Is hospitalization necessary for embryonic arrest?

Written by Liu Wen Li
Obstetrics
Updated on December 12, 2024
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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 embryonic arrest be prevented in advance?

There are no absolute methods in medicine to prevent embryonic arrest in advance, but we can intervene to some extent, such as by conducting pre-pregnancy check-ups. Both spouses should undergo comprehensive examinations at a hospital to see if there are any physical abnormalities that could affect pregnancy. It is also important to avoid exposure to harmful substances during pregnancy, such as working with hazardous materials, exposure to radiation, and consuming contaminated food. Additionally, pregnant individuals should quit smoking, abstain from alcohol, relax, maintain an optimistic attitude, and actively exercise to enhance their immune system.

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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 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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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 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.