Do you need to have an abortion if the embryo stops developing?

Written by Zhao Li Li
Obstetrics
Updated on September 02, 2024
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During prenatal check-ups, if it is indicated that the embryo has ceased to develop, it is necessary to treat the condition promptly. Normally, after the embryo has stopped developing, a detailed examination of the body is required to determine the current health status and to exclude potential complications such as coagulation dysfunction caused by the failed pregnancy.

If everything is within the normal range, it is still recommended to promptly proceed with an abortion surgery to completely remove the embryo from the body to prevent long-term retention of embryonic tissue in the uterine cavity, which could lead to infections. After the abortion, it is also necessary to closely monitor the recovery of the uterine appendages and, if necessary, provide anti-inflammatory treatment as appropriate.

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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.

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Written by Zhang Lu
Obstetrics
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Can an ultrasound detect an embryonic arrest?

Embryonic arrest refers to a condition in early pregnancy where no fetal heartbeat appears in the gestational sac. The diagnostic criteria mainly include the lack of observable primitive heart tube pulsation via ultrasound after two months of pregnancy, at which point embryonic arrest can be confirmed. The definitive diagnosis of embryonic arrest is primarily through ultrasound. The following situations observed during an ultrasound can lead to a diagnosis of embryonic arrest: 1. If the diameter of the gestational sac exceeds three centimeters without a clear fetal heartbeat or embryo visible inside, it can be diagnosed as embryonic arrest. 2. If an embryo is already present and approximately 10 days after the appearance of the embryo, an ultrasound still does not show a fetal heartbeat, this situation can also be determined as embryonic arrest.

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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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How long to rest after a miscarriage and curettage?

After an embryo arrest, it is generally necessary to undergo a uterine cleaning procedure. At least half a month of rest is required after the cleaning because the procedure can cause considerable harm to a woman's body. The uterus needs time to recover, so it is best to rest at home for half a month after the uterine cleaning. During this period, it is important to rest, avoid overexertion, and not stay up late. Smoking and drinking are also discouraged. Intercourse should be avoided for a month, and it is crucial to keep the perineal area clean and observe any vaginal bleeding. Generally, bleeding may occur after the cleaning, but it usually does not last more than a week.

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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.