How long does a blighted ovum naturally miscarry?

Written by Liu Wen Li
Obstetrics
Updated on October 21, 2024
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There are two situations regarding a pregnancy with an empty sac. One situation is that the embryo does not develop well and remains an empty sac. In another situation, it is possible to wait for another 4 to 5 days or a week and then recheck with an ultrasound. It might be that the development is just occurring later than usual, and thus, no embryonic bud has developed at the time of the initial ultrasound, displaying an empty sac. As for how long it will take for the empty sac to be expelled, there is no definite timeframe. In some cases, it is not necessary to wait for it to be expelled naturally; active measures such as medication treatment or surgical abortion can be taken.

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Written by Du Rui Xia
Obstetrics
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What is lochia after a natural miscarriage?

Vaginal bleeding is a symptom of natural miscarriage, and this is known as lochia. Lochia is the discharge from the vagina after childbirth, typically ceasing about a week postpartum. After a natural miscarriage, normal bleeding lochia generally has a bloody smell but does not have any other odorous scents. Following a natural miscarriage, it is important to monitor the expulsion of lochia, paying attention to its amount, color, and odor changes, as these factors can reflect the recovery of the uterus. Normally, the lochia will clear up around a week, and it should not last longer than two weeks at most. If lochia persists for an extended period after the miscarriage and is accompanied by abdominal discomfort, a hospital visit is necessary for a follow-up to check the condition of the uterus.

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Written by Liu Wei Jie
Obstetrics
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How long do I need to rest after a natural miscarriage?

The duration of rest required after a miscarriage depends on the duration of pregnancy. For instance, for miscarriages within the first 3 months of pregnancy, it is recommended to rest for at least 2 weeks. Additionally, avoid sharing a bed for a month. If the miscarriage occurs between 3 to 28 weeks of pregnancy, follow the normal postpartum rest period of about 42 days, as it takes this time for the body to fully recover. Besides resting, it is crucial to avoid catching cold after a miscarriage, abstain from sharing a bed for a month, and take appropriate contraceptive measures or prepare for pregnancy accordingly.

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Written by Du Rui Xia
Obstetrics
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What to eat after a natural miscarriage

After a natural miscarriage, it's important to pay attention to dietary adjustments, ensuring a balanced intake of both meat and vegetables, and reasonably incorporating nutrients. The diet should include more protein-rich foods, such as eggs, lean meats, dairy, and bean products, all of which can help replenish the body's energy. Additionally, it's important to consume foods rich in iron, since women may experience bleeding after a miscarriage, leading to iron loss. Therefore, eating more iron-containing foods, including eggs, animal organs, animal blood, and jujube, is advisable. Moreover, consuming more vitamin-rich foods to enhance the body's immune system is recommended. Eating fresh vegetables and fruit can strengthen the immune system, promote digestion and absorption, prevent constipation during pregnancy, and facilitate physical recovery.

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Written by Du Rui Xia
Obstetrics
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What should I do if a natural miscarriage is not complete?

If after a natural miscarriage, there is prolonged vaginal bleeding and accompanying abdominal pain, it is necessary to consider the possibility that the miscarriage was incomplete. In this case, the first step is to go to the hospital for an ultrasound to check if there is any residual tissue in the uterine cavity and the size of any remaining embryonic tissue. Treatment should be determined based on the size of the residual tissue. If the residual tissue is relatively small, about 1 centimeter, it is generally possible to promote uterine contraction and aid the expulsion of the residual tissue by taking medications that improve blood circulation and remove blood stasis. If the residual tissue is larger, exceeding 2 centimeters, taking medication generally does not yield good results, and it becomes necessary to proceed with further surgical cleaning of the uterus.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it take for a miscarriage to expel the gestational sac?

Under normal circumstances, in the case of a natural miscarriage, the gestational sac is usually expelled within one week, and the decidua tissue is also expelled within one week. If there is still bleeding more than one week after a natural miscarriage, it is imperative to visit a hospital for related examinations, typically requiring an ultrasound to observe the miscarriage situation. If the miscarriage is complete, then there are generally no major issues. However, if the miscarriage is incomplete, a dilation and curettage procedure may be necessary. It is possible for an incomplete miscarriage to occur naturally. Therefore, if there is still bleeding after one week, further examinations are necessary. In cases of natural miscarriage, it is usually advised to wait at least six months before trying to conceive again, and relevant examinations must be conducted before attempting again to determine the causes of the natural miscarriage and to treat accordingly.