How long does expectant management take

Mild abdominal cramping is normal and can be managed with painkillers such as ibuprofen. If you choose expectant management, any pain or bleeding should lessen or stop completely withing days. This usually means that the miscarriage has finished. If pain and bleeding havn't started within days, or is continuing or worsening, this could mean that the miscarriage hasn't begun or hasn't finished. In this case you should contact us for a check up appointment. You will be given a home pregnancy test to take after 3 weeks if the recovery is progressing as expected.

If the test is positive you will need to contact us for an appointment. More information about your recovery including important warning signs to look out for. Home Contact Us. Book an appointment Call Find a clinic. Book appointment. Toggle main menu.

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BPAS Fertility. It is completely normal to feel a variety of emotions during this time, and it may take time for you to get back on your feet again.

We are all different and we all react and recover in different ways—there is no right or wrong way. It is however important to give yourself, time to recover on a physical, psychological, and emotional level. It is important to remember that miscarriage is a very common occurrence, and in most cases the cause of the miscarriage is unknown. If you wish to talk to someone about your feelings and are unable to do so with a partner, close friend or family member, you may wish to contact a confidential counselling service.

They connect with NHS and community organizations to assist people to access services in their community to ensure they receive the best quality care. Their aim is to help you to discover your own recourses for self coping, to find new ways forward and to make new plans so that you feel more optimistic about your future.

Miscarriage Association Telephone number: www. As well as providing information they provide telephone counselling and online support. When can I start trying to become pregnant? It is perfectly safe to start trying for another pregnancy once you and your partner feel ready to providing you feel well and have stopped bleeding. For