What will happen if a miscarried embryo is not removed from the uterus?

Written by Du Rui Xia
Obstetrics
Updated on December 16, 2024
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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 Zhang Lu
Obstetrics
1min 20sec home-news-image

Does an embryonic arrest require a dilation and curettage?

According to the different intervention methods, surgical abortion is needed during an abortion procedure, while medical abortion might not be necessary. Embryonic arrest, also known as missed abortion, occurs during pregnancy due to various factors which result in the absence of a fetal heartbeat in the gestational sac or fetus. Most cases of embryonic arrest occur during early pregnancy. If no fetal heartbeat is observed by the 9th week of pregnancy, it is diagnosed as embryonic arrest. Once embryonic growth ceases, it is crucial to intervene artificially as soon as possible to expel the gestational sac from the uterus. Common methods of artificial intervention include medical abortion and surgical abortion. If surgical abortion is chosen for an embryonic arrest, it involves direct curettage or evacuation of the uterus. Embryonic arrest can also be treated with medical abortion, which involves taking oral medication to stimulate uterine contractions, soften the cervix, and expel the gestational sac from the uterus. A follow-up is required about two weeks after the abortion. If there is no residual material in the uterine cavity, then curettage is not necessary; however, if substantive residuals or blood signals are present inside the uterine cavity, then curettage is needed.

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Written by Zhang Lu
Obstetrics
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Can you have intercourse with an arrested embryo development?

It is not recommended to have sexual intercourse when embryo arrest occurs. Embryo arrest, also known as missed miscarriage, refers to the abnormal development of the gestational sac during early pregnancy, and no fetal heartbeat is detected on an ultrasound by the ninth week of pregnancy. Once embryo arrest is diagnosed in clinical practice, a dilation and curettage surgery should be performed as soon as possible to minimize the impact on the fetus. However, during embryo arrest, since the gestational sac itself is not developing normally and is unstable, it is not advisable to have sexual activity. Sexual activity could stimulate the uterus to contract, leading to bleeding, which is not conducive to managing the embryo arrest. Moreover, sexual activity can easily lead to gynecological inflammation. If sexual activity causes gynecological inflammation, it is necessary to treat the inflammation before proceeding with the abortion, which can delay the process. Therefore, it is not recommended to have sexual intercourse during embryo arrest.

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Written by Zhang Lu
Obstetrics
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Can an arrested embryo be expelled naturally?

Embryonic arrest, also known as missed miscarriage, refers to the restriction of growth and development of the gestational sac in early pregnancy due to various factors, with no fetal heartbeat detected on an ultrasound at 9 weeks of pregnancy. When embryonic arrest occurs, a natural miscarriage may happen, but it's also possible that a natural miscarriage won't occur. Once embryonic arrest is confirmed, waiting for a natural miscarriage isn't advisable, as it is unpredictable and sometimes there might be no signs of miscarriage for a long time. Unrestricted waiting in such cases can harm a woman's body. Therefore, once embryonic arrest is diagnosed, hospitalization should be promptly sought, and artificial intervention methods such as surgical or medical abortion should be considered. While there is a possibility that the embryo could be expelled naturally, the likelihood is relatively low.

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Written by Zhang Lu
Obstetrics
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Does a missed miscarriage have any symptoms?

Embryo arrest, also known as missed abortion, refers to the influence of various factors on the growth and development of the gestational sac in early pregnancy, resulting in the absence of a fetal heartbeat. In the early stages, embryo arrest is imperceptible, as it often shows no signs. It is incorrect for some women to judge embryo arrest based on the presence of abdominal pain or changes in pregnancy reactions. Reactions to embryo arrest only appear after a certain period. When the embryo has been arrested for a longer period, the body may treat the gestational sac as a foreign object and attempt to expel it. This situation may present symptoms of threatened miscarriage, such as abdominal pain and vaginal bleeding. Under these circumstances, one can visit the hospital for an ultrasound to assess the condition of the fetal heartbeat. The absence of a fetal heartbeat confirms the presence of embryo arrest.

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Written by Liu Wei Jie
Obstetrics
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Embryonic arrest generally occurs at what time?

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.