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 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 Du Rui Xia
Obstetrics
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Can a miscarriage be detected through a blood test?

Embryo arrest is primarily diagnosed through ultrasound examination, and blood tests alone cannot fully determine embryo arrest. Pregnant women still need to rely on comprehensive examinations to make a diagnosis. During pregnancy, the levels of progesterone and human chorionic gonadotropin (hCG) are continuously rising. If there are factors that cause embryo arrest, these values will no longer increase, or there may be a continuous decline observed during tests. Therefore, embryo arrest must rely on ultrasound examination for accurate diagnosis, supplemented by blood tests to measure hormone levels, using a comprehensive judgment to confirm the condition of embryo arrest.

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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 Wen Li
Obstetrics
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What happens if there is embryonic arrest without miscarriage?

If an embryo stops developing but is not miscarried, the retained embryonic tissue can disrupt the clotting function in the pregnant woman’s body over time, leading to a condition called a missed miscarriage. Therefore, after a missed miscarriage occurs, it is important to check the duration it has been retained. If it has been a considerable amount of time, clotting function should be examined. If clotting is still within normal ranges, it is crucial to expedite the process allowing the woman to expel the non-viable embryonic tissue as soon as possible, which is beneficial for her health.

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Written by Zhao Li Li
Obstetrics
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Does an embryonic arrest still have pregnancy reactions?

After a normal miscarriage, hormone levels do not suddenly drop to a non-pregnant state, so pregnancy reactions may still occur. Simply based on the current state of pregnancy reactions, it is not possible to accurately judge the developmental condition of the embryo in the uterine cavity. It is still necessary to undergo regular prenatal checks after becoming pregnant and monitor the development of the embryo in the uterine cavity via ultrasound. If the embryo has already stopped developing, it is necessary to seek medical treatment for an abortion in a timely manner to avoid causing disorders in the body's coagulation function.