Patient's question:
[Condition Description: There was bleeding symptoms 10 days ago. I took the medication for preventing miscarriage, and the bleeding stopped. But now there is bleeding again. Yesterday, I had an ultrasound, and the doctor said there was no fetal heartbeat, so this child cannot be kept.History of Treatment and Effect: Last time, the bleeding occurred, and I took medication, which stopped the bleeding.
Help Needed: Is it possible to keep the child?
Doctor's answer:
In the absence of fetal heartbeat, it is classified as embryonic arrest. The main causes of embryonic arrest include uterine cavity factors, infectious factors, endocrine factors, immune factors, and abnormal fetal development, among others. It is recommended to undergo comprehensive examinations before the next pregnancy to confirm the diagnosis and provide symptomatic treatment to prevent recurrence.The main causes of embryonic arrest can be summarized in four aspects. First is the issue of reproductive endocrinology. During the early development of the embryo, three important hormone levels are required: estrogen, progesterone, and human chorionic gonadotropin (hCG). If the mother's endogenous hormone levels are insufficient, it can lead to embryonic arrest. Second is the problem of reproductive immunity. If the body has certain antibodies, they may resist the development of the embryo. Third is the issue of the uterus. If the uterine environment is poor or if there is a malformation, the embryo will not develop. Fourth is the issue of chromosomal abnormalities.