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This article was co-written by Lacy Windham, MD. Dr. Windham is a Board Certified Obstetrician & Gynecologist in Tennessee. She attended medical school at the University of Tennessee Health Science Center in Memphis and completed her residency at East Virginia School of Medicine in 2010 for which she was awarded the Distinguished Residency in Obstetrics and Gynecology, Doctor of Obstetrics and Gynecology. Best Resident in Oncology and Best Resident Doctor.
There are 11 references cited in this article that you can view at the bottom of the page.
This article has been viewed 25,809 times.
Miscarriage is a condition where a woman loses a pregnancy before the 20th week. There are many cases of women having miscarriages, and even before they know they are pregnant. But for those who already know they are pregnant, the number ranges from 10 to 20 percent. [1] X Research Sources[2] X Trusted Source Mayo Clinic Go to Source If you think you’ve had a miscarriage, get medical help right away.
Steps
Recognizing the Signs of Miscarriage
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Call your doctor or get emergency medical help right away if tissue, fluid, or blood clots come out of your vagina. This could mean you are having a miscarriage. [3] X Reliable Source Mayo Clinic Go to Source Depending on your week of pregnancy and the amount of bleeding, your doctor may recommend going to the emergency room or direct you to wait in the clinic for observation during business hours job.
- If you see tissue in the discharge and think it may be an embryo, place the tissue in a clean, sealed container and bring it to your doctor.
- Tissue examination may sound odd, but your doctor can examine the tissue to determine if it’s an embryo.
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Be aware that you are at risk of miscarriage if you have spotting or vaginal bleeding. A lot of women experience bleeding but it’s not a miscarriage. However, it is safest to contact your doctor immediately if you need to go to the emergency room. [4] X Research Sources
- You may also have cramps. If you have severe cramps, it could also be a sign that you should rush to the hospital.
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Pay attention if you have lower back pain. Back pain, abdominal discomfort, or cramping could be signs that you’re having a miscarriage, even if you’re not bleeding at all. [5] X Trusted Source Mayo Clinic Go to Source[6] X Research Source
- Contact your doctor before taking any pain medication.
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Recognize the signs of a septic miscarriage. This phenomenon occurs when a woman has an infection in the uterus and miscarriage. It is very dangerous to health and requires immediate medical attention. Symptoms include: [7] X Trusted Source Mayo Clinic Go to Source[8] X Research Source
- Vaginal discharge has an unpleasant odor.
- Vaginal bleeding.
- Fever and chills.
- Cramping and abdominal pain.
Check in Clinic
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Medical examination. Your doctor will do a number of tests and physical exam to confirm you’ve had a miscarriage. [9] X Trusted Source Mayo Clinic Go to Source
- Your doctor will usually do an ultrasound to check for an embryo in the womb. If so, an ultrasound will show if the embryo is developing normally. The heart rate can also be checked if the embryo is large enough.
- Your doctor may also examine your cervix to determine cervical dilation.
- A blood test allows your doctor to measure your hormone levels.
- If you bring tissue, your doctor will conduct a test to determine if it is an embryo.
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Understand the diagnoses made. There are several possibilities: [10] X Trusted Source Mayo Clinic Go to Source[11] X Research Source
- Threatened miscarriage is when you are showing signs that you are about to have a miscarriage. Not all threatened miscarriages lead to actual miscarriages. If you have cramps, or are bleeding, but your cervix is not dilated, you may be diagnosed with threatened miscarriage.
- If your doctor is unable to prevent the miscarriage, you will be diagnosed with an unavoidable miscarriage. This diagnosis will be made if your cervix is already open, and the uterus is contracting to push the embryo out.
- A complete miscarriage occurs when both the embryo and the fetal tissue are ejected.
- An incomplete miscarriage is when you miscarry but part of the embryo or placenta doesn’t come out through the vagina.
- A missed miscarriage is when the embryo or placenta does not come out even if the embryo is dead.
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Follow your doctor’s advice if you’ve been diagnosed with a threatened miscarriage. Not all threatened miscarriages lead to actual miscarriages. However, depending on your situation, a miscarriage may not be avoidable. Your doctor may recommend: [12] X Trusted Source Mayo Clinic Go to source
- Rest until symptoms pass.
