How long does a blighted ovum naturally miscarry?

Written by Liu Wen Li
Obstetrics
Updated on October 21, 2024
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There are two situations regarding a pregnancy with an empty sac. One situation is that the embryo does not develop well and remains an empty sac. In another situation, it is possible to wait for another 4 to 5 days or a week and then recheck with an ultrasound. It might be that the development is just occurring later than usual, and thus, no embryonic bud has developed at the time of the initial ultrasound, displaying an empty sac. As for how long it will take for the empty sac to be expelled, there is no definite timeframe. In some cases, it is not necessary to wait for it to be expelled naturally; active measures such as medication treatment or surgical abortion can be taken.

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Written by Du Rui Xia
Obstetrics
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How to recuperate from a natural miscarriage

When a patient experiences a natural miscarriage, it is important to rest. It is recommended to rest for about half a month if possible, avoid overexertion, vigorous exercise, staying up late, and abstain from sexual activity within a month after the miscarriage. Avoid contact with cold water recently and pay attention to keeping warm and not catching a cold. In terms of diet, eat more light, easily digestible foods, and additionally consume foods rich in protein, vitamins, and minerals. You can eat more eggs, lean meat, milk, fresh vegetables, and fruits. Within a month of the natural miscarriage, it is recommended to visit the hospital for a follow-up to check the recovery of the uterus.

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Written by Liu Wei Jie
Obstetrics
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What are the symptoms of a natural miscarriage?

What are the symptoms of a spontaneous miscarriage? Spontaneous miscarriage is a process where the embryo is lost from the mother's body. Before diagnosing a spontaneous miscarriage, it is first necessary to confirm an intrauterine pregnancy. After confirming the intrauterine pregnancy, symptoms include abdominal pain and heavy bleeding, which indicate a spontaneous miscarriage. The manifestations of a spontaneous miscarriage primarily include abdominal pain or bleeding, along with the expulsion of necrotic tissue-like material, which is the embryonic tissue. The symptoms are bleeding and abdominal pain. The symptoms of a spontaneous miscarriage are mainly distinguished from an ectopic pregnancy. An ectopic pregnancy can also present similarly, where an ultrasound fails to reveal a gestational sac, accompanied by abdominal pain and bleeding. Such scenarios should be considered for ectopic pregnancy, whereas abdominal pain and bleeding after confirming an intrauterine pregnancy indicates a spontaneous miscarriage.

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Written by Du Rui Xia
Obstetrics
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What are the symptoms of a natural miscarriage?

During a natural miscarriage, the most typical clinical symptoms include abdominal pain and vaginal bleeding. Based on the different symptoms of a natural miscarriage, women should undergo differential diagnosis. When a woman experiences abdominal pain and vaginal bleeding, it may initially suggest a threatened miscarriage. If the abdominal pain worsens and vaginal bleeding increases, it could progress to an inevitable miscarriage. An inevitable miscarriage can further be classified into complete or incomplete miscarriage. In the case of a complete miscarriage, the abdominal pain generally subsides gradually, and the vaginal bleeding eventually stops. In contrast, during an incomplete miscarriage, the vaginal bleeding lasts longer, and the abdominal pain is prolonged. At this point, it is necessary to visit a hospital for an examination to check if there are any remnants in the uterine cavity and to receive further treatment.

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Written by Du Rui Xia
Obstetrics
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Does a natural miscarriage require surgery?

Generally, after a natural miscarriage, it is not necessary to undergo surgical treatment, as it is usually possible to naturally expel the contents completely. Typically, after a natural miscarriage, the pregnancy tissue can be expelled from the body through contractions of the uterus. However, if there is residual tissue after the miscarriage, a dilation and curettage (D&C) procedure may be required. It is recommended to have an ultrasound at a hospital after a miscarriage to check for any residuals in the uterine cavity. Then, medication or a D&C can be used to remove any remaining tissue. After a natural miscarriage, it is important for a woman to adjust her mindset and take good care of her body to recover and prevent any diseases.

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Written by Du Rui Xia
Obstetrics
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What should I do if a natural miscarriage is not complete?

If after a natural miscarriage, there is prolonged vaginal bleeding and accompanying abdominal pain, it is necessary to consider the possibility that the miscarriage was incomplete. In this case, the first step is to go to the hospital for an ultrasound to check if there is any residual tissue in the uterine cavity and the size of any remaining embryonic tissue. Treatment should be determined based on the size of the residual tissue. If the residual tissue is relatively small, about 1 centimeter, it is generally possible to promote uterine contraction and aid the expulsion of the residual tissue by taking medications that improve blood circulation and remove blood stasis. If the residual tissue is larger, exceeding 2 centimeters, taking medication generally does not yield good results, and it becomes necessary to proceed with further surgical cleaning of the uterus.