What happens if there is embryonic arrest without miscarriage?

Written by Liu Wen Li
Obstetrics
Updated on September 04, 2024
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If an embryo stops developing but is not miscarried, the retained embryonic tissue can disrupt the clotting function in the pregnant woman’s body over time, leading to a condition called a missed miscarriage. Therefore, after a missed miscarriage occurs, it is important to check the duration it has been retained. If it has been a considerable amount of time, clotting function should be examined. If clotting is still within normal ranges, it is crucial to expedite the process allowing the woman to expel the non-viable embryonic tissue as soon as possible, which is beneficial for her health.

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Written by Zhang Lu
Obstetrics
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Can an ultrasound detect an embryonic arrest?

Embryonic arrest refers to a condition in early pregnancy where no fetal heartbeat appears in the gestational sac. The diagnostic criteria mainly include the lack of observable primitive heart tube pulsation via ultrasound after two months of pregnancy, at which point embryonic arrest can be confirmed. The definitive diagnosis of embryonic arrest is primarily through ultrasound. The following situations observed during an ultrasound can lead to a diagnosis of embryonic arrest: 1. If the diameter of the gestational sac exceeds three centimeters without a clear fetal heartbeat or embryo visible inside, it can be diagnosed as embryonic arrest. 2. If an embryo is already present and approximately 10 days after the appearance of the embryo, an ultrasound still does not show a fetal heartbeat, this situation can also be determined as embryonic arrest.

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Written by Du Rui Xia
Obstetrics
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Do you need to be hospitalized for a miscarriage due to embryonic arrest?

In cases where there is an embryo arrest, an abortion generally does not require hospitalization. However, if the embryo arrest occurs after three months, then hospitalization is necessary for treatment. For pregnancies of shorter duration, within 50 days, it is usually possible to induce abortion with medication. But if it exceeds 50 days and is within 70 days, a painless surgical abortion can be performed to manage the condition. This scenario generally does not require hospitalization and can be handled in an outpatient gynecological clinic. However, for longer-term pregnancies, there may be complications during the abortion process, and it is advisable to be hospitalized for treatment.

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Written by Zhang Lu
Obstetrics
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Is embryonic arrest related to diet?

Embryo arrest, also known as missed miscarriage, refers to the absence of a fetal heartbeat in the early stages of pregnancy due to various factors affecting the gestational sac. Typically, if no fetal heartbeat and embryo are detected during an ultrasound at about 8 to 9 weeks of pregnancy, it can be diagnosed as embryo arrest. Currently, there are many reasons for embryo arrest in clinical practice, but many pregnant women look for causes in their daily life, such as diet and exercise. However, these factors are largely unrelated to embryo arrest. While diet plays a very important role in human health, the growth and development of an embryo are mainly influenced by its own genetic material, endocrine, and coagulation factors, which are generally unrelated to diet. Therefore, when embryo arrest occurs, one should not look for reasons in diet or other daily life factors; instead, it is advisable to undergo targeted medical examinations to determine the specific cause.

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Written by Du Rui Xia
Obstetrics
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What is the progesterone level for embryonic arrest?

When an embryo stops developing, the progesterone level will gradually decrease, but how much it can decrease is uncertain; it depends on the gestational age and individual differences. However, if an embryo stops developing, the progesterone level usually does not exceed 20. Therefore, during pregnancy, it is essential for pregnant women to maintain good living habits, avoid harmful factors, rest well, strengthen nutrition, abstain from sexual intercourse in early pregnancy, avoid misuse of medication, and be vigilant about symptoms like vaginal bleeding or abdominal pain.

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Written by Du Rui Xia
Obstetrics
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Is it necessary to send an embryo for examination if embryonic arrest occurs?

After fetal growth restriction occurs, it is still necessary to send the fetus for examination after dealing with any abnormalities that arise. There are many factors that can cause embryonic arrest, such as maternal factors, abnormal immune function, and the environment of the pregnant woman. More importantly, factors related to the embryo, such as chromosomal abnormalities in the embryo, are the main cause of embryonic arrest. Therefore, after embryonic arrest occurs, it is recommended to go to the hospital for a fetal chromosomal examination to lay a good foundation for the next conception.