How to deal with spontaneous abortion

Pregnancy is a very happy thing for a family. However, pregnant women will always encounter some problems of one kind or another, which may lead to the inability to successfully conceive and bring the baby into this world. Among them, fetal arrest and spontaneous abortion are one of the common problems. For many pregnant women, the embryo stops developing after a certain period of pregnancy. The embryo that stops developing and remains in the pregnant woman's womb is a dead fetus. Pregnant women sometimes fail to detect it. Below are some signs of miscarriage and how to deal with it.

The symptoms of embryonic development cessation are often not obvious. Some pregnant mothers have no symptoms at all and only discover abnormalities in the embryo under B-ultrasound. Some pregnant mothers may experience disappearance of early pregnancy reactions and signs of miscarriage such as vaginal bleeding and abdominal pain. Many first-time mothers have no experience in this area and tend to overlook it. Some pregnant mothers find no obvious changes in their abdomen and the signs of early pregnancy disappear after 6 months of pregnancy, so they rush to the hospital for examination. This delay also brings great risks to treatment.

B-ultrasound examination is the main method for diagnosing embryonic arrest. It can determine whether the embryo is alive, which is helpful for clinical detection of embryonic arrest in time so that treatment measures can be taken. A blood test for HCG levels in pregnant women can also be used to assess fetal development. If the pregnancy-related hormone is found to be low or not gradually increasing during a blood test, This could be a sign that the embryo has stopped developing.

Diagnosis of embryonic arrest in early pregnancy by B-ultrasound

1) The disappearance of the yolk sac can usually be seen in the 7th to 9th week of pregnancy. If the yolk sac cannot be found after repeated searches, it may be a sign of a damaged egg or indicate a possible fetal malformation.

2) If the gestational sac is smaller than the gestational age, it is necessary to calculate the gestational age accurately and observe the size and shape of the gestational sac, any changes in the sac wall, the presence of a yolk sac, fetal bud, and fetal heartbeat in the sac, and other signs indicating embryo survival. A diagnosis cannot be made simply based on the gestational sac being smaller than the gestational age;

3) Embryonic death type: for patients with irregular menstrual cycles, amnesia about the last menstrual period, and difficulty in confirming the diagnosis during the first B-ultrasound, a repeat examination may be conducted 1-2 weeks later. If the yolk sac, embryonic bud, and fetal heartbeat are still not seen, and the wrinkled and/or collapsed gestational sac moves downward toward the cervix, this is conclusive evidence of fetal death. Generally speaking, when a pregnant mother is diagnosed with embryonic development arrest, she needs to have an abortion under the guidance of a doctor. Fetal growth retardation is different from early pregnancy. There are greater risks in using medical abortion because the embryo has already formed and adhered to the uterine wall, making it difficult to completely expel it. If it remains in the uterus for a long time, it will cause intrauterine infection, damage the endometrium, and then cause fallopian tube occlusion, leading to infertility. Therefore, after fetal growth retardation, doctors generally recommend hospitalization for curettage. Because fetal growth retardation is likely to cause heavy bleeding after surgery, you must be hospitalized for observation for a period of time.

When faced with the problem of fetal arrest or spontaneous abortion, all family members will feel sad, especially the pregnant woman herself. While she is sad in her heart, her body is also suffering great harm and pain. Therefore, after a pregnant woman has a miscarriage, it is important to properly handle the aftermath so as not to affect her future fertility. At the same time, pregnant women should also observe their own changes more so as to detect some signs of fetal arrest in time.