Is embryonic arrest related to emotions?

Written by Zhang Lu
Obstetrics
Updated on September 23, 2024
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Embryonic arrest refers to a condition during early pregnancy, around 9-10 weeks, where no fetal heartbeat is detected. In clinical practice, there are many causes of embryonic arrest, including chromosomal abnormalities, uterine malformations, infections, immune factors, and coagulation factors. However, many women do not investigate these reasons after experiencing embryonic arrest. Instead, they look for causes in their daily lives, such as dietary factors or emotional factors. In reality, embryonic arrest is generally not closely related to everyday life factors. Even if emotions fluctuate, such as becoming irritable or easily provoked, which might affect the gestational sac, such impacts usually manifest as symptoms of threatened miscarriage, but generally do not lead to embryonic arrest. Therefore, there is generally no correlation between embryonic arrest and emotional states.

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Written by Zhang Lu
Obstetrics
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Does an embryonic arrest require a dilation and curettage?

According to the different intervention methods, surgical abortion is needed during an abortion procedure, while medical abortion might not be necessary. Embryonic arrest, also known as missed abortion, occurs during pregnancy due to various factors which result in the absence of a fetal heartbeat in the gestational sac or fetus. Most cases of embryonic arrest occur during early pregnancy. If no fetal heartbeat is observed by the 9th week of pregnancy, it is diagnosed as embryonic arrest. Once embryonic growth ceases, it is crucial to intervene artificially as soon as possible to expel the gestational sac from the uterus. Common methods of artificial intervention include medical abortion and surgical abortion. If surgical abortion is chosen for an embryonic arrest, it involves direct curettage or evacuation of the uterus. Embryonic arrest can also be treated with medical abortion, which involves taking oral medication to stimulate uterine contractions, soften the cervix, and expel the gestational sac from the uterus. A follow-up is required about two weeks after the abortion. If there is no residual material in the uterine cavity, then curettage is not necessary; however, if substantive residuals or blood signals are present inside the uterine cavity, then curettage is needed.

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Written by Du Rui Xia
Obstetrics
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What are the reasons for embryonic arrest with no fetal heartbeat?

Embryonic arrest without a fetal heartbeat can be caused by many factors. For example, taking medications prohibited during pregnancy, exposure to harmful substances, radiation, or infections with bacteria or viruses during pregnancy. Other factors include genetic issues and poor emotional state of the pregnant woman during pregnancy. All these factors can affect the normal development of the embryo. If an ultrasound examination reveals no fetal heartbeat, it can be determined that the embryo has ceased to develop, and prompt treatment should be carried out.

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Written by Zhang Lu
Obstetrics
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Can a miscarried embryo be expelled naturally?

Embryonic arrest refers to the lack of natural development of the gestational sac in early pregnancy, characterized by the absence of a fetal heartbeat. If there is still no fetal heartbeat or embryo detected during an ultrasound at 8-9 weeks of pregnancy, it should be diagnosed as embryonic arrest. After embryonic arrest occurs, the vast majority require medical intervention. Of course, some cases of embryonic arrest can resolve naturally, leading to a miscarriage. However, this is not a reliable occurrence and is relatively rare in clinical practice. Moreover, the longer the wait, the greater the potential harm to the woman's health. For embryonic arrest, once diagnosed, it is urgent to intervene medically to remove the gestational sac from the uterus, minimizing harm to the woman. Common methods include medical abortion or a dilation and curettage surgery, either of which can be chosen.

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Written by Du Rui Xia
Obstetrics
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Why are there still pregnancy reactions when the embryo has ceased to develop?

Women experience various pregnancy reactions to different degrees after conceiving, such as nausea, vomiting, loss of appetite, and fatigue. These are primarily caused by hormonal changes in the body following pregnancy. When there is a case of embryonic arrest, the hormones in the body will gradually decrease, and the pregnancy reactions will also gradually weaken. Some may also experience abdominal pain and vaginal bleeding. Therefore, after embryonic arrest occurs, some pregnant women may exhibit early signs, such as the disappearance of breast tenderness and vaginal bleeding, along with a reduction in pregnancy reactions. These signs indicate that timely treatment is necessary.

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Written by Du Rui Xia
Obstetrics
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Why are there still reactions when the embryo is arrested?

After an occurrence of embryonic arrest, some early pregnancy reactions in pregnant women will gradually ease but not disappear immediately. This is mainly related to elevated hormone levels in the body. Even after the embryonic arrest, the hormone levels in the body remain relatively high. As the arrested embryo is expelled from the body, the hormone levels will gradually decrease, and some early pregnancy reactions will also gradually ease. Generally, these adverse reactions will gradually ease and eventually disappear about a week after the embryo is expelled from the body.