Other signs include fluid or tissue passing from the vagina. If you miscarry naturally or with medication, you will probably complete the miscarriage at home. The process may be over quickly or may take several days. Try to arrange for a trusted person to be with you through the process, throughout the night if needed.
Think about where you will be most comfortable. Gather supplies such as bed liners, sanitary pads, and a hot water bottle. Some women find that massage is comforting and can help with the cramping. Your health care provider can prescribe pain medication to help you get through. The bleeding will become heavier and cramping can be painful as the cervix dilates. If you are less than eight weeks pregnant when the miscarriage occurs, the expelled tissue will look no different from heavy menstrual bleeding.
If you are further along in the pregnancy, you may see some blood clots and tissue that is firmer or lumpy-looking, which is placental or afterbirth tissue. The further along you are, the heavier the bleeding and more severe the cramps. Strong, painful cramps are normal, but if you have severe pain, seek medical care right away. In rare instances, a pregnancy can implant outside of your uterus ectopic pregnancy , most often in one of the fallopian tubes.
This is a medical emergency because an ectopic pregnancy can rupture and cause internal bleeding. Once everything in your uterus has been expelled, bleeding will continue, lessening over several days. Being a healthy weight before getting pregnant, eating a healthy diet and reducing your risk of infection can also help. If you have the symptoms of a miscarriage, you'll usually be referred to a hospital for tests.
In most cases, an ultrasound scan can determine if you're having a miscarriage. When a miscarriage is confirmed, you'll need to talk to your doctor or midwife about the options for the management of the end of the pregnancy. Sometimes medicine to assist the passage of the tissue may be recommended, or you can choose to have minor surgery to remove it if you do not want to wait.
Advice and support is available at this time from hospital counselling services and charity groups. You can try for another baby as soon as your symptoms have settled and you're emotionally and physically ready. Having a miscarriage does not necessarily mean you'll have another if you get pregnant again. Most women are able to have a healthy pregnancy after a miscarriage, even in cases of recurrent miscarriages.
You may be advised to contact your healthcare professional to discuss your options if bleeding has not started within 24 hours of taking the medicine. In some cases, surgery is used to remove any remaining pregnancy tissue. You may be advised to have immediate surgery if:.
Surgery involves removing any remaining tissue in your womb with a suction device. You should be offered a choice of general anaesthetic or local anaesthetic if both are suitable. A miscarriage can be very upsetting, and you and your partner may need counselling or support. You may also have questions about trying for another baby and what happens to the miscarried foetus. For more information, read what happens after a miscarriage.
Page last reviewed: 01 June Next review due: 01 June In fact, a woman may not experience any symptoms and only learn of the loss only when a doctor cannot detect a heartbeat during a routine ultrasound. Bleeding during pregnancy loss occurs when the uterus empties. In some cases, the fetus dies but the womb does not empty, and a woman will experience no bleeding. Some doctors refer to this type of pregnancy loss as a missed miscarriage. The loss may go unnoticed for many weeks, and some women do not seek treatment.
According to the American Pregnancy Association , most losses occur within the first 13 weeks of pregnancy. While an estimated 10—25 percent of all recognized pregnancies end in a pregnancy loss, a loss in the second trimester is very rare.
Some women have no external symptoms of pregnancy loss. When the loss occurs early on, a woman may have few signs of pregnancy, which can make identifying the loss more difficult. It is normal to experience changes in pregnancy signs over time, particularly in the transition from the first to the second trimester.
These changes do not usually indicate the loss of the pregnancy. Most women seek treatment for a pregnancy loss when they experience bleeding. When there is no bleeding, a doctor may only diagnose a loss during a routine scan.
A doctor may also suspect a loss because of other indications, such as a drop in the levels of pregnancy hormones or an unusual decrease in other pregnancy signs. Blood tests can determine the levels of hormones, which can help to assess the likelihood of a pregnancy loss. To conclusively diagnose a loss, a doctor must perform an ultrasound to check for a heartbeat.
The heartbeat does not develop until 6. To determine the reason for a loss, a doctor may also recommend genetic testing, further ultrasound scans, or blood testing. The goal of treatment is to remove the fetus and tissue from the uterus and to prevent complications, such as a uterine infection.
There is a variety of treatment options available, and a doctor or midwife will be able to advise on the best option. When pregnancy loss occurs without bleeding, it is often safe to wait for a few weeks before seeking treatment, because the uterus may empty on its own.
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