Do you need to be hospitalized for a miscarriage due to embryonic arrest?

Written by Du Rui Xia

Obstetrics

Updated on November 30, 2024

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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 Du Rui Xia

Obstetrics

48sec

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Why is there no bleeding or abdominal pain when an embryo stops developing?

After the occurrence of embryonic arrest, some pregnant women may not experience any uncomfortable symptoms, nor do they have vaginal bleeding or abdominal pain. Embryonic arrest is detected through ultrasound examination, by observing the shape of the gestational sac and whether there is an embryo and fetal heartbeat present. If there is still no fetal heartbeat after eight weeks of pregnancy, it is determined that fetal development has ceased, or if the size of the embryo does not grow progressively with the gestational weeks, it is also judged as embryonic arrest. At this time, timely treatment should be performed, and one can choose either surgical abortion or medical abortion, rather than waiting and observing.

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Written by Zhang Lu

Obstetrics

54sec

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How to preserve a pregnancy after embryonic arrest

Embryonic arrest, also known as missed miscarriage, refers to a condition during early pregnancy where if no fetal heartbeat is detected by ultrasound during weeks 8 to 9 of pregnancy, it should be diagnosed as embryonic arrest. Embryonic arrest indicates that the gestational sac has ceased to live, and in such cases, efforts to preserve the pregnancy are pointless as they are meaningless. However, it is important to analyze the reasons behind embryonic arrest to guide future pregnancies. Common causes of embryonic arrest include abnormalities in chromosomes, infections, immunity, and rheumatological markers. When embryonic arrest occurs, tests should be conducted targeting these indicators to clearly identify the abnormal factors, thereby guiding and potentially increasing the success rate of subsequent pregnancies.

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Written by Du Rui Xia

Obstetrics

51sec

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What should I do if the embryo stops developing?

After the diagnosis of embryonic arrest, it is necessary to terminate the pregnancy promptly. One can choose to undergo a uterine curettage or opt for medical abortion. Depending on the gestational age and the size of the fetus, an appropriate method of pregnancy termination should be selected. If the embryonic arrest is not expelled promptly, it could lead to a myomatous miscarriage, which easily causes gynecological infections and severe bleeding, and may even lead to hemorrhagic shock. This poses a significant risk to life safety. After embryonic arrest, it is advisable to promptly visit a hospital for consultation and examination. After undergoing an abortion surgery, it is important to rest, enhance nutrition, and avoid overexertion.

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Written by Zhang Lu

Obstetrics

58sec

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Is embryonic arrest common?

Embryonic Arrest, also known as missed abortion, refers to a condition in early pregnancy where the gestational sac does not develop normally. By the end of the ninth week of pregnancy, no definitive fetal heartbeat can be seen on an ultrasound. Recently, embryonic arrest has become relatively more common in clinical practice, primarily due to various life stresses and the impact of various chemicals. Additionally, the age at which women are having children is gradually increasing, with many women over 30, and even over 35, having their first child. These women, being older, tend to have poorer egg quality, thus increasing the likelihood of embryonic arrest. Women who have previously experienced embryonic arrest should make comprehensive pre-pregnancy preparations and undergo appropriate tests, as well as seek pre-pregnancy guidance to increase the chances of a successful future pregnancy.

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Written by Du Rui Xia

Obstetrics

50sec

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Can a miscarriage be detected through a blood test?

Embryo arrest is primarily diagnosed through ultrasound examination, and blood tests alone cannot fully determine embryo arrest. Pregnant women still need to rely on comprehensive examinations to make a diagnosis. During pregnancy, the levels of progesterone and human chorionic gonadotropin (hCG) are continuously rising. If there are factors that cause embryo arrest, these values will no longer increase, or there may be a continuous decline observed during tests. Therefore, embryo arrest must rely on ultrasound examination for accurate diagnosis, supplemented by blood tests to measure hormone levels, using a comprehensive judgment to confirm the condition of embryo arrest.