How to handle bleeding due to embryonic arrest?

Written by Zhao Li Li
Obstetrics
Updated on September 28, 2024
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If it has already been determined that the embryo has ceased to develop and significant vaginal bleeding has occurred, it is likely that the bleeding is caused by uterine contractions stimulated by the halted embryonic development. In this case, it is first necessary to seek medical attention promptly. After confirming the halted development of the embryo, it is important to perform a surgical abortion promptly to completely remove all tissues associated with the ceased embryonic development, reducing the occurrence of post-abortion bleeding. After the surgery, it is also necessary to promptly use antibiotics to prevent infections within the uterine cavity.

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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 Du Rui Xia
Obstetrics
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Why are there still reactions when the embryo is arrested?

After an occurrence of embryonic arrest, some early pregnancy reactions in pregnant women will gradually ease but not disappear immediately. This is mainly related to elevated hormone levels in the body. Even after the embryonic arrest, the hormone levels in the body remain relatively high. As the arrested embryo is expelled from the body, the hormone levels will gradually decrease, and some early pregnancy reactions will also gradually ease. Generally, these adverse reactions will gradually ease and eventually disappear about a week after the embryo is expelled from the body.

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Written by Zhang Lu
Obstetrics
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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 Zhao Li Li
Obstetrics
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What will the vaginal discharge be like if the embryo stops developing?

During prenatal check-ups, if there are indications that embryonic arrest has occurred, timely symptomatic treatment is still necessary. Normally, embryonic arrest does not affect vaginal discharge, so the nature of the discharge alone cannot be used to determine whether the embryonic development in the uterus is healthy. After confirming embryonic arrest, it is generally advised to promptly undergo an artificial abortion to completely expel the embryo from the body, to avoid long-term retention which could lead to disorders such as coagulation dysfunction. After the miscarriage due to embryonic arrest, further examination to determine the specific cause of the arrest is necessary, in order to treat the condition promptly and appropriately.

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Written by Zhang Lu
Obstetrics
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Is embryonic arrest related to diet?

Embryo arrest, also known as missed miscarriage, refers to the absence of a fetal heartbeat in the early stages of pregnancy due to various factors affecting the gestational sac. Typically, if no fetal heartbeat and embryo are detected during an ultrasound at about 8 to 9 weeks of pregnancy, it can be diagnosed as embryo arrest. Currently, there are many reasons for embryo arrest in clinical practice, but many pregnant women look for causes in their daily life, such as diet and exercise. However, these factors are largely unrelated to embryo arrest. While diet plays a very important role in human health, the growth and development of an embryo are mainly influenced by its own genetic material, endocrine, and coagulation factors, which are generally unrelated to diet. Therefore, when embryo arrest occurs, one should not look for reasons in diet or other daily life factors; instead, it is advisable to undergo targeted medical examinations to determine the specific cause.