- No exercise.
- Avoid sex.
- Don’t go to places where you can’t get prompt and quality medical care when you need it.
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Know what happens if you have a miscarriage, without the tissues being pushed out. What your doctor recommends may depend on your wishes. [13] X Trusted Source Mayo Clinic Go to Source
- You can wait for the remaining tissue to push itself out of the body. It will take about a month.
- Another way is to take medicine to stimulate the body to push the remaining tissue out. This remedy will usually give results quickly, sometimes within a day. You can take the pill or put it directly into the vagina.
- If you have signs of an infection, your doctor will open the uterus and remove the tissue.
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Give yourself time to recuperate if you have a miscarriage. Recovery will be quick and you should be completely healthy in a few days. [14] X Trusted Source Mayo Clinic Go to Source
- Be aware that your period will still return the next month. This means it’s physically possible to get pregnant again right away. If you don’t want to, use birth control.
- Vaginal tissues take up to two weeks to heal. During this time, you should not have sex or use tampons.
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Take time to recover mentally. Studies have shown that women who miscarry can be as grieving as they are when they lose their baby as their due date approaches. That’s why it’s so important to give yourself time to grieve and have a supportive person by your side to talk to.
- Get support from friends and family members you trust.
- Find a support group.
- Most women who have a miscarriage will have a healthy pregnancy afterward. Miscarriage doesn’t mean you won’t be able to have children.
Planning Your Pregnancy
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Understand the common causes of miscarriage. Many miscarriages happen because the fetus is not developing normally. This phenomenon can happen for a number of reasons, possibly due to the genetic makeup of the embryo or the health of the mother. [15] X Trusted Source Mayo Clinic Go to Source[16] X Research Source
- Genetic disorders in the embryo. This disorder can be caused by a genetic problem or problems in the egg or sperm.
- The mother has diabetes.
- Infection.
- The mother’s hormones are out of balance.
- Thyroid problems.
- Disorders of the uterus or cervix.
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Minimize the risk of miscarriage in the future. While not all miscarriages are preventable, there are certain things that can put you at a higher risk of miscarriage. [17] X Trusted Source Mayo Clinic Go to Source[18] X Research Source
- Smoke.
- Drink beer. Alcohol can cause an irreversible birth defect even if you don’t miscarry.
- Use narcotic. Avoid all drugs if you are pregnant or trying to get pregnant. Do not take any medications, even over-the-counter medicines or herbal remedies without consulting a doctor.
- Diabetes.
- Overweight or underweight.
- Problems with the reproductive organs, especially the uterus or cervix.
- Toxic substances from the environment.
- Infection.
- Resistance disorder.
- Unbalanced hormones.
- Invasive prenatal screening such as amniotic fluid or placental biopsy.
- The risk of miscarriage increases for women over the age of 35.
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It is important to know which factors do not cause miscarriage. The following activities do not lead to miscarriage under normal conditions. If your doctor gives you other advice, follow it. [19] X Trusted Source Mayo Clinic Go to Source
- Moderate exercise.
- Safe sex. Avoid infection.
- Do jobs with low risk of exposure to environmental toxins, infectious agents, chemicals or radiation.
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This article was co-written by Lacy Windham, MD. Dr. Windham is a Board Certified Obstetrician & Gynecologist in Tennessee. She attended medical school at the University of Tennessee Health Science Center in Memphis and completed her residency at East Virginia School of Medicine in 2010 for which she was awarded the Distinguished Residency in Obstetrics and Gynecology, Doctor of Obstetrics and Gynecology. Best Resident in Oncology and Best Resident Doctor.
There are 11 references cited in this article that you can view at the bottom of the page.
This article has been viewed 25,809 times.
Miscarriage is a condition where a woman loses a pregnancy before the 20th week. There are many cases of women having miscarriages, and even before they know they are pregnant. But for those who already know they are pregnant, the number ranges from 10 to 20 percent. [1] X Research Sources[2] X Trusted Source Mayo Clinic Go to Source If you think you’ve had a miscarriage, get medical help right away.
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