Miscarriage should i go to hospital

It can take some time before the miscarriage occurs following some bleeding and pain. Very occasionally emergency admission to a hospital may be necessary for heavy bleeding or severe pain.

This treatment option uses specially prescribed medications and is successful in 80 to 90 per cent of cases. This treatment is suitable when your pregnancy loss occurred in the first 28 weeks, depending on risk. The medications are given to help to open the cervix neck of the uterus and pass the pregnancy tissue the developing baby, placenta and pregnancy membranes.

This usually takes a few hours to start and you may experience some pain, bleeding or clotting like a heavy period. You may bleed for up to 4 weeks. You may need more than one dose of the medication. If you are less than 12 weeks pregnant you may require follow-up care through an early pregnancy care unit or your GP.

If you are more than 13 weeks pregnant admission to a hospital may be advised. The procedure will remove any pregnancy tissue from your uterus. It is successful in 95 to per cent of cases but there are small surgical risks.

This option is available in the first 12 weeks of pregnancy as a pre-arranged booked procedure. You may be advised to have surgery immediately if you are bleeding heavily and continuously. Your doctor may recommend that labour be started will explain how this will happen. If you require medical management of a miscarriage in the first 13 weeks of pregnancy you may be treated as an outpatient a patient who receives medical treatment without being admitted to a hospital.

Medical management of a miscarriage after 13 weeks of pregnancy or of a fetal death in utero will require you to be admitted to hospital.

An examination under anaesthetic may occur. During this procedure any remaining pregnancy tissue, such as the placenta, will be removed from your uterus. Video call. This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.

The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional. For more information, please visit the links below:. You are welcome to continue browsing this site with this browser. Some features, tools or interaction may not work correctly.

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Your name: is required Error: This is required. Your email: is required Error: This is required Error: Not a valid value. Send to: is required Error: This is required Error: Not a valid value. If the miscarriage is complete If it seems the miscarriage is complete , you should still see your doctor for a check-up.

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On this page: No treatment expectant management Treatment with medicine Surgical treatment curette Waiting for treatment After a miscarriage No treatment expectant management You can choose to wait and see what will happen. Things to know There are many reasons why some women prefer to wait and see. It may feel more natural, it may help with the grieving process or it may give you more of a sense of control.

Some women become worried or frightened when the bleeding gets heavier, especially if blood clots, tissue or even a recognisable embryo is passed. Usually, the wait and see approach takes longer than any other approaches such as surgery or medication. Sometimes bleeding can last for up to four weeks. Although excessive bleeding and blood transfusion are very rare, they are slightly more common with expectant management than with surgery.

A few women still need to have surgery — sometimes urgently — if they develop infection, bleed heavily or if the tissue does not pass naturally. The waiting time can be emotionally draining for some women. Treatment with medicine Medicine is available that can speed up the process of passing the pregnancy tissue.

Medication is not suitable if there is very heavy bleeding or signs of infection. It is usually not recommended for pregnancies that are older than about nine weeks. Things to know The pregnancy tissue will pass between four to six hours after taking the medicine, during which time you may be in hospital. This will depend on where you are and which hospital you are in.

The medicine has side effects which usually pass in a few hours but can be unpleasant, such as nausea, vomiting, diarrhoea, fever and chills. The tablets can be swallowed or dissolved under the tongue, or inserted in the vagina. After receiving the medication there may be some spotting or bleeding like a period. When the pregnancy tissue passes, you are likely to notice heavier bleeding and clots with strong cramping, period-like pains.

You can use sanitary pads and take pain relieving tablets such as paracetamol. Some women may need stronger pain killers or a pain relieving injection. A few women still need to have surgery, sometimes urgently, if they develop infection, bleed heavily or if the tissue does not pass.

Most of the time, the best thing to do if you are experiencing miscarriage symptoms in the first trimester is to call your regular medical practitioner's office for guidance. Your OB-GYN will probably ask you to come in for an office visit; they will have access to your medical history and will be best able to determine whether or not you are having a miscarriage through diagnostic tests.

Sometimes, however, going to the emergency room is the best course of action. These include the following situations:. Note that bleeding not spotting later in pregnancy could be a sign of placental abruption , which is an emergency and requires immediate medical attention. Unfortunately, miscarriage is pretty common among women who have a positive pregnancy test, and rarely an emergency.

Most miscarriages occur during the first trimester. Many things can lead to miscarriage:. Often it's impossible to pinpoint the exact cause of miscarriage. Please keep in mind that most miscarriages result from genetic problems in the embryo and fetus and cannot be prevented in any way. Unfortunately, people who have one or multiple miscarriages are more likely to experience an additional miscarriage. Although most women who have miscarriage physically recover quickly, the psychological stress of miscarriage can be great, with enduring feelings of sadness, guilt, anger and so forth.

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