demise or of chromosonal abnormalities like Trisomy 18? If the latter, how often is the lower heartrate indicative of this?

Thanks!

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