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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Can a pregnancy test still detect pregnancy if the embryo has stopped developing?

After embryonic arrest, the level of human chorionic gonadotropin (HCG) in the body is still relatively high, and it does not immediately drop to normal. Therefore, if a pregnancy test is conducted at this time, it can still test positive. The diagnosis of embryonic arrest needs to be confirmed by an ultrasound examination, which checks the size of the fetus and whether there is a fetal heartbeat and fetal bud, and whether they correspond to the gestational age. If embryonic arrest is confirmed, it is necessary to actively proceed with an abortion, then identify and actively treat the causes of the embryonic arrest, in preparation for the next pregnancy attempt.

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Written by Liu Wen Li
Obstetrics
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Is hospitalization necessary for embryonic arrest?

This is not necessarily the case; it depends on the specific situation. Firstly, we need to consider the timing of the embryo arrest. If the embryo arrest occurs within 70 days of pregnancy, generally, hospitalization is not needed, and a miscarriage can often be handled on an outpatient basis. However, if the embryo stops developing after 70 days of pregnancy, even reaching three or four months, then hospitalization is required for a induced labor. This is because the fetus is relatively larger, making outpatient treatment problematic and riskier. Additionally, we must also consider if the pregnant woman has any complications. If there are complications alongside the embryo arrest, it is generally safer to be hospitalized.

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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 Zhao Li Li
Obstetrics
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Does an embryonic arrest still have pregnancy reactions?

After a normal miscarriage, hormone levels do not suddenly drop to a non-pregnant state, so pregnancy reactions may still occur. Simply based on the current state of pregnancy reactions, it is not possible to accurately judge the developmental condition of the embryo in the uterine cavity. It is still necessary to undergo regular prenatal checks after becoming pregnant and monitor the development of the embryo in the uterine cavity via ultrasound. If the embryo has already stopped developing, it is necessary to seek medical treatment for an abortion in a timely manner to avoid causing disorders in the body's coagulation function.

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Written by Du Rui Xia
Obstetrics
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Why does embryonic arrest cause back pain?

After the embryo's development stops, the uterus will induce contractions, leading to pain in the lower back and abdomen, which is considered normal. Following the cessation of the embryo's development, there will be episodic pain in the lower abdomen accompanied by back pain, primarily to facilitate the process of embryo cessation and to promote the expulsion of the gestational sac. In such cases, it is important to rest, observe the expulsion of embryonic tissue, and be mindful of vaginal bleeding. Rest should be prioritized, avoid overexertion, strengthen nutrition, maintain a regular routine, and, if necessary, undergo a uterine cleaning procedure.