Does a natural miscarriage require surgery?

Written by Du Rui Xia
Obstetrics
Updated on December 24, 2024
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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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How long does a blighted ovum naturally miscarry?

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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Spontaneous abortion embryonic pathological examination

After a natural miscarriage, pathological tests can be performed on the embryonic tissue. The main purposes of these tests include the following two aspects: First, to check if the chorionic villi in the embryonic tissue are edematous or if it is a hydatidiform mole. In cases of natural miscarriage, if it is a hydatidiform mole, it is necessary to determine whether it is a benign or malignant hydatidiform mole. If it is not a hydatidiform mole, it can be treated as a regular miscarriage. Secondly, testing the embryo can clarify the reasons for the miscarriage, such as checking the chromosomes of the embryo to determine if there are any issues with the chromosomes, which can be informative for the next pregnancy.

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Written by Liu Wei Jie
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How long does it take for the bleeding from a natural miscarriage to stop?

If it is a natural miscarriage, and the embryo is expelled completely, there is generally bleeding for about three days, accompanied by a small amount of bleeding or a small amount of brown discharge. If the bleeding lasts for a long time, about three days, and the amount of bleeding is significant, it is considered possible that there might be remnants or that the uterus is not contracting properly. In such cases, it is first necessary to undergo an ultrasound examination. An ultrasound can determine the issue of remnants and how much is left. If the ultrasound shows remnants greater than 1.0 cm, surgical cleaning of the uterus is required; if less than 1.0 cm, it can be treated with medication. Then, another ultrasound will be needed to check the recovery of the uterus.

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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.

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Natural miscarriage impact on the body

If a woman experiences a natural miscarriage, it can have adverse effects on her body. If attention is not paid to local cleanliness and hygiene during uterine bleeding, and the body's resistance is lowered, it can easily lead to some gynecological infections. If the inflammation is not treated in time, it can affect future normal pregnancies. Furthermore, if care is not enhanced after surgery, and rest is not adequately observed, it will impact the uterus's normal contraction and recovery, leading to continuous vaginal bleeding, which can also affect future pregnancies. Additionally, it can also have some adverse psychological effects on the pregnant woman.