Understanding Miscarriage: During a Miscarriage
No 2 miscarriages are alike. Because of this, your doctor will talk with you about the most appropriate treatment for you. If you’re in good health and early in the pregnancy, your body may expel all the pregnancy tissue on its own. If your body doesn’t expel all the tissue, your doctor may recommend treatment to prevent infection and severe bleeding (hemorrhaging).
What happens during miscarriage
Some miscarriages occur without any signs or symptoms. Most miscarriages, however, start with bleeding and cramping, which may increase over time. The cramps may get very strong. This is normal. Cramping widens the passage (cervix) that tissue from the uterus must pass through to leave your body. Your doctor may ask you for a sample of the tissue for lab testing. This is to make sure that the cells being shed from your body are normal.
To confirm the miscarriage, your doctor will do a pelvic exam. Your doctor might order a blood test to measure the levels of a pregnancy hormone (hCG). He or she may also have you get an ultrasound test to find out if all of the tissue has passed from the uterus. If a miscarriage happens very early in the pregnancy, an ultrasound is not needed.
If any tissue remains in the uterus, your doctor may suggest the following measures depending on your particular situation:
Medication. This is prescribed for you to take at home. The medication causes the uterus to expel any remaining tissue. Take the medication exactly as directed.
Dilation and curettage (D & C). This procedure is done in your doctor’s office or at the hospital. You are given medication to prevent pain or to allow you to relax or sleep during the procedure. The doctor uses instruments to widen the cervix (dilate). Tissue and blood that line the uterus are then removed (curettage).
Be sure you talk to your doctor about the risks and benefits of these treatments.
If you have Rh-negative blood
If your blood is Rh negative, you may need treatment with Rho(D) immune globulin. This injection prevents substances in your blood from attacking the baby’s blood during a future pregnancy. Your doctor can tell you more.
Keep all follow-up appointments. These are needed to ensure you are healing well. During these visits, mention if you’re feeling very sad or depressed. Your doctor can suggest counseling or other resources to help you.
When to seek medical care
Contact your doctor if you have any of the following:
Severe pain in the abdomen, pelvis, or low back
Vaginal discharge that has a bad odor
Bleeding that soaks a new sanitary pad each hour
Fever of 100.4°F (38°C) or higher, or as directed by your doctor