Embryonic arrest generally occurs at what time?

Written by Liu Wei Jie
Obstetrics
Updated on September 06, 2024
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First, let's discuss what embryonic arrest means. There are two scenarios of embryonic arrest. The first scenario is where the embryo initially does not develop well, leading to the cessation of development in the very early stages of pregnancy. The second scenario occurs when the embryo initially develops well, but after a period, embryonic arrest happens. Therefore, embryonic arrest generally occurs during early pregnancy but can also occur later, around the middle of early pregnancy. It can happen at any time, but it is most commonly identified after 8 weeks. However, some cases involve the presence of an embryonic bud and heart tube, and embryonic arrest can still occur even at 10 or 11 weeks.

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Written by Du Rui Xia
Obstetrics
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Can traditional Chinese medicine be used to regulate embryonic arrest?

After experiencing a case of embryonic arrest, it is crucial to actively investigate the cause, and it is not feasible to rely solely on drinking herbal medicine for treatment. The causes of embryonic arrest can include genetic factors, endocrine factors, immunological factors, infectious factors, and abnormal uterine conditions in women that may also impact embryonic development. However, if the cause is not identified, there is still a possibility of another embryonic arrest in the next pregnancy. Therefore, consuming herbal medicine is insufficient for treatment, and it is necessary to go to the hospital for a detailed examination. After determining the cause, treatment can then proceed.

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

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 Du Rui Xia
Obstetrics
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Does an embryonic arrest require a uterine curettage?

After discovering that the embryo has ceased developing, it is necessary to undergo a uterine cleaning treatment. If an embryo arrest is not dealt with promptly, it can cause an infection in the uterine cavity and even lead to abnormalities in the woman's coagulation function, which is very detrimental to health. However, a uterine cleaning is not always necessary. If the gestational sac is relatively small, medications can be used to induce contractions of the uterus, facilitating the expulsion of the gestational sac from the body. It is advisable to handle the situation promptly after discovering an arrested embryo and to perform thorough prenatal screenings before attempting to conceive again, to prevent the recurrence of such adverse pregnancy conditions.

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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.

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Written by Liu Wei Jie
Obstetrics
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Do you need to be hospitalized for uterine evacuation after a missed miscarriage?

The criteria for diagnosing embryo arrest generally involve the appearance of the embryonic bud and heart tube between six to eight weeks. If these are not visible beyond eight weeks, the situation is referred to as embryonic arrest. Embryonic arrest requires abortion, which for safety reasons typically involves hospitalization and a combination of medication and uterine evacuation. However, if the gestational sac is relatively small, an outpatient abortion procedure might be sufficient. Whether hospitalization is necessary should be assessed by a doctor, who will consider factors such as previous scar pregnancies, the condition of a scarred uterus, and the size of the current gestational sac, to make a comprehensive decision.