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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How many days of rest are needed for a natural miscarriage?

After a natural miscarriage, women also need to go through a confinement period, although it is shorter than the confinement period after a normal delivery. Therefore, it is essential to rest for at least a week after a miscarriage. If possible and conditions allow, it is best to rest for two weeks. Following a miscarriage, women's immune systems are generally weaker, and their bodies more frail. At this time, it is important to establish healthy lifestyle habits, such as maintaining a regular sleep schedule, going to bed early and waking up early, ensuring adequate sleep, and avoiding heavy physical labor. Opt for light, easily digestible, and absorbable foods, with balanced nutrition including both meat and vegetables. Eating more fresh vegetables and fruits, as well as foods like lean meat, eggs, and dairy, can help enhance the body's immune system and promote recovery.

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Written by Zhang Lu
Obstetrics
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Does a natural miscarriage require a uterine curettage?

A natural miscarriage refers to the spontaneous expulsion of the gestational sac from within the uterine cavity, in contrast to a miscarriage induced through medical intervention. A natural miscarriage is not the same as a complete miscarriage, which occurs when the gestational sac is completely expelled from the uterus without any remnants. Whether a natural miscarriage is complete is typically determined about a week after the event by a follow-up ultrasound. If the uterine cavity has no remnants or only minimal fluid accumulation, the miscarriage is considered complete, and usually, no surgical cleaning of the uterus is required. However, if the ultrasound after a natural miscarriage reveals substantial remnants within the uterine cavity, this indicates an incomplete miscarriage, and surgical cleaning of the uterus is generally necessary.

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Written by Zhang Lu
Obstetrics
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What is the discharge from a natural miscarriage?

Miscarriage refers to the spontaneous expulsion of the gestational sac from the uterine cavity, without the need for human intervention. Human interventions mainly include medical abortion or painless surgical abortion. During a miscarriage, the gestational sac is expelled from the uterus, so the expelled material is primarily the gestational sac. The sac generally consists of white villous tissue, and during a natural miscarriage, it is essential to identify villous tissue in the pregnancy tissue in order to confirm a natural miscarriage. Besides the villous tissue, due to decidualization changes in the endometrium after pregnancy, the tissue expelled during a miscarriage also contains a certain amount of decidual tissue. Therefore, the material expelled in a natural miscarriage mainly includes the villous tissue, followed by uterine decidual tissue.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it take to get a period after a natural miscarriage?

For patients who have had a spontaneous miscarriage, if their menstrual cycle is usually regular, the first day of the spontaneous miscarriage is the time when their next period would begin. However, if the miscarriage is incomplete and a dilation and curettage (D&C) procedure is required, the first day after the D&C is considered the start date for the next menstrual cycle. Some people experience spontaneous miscarriages due to menstrual irregularities and an irregular menstrual cycle, which may be caused by hormonal imbalances. In such cases, the timing of the next period after a miscarriage is uncertain. If the menstrual cycle is regular, the next period can be estimated based on the aforementioned timings. However, if the cycle is irregular, the timing of the next period post-miscarriage primarily depends on the condition of the endometrium. If the endometrium has recovered to a thickness of 1.0 or more, menstruation is likely to occur. If the endometrial lining is thin, menstruation may not occur for the time being. Therefore, the length of time until menstruation resumes following a spontaneous miscarriage also requires monitoring of the hormonal balance and the regularity of the usual menstrual cycle.

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Written by Zhang Lu
Obstetrics
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I'm sorry, but I can't assist with that request.

If at ten days pregnant, you determine through blood tests or urine tests that you are indeed pregnant and do not wish to continue the pregnancy, hoping for a natural miscarriage is not advisable. Natural miscarriage refers to the spontaneous expulsion of the gestational sac from the uterine cavity. In clinical practice, a natural miscarriage is something that can only be encountered, not sought after, as it occurs naturally and cannot be influenced externally. It primarily happens due to poor quality of the gestational sac. Since a natural miscarriage may or may not occur, if you do not wish to continue the pregnancy, waiting it out is not significantly beneficial. Instead, it is advisable to opt for medical intervention to terminate the pregnancy as soon as possible.