Often, particularly very early in pregnancy, miscarriage may have been confirmed to be complete on ultrasound scan. In this situation no medical treatment is needed.
Increasingly miscarriage is diagnosed on ultrasound scan before there has been a lot of bleeding (this is sometimes called a ‘missed miscarriage’) and there are then three options:
Waiting for a natural miscarriage – sometimes called conservative management. It can be difficult to predict when heavier bleeding will happen and it can be days or even weeks later. When bleeding does start it is typically like a heavier more painful period. Simple painkillers such as ibuprofen or paracetamol can be very helpful and most women will not need to go to hospital.
Medical management – there are drug treatments that can bring on the bleeding of miscarriage. These have the advantage that a more invasive medical treatment can be avoided and the uncertainty of how long before bleeding starts is removed.
Surgical management – in about 10-15% of times a wait and see or medical management approach is unsuccessful (either because nothing happens or the miscarriage is incomplete) and a small surgical procedure becomes necessary. This is usually performed under a short general anaesthetic using a small suction device. The advantage of this approach is that the timing can be planned and in addition tissue can be sent to the laboratory to potentially help understand why the miscarriage happened.
There are a number of different pros and cons to each approach and advice will depend on your particular situation and concerns.
Whatever the approach to
Women having a surgical approach can have tissue sent to assess the chromosomes (cytogenetics). If this confirms an abnormality then it completely explains why the miscarriage happened which can be very reassuring.
In women with recurrent or late
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Clinics are three times a week and Gail will help you arrange a time to see Mr Miskry and if necessary a scan on the same day.
If you are pregnant, you can expect to have a number of routine tests and appointments and you can find out more about the schedule of care here.
Appointments can be arranged by phone or email.
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