How long does it take for bleeding to occur after a missed miscarriage?

Patient's question:

My friend is pregnant and went to the hospital to do medication abortion. The fetus stopped developing, and she wants to know how long it will take for bleeding to occur after fetal demise.

Doctor's answer:

After embryonic arrest, some may experience vaginal bleeding again, while others may not bleed until discovered during a B examination. If no careful examination is conducted during this period, some may not have any vaginal bleeding until more than half a month has passed. Once it is confirmed that the embryonic arrest has occurred, medication should be taken to allow the embryo to be expelled, and the situation of the expelled embryo and decidua should be carefully observed. In most cases, vaginal bleeding will occur more than half an hour after taking misoprostol. After expulsion, a uterine aspiration should be performed to prevent remnants and promote uterine contraction.

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