How long to rest after a miscarriage and curettage?

Written by Du Rui Xia
Obstetrics
Updated on January 28, 2025
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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 Zhang Lu
Obstetrics
1min 6sec home-news-image

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.

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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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Will the embryo still grow if the embryo has stopped developing?

When embryonic arrest occurs, the embryo will no longer grow. There are many causes for embryonic arrest, such as congenital developmental defects of the gestational sac, abnormalities in the fertilized egg, congenital genetic diseases, and chromosomal abnormalities, all of which can easily lead to the cessation of embryonic development. At this time, regular observation of the embryonic tissue, which will no longer continue to grow and no fetal heartbeat is present, can confirm the condition of embryonic arrest. It is recommended to proceed with further treatment, such as medical abortion or surgical abortion. After the abortion, it is important to rest and enhance nutrition. It is also advised to have a thorough pregnancy check-up before the next pregnancy attempt to prevent recurrence of embryonic arrest.

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Written by Liu Wei Jie
Obstetrics
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What are the reasons for two instances of embryonic arrest?

According to current medical viewpoints, there are various reasons for embryonic arrest, but in 50% of cases, the cause is unknown. Identified causes can generally be divided into several categories such as chromosomal issues, maternal metabolic issues including thyroid disorders, diabetes, and polycystic ovary syndrome. Additionally, immune factors such as lupus erythematosus or Sjögren's syndrome, along with abnormal antibodies, are also reasons. Furthermore, abnormal maternal anatomical structures, like abnormal uterine development, can lead to embryonic arrest. Paternal factors, such as abnormal sperm, can also result in embryonic arrest. Upon encountering embryonic arrest, if it occurs once, it can be observed initially. However, if there are two or more instances, comprehensive examinations for both partners are necessary, including chromosomal tests.

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Written by Zhang Lu
Obstetrics
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Can a miscarried embryo be expelled naturally?

Embryonic arrest refers to the lack of natural development of the gestational sac in early pregnancy, characterized by the absence of a fetal heartbeat. If there is still no fetal heartbeat or embryo detected during an ultrasound at 8-9 weeks of pregnancy, it should be diagnosed as embryonic arrest. After embryonic arrest occurs, the vast majority require medical intervention. Of course, some cases of embryonic arrest can resolve naturally, leading to a miscarriage. However, this is not a reliable occurrence and is relatively rare in clinical practice. Moreover, the longer the wait, the greater the potential harm to the woman's health. For embryonic arrest, once diagnosed, it is urgent to intervene medically to remove the gestational sac from the uterus, minimizing harm to the woman. Common methods include medical abortion or a dilation and curettage surgery, either of which can be chosen.