Do you need to be hospitalized for uterine evacuation after a missed miscarriage?

Written by Liu Wei Jie
Obstetrics
Updated on September 26, 2024
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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.

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Written by Du Rui Xia
Obstetrics
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Will the pregnancy test strip become lighter if the embryo stops developing?

After embryonic arrest, early pregnancy tests will show a fading phenomenon. This is because the embryo has stopped developing, and the level of human chorionic gonadotropin (HCG) in the body no longer rises but instead significantly declines. Early pregnancy tests work by detecting the amount of HCG in the urine. When embryonic arrest causes HCG levels to decrease, the result on pregnancy tests will gradually become fainter, even turning negative. It is advised that in cases of embryonic arrest, prompt miscarriage management or uterine evacuation should be conducted to prevent potential inflammatory gynecological conditions and impacts on the woman's clotting function.

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Written by Du Rui Xia
Obstetrics
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Will the embryo still grow if the embryo has stopped developing?

When embryonic arrest occurs, the embryo will no longer grow. There are many causes for embryonic arrest, such as congenital developmental defects of the gestational sac, abnormalities in the fertilized egg, congenital genetic diseases, and chromosomal abnormalities, all of which can easily lead to the cessation of embryonic development. At this time, regular observation of the embryonic tissue, which will no longer continue to grow and no fetal heartbeat is present, can confirm the condition of embryonic arrest. It is recommended to proceed with further treatment, such as medical abortion or surgical abortion. After the abortion, it is important to rest and enhance nutrition. It is also advised to have a thorough pregnancy check-up before the next pregnancy attempt to prevent recurrence of embryonic arrest.

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Written by Zhao Li Li
Obstetrics
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How to handle bleeding due to embryonic arrest?

If it has already been determined that the embryo has ceased to develop and significant vaginal bleeding has occurred, it is likely that the bleeding is caused by uterine contractions stimulated by the halted embryonic development. In this case, it is first necessary to seek medical attention promptly. After confirming the halted development of the embryo, it is important to perform a surgical abortion promptly to completely remove all tissues associated with the ceased embryonic development, reducing the occurrence of post-abortion bleeding. After the surgery, it is also necessary to promptly use antibiotics to prevent infections within the uterine cavity.

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Written by Du Rui Xia
Obstetrics
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What will happen if a miscarried embryo is not removed from the uterus?

After embryonic arrest occurs, it is necessary to handle it promptly, which involves expelling the embryo from the body. If the embryo remains for an extended period without timely intervention, it can easily lead to an infection in the uterine cavity, or even sepsis. The fetus may adhere to the uterine wall, making it difficult to clean later and can easily cause severe bleeding, seriously endangering the patient's life. Therefore, once we identify that an embryonic arrest has definitely occurred, it is crucial to undergo prompt uterine cleaning treatment. It is advisable to communicate with the hospital doctors and take appropriate measures.

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Written by Du Rui Xia
Obstetrics
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How long to rest after a miscarriage and curettage?

After an embryo arrest, it is generally necessary to undergo a uterine cleaning procedure. At least half a month of rest is required after the cleaning because the procedure can cause considerable harm to a woman's body. The uterus needs time to recover, so it is best to rest at home for half a month after the uterine cleaning. During this period, it is important to rest, avoid overexertion, and not stay up late. Smoking and drinking are also discouraged. Intercourse should be avoided for a month, and it is crucial to keep the perineal area clean and observe any vaginal bleeding. Generally, bleeding may occur after the cleaning, but it usually does not last more than a week.