How to preserve a pregnancy after embryonic arrest

Written by Zhang Lu
Obstetrics
Updated on September 07, 2024
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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
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What are the reasons for embryonic arrest with no fetal heartbeat?

Embryonic arrest without a fetal heartbeat can be caused by many factors. For example, taking medications prohibited during pregnancy, exposure to harmful substances, radiation, or infections with bacteria or viruses during pregnancy. Other factors include genetic issues and poor emotional state of the pregnant woman during pregnancy. All these factors can affect the normal development of the embryo. If an ultrasound examination reveals no fetal heartbeat, it can be determined that the embryo has ceased to develop, and prompt treatment should be carried out.

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Written by Zhang Lu
Obstetrics
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Embryonic arrest means

Embryonic arrest, as the name implies, refers to the cessation of embryo development. In clinical practice, it is also called fibroid miscarriage. Embryonic arrest is a pathological condition. Normally, in the early stages of pregnancy, as activity increases, the gestational sac gradually begins to show a yolk sac, embryo bud, and fetal heartbeat. If the fetal heartbeat is still not visible after a certain period, it indicates that the gestational sac is in a state of decay and that the embryo has stopped developing. Generally, 9 weeks of pregnancy is considered the final deadline for diagnosis. If no fetal heartbeat is detected during an ultrasound at 9 weeks of pregnancy, it can be diagnosed as embryonic arrest. Once diagnosed, it is advisable to proceed with an abortion as soon as possible to minimize harm to the woman’s body. If embryonic arrest occurs consecutively more than twice, a thorough examination of both partners should be conducted to determine the cause, to guide the next pregnancy.

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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.

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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.

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Written by Du Rui Xia
Obstetrics
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What to do about abdominal pain caused by embryonic arrest?

After discovering an embryonic arrest accompanied by abdominal pain, it is important to observe whether there is vaginal bleeding or expulsion of embryonic tissue. If the embryo is not expelled in time, an immediate uterine evacuation surgery is necessary to avoid the risk of intrauterine infection and impact on health. After the surgery, it is important to rest, enhance nutrition, and eat foods rich in vitamins and proteins. Moreover, a week later, a visit to the hospital for an ultrasound should be conducted to check if the expulsion was complete and to understand the recovery status of the uterus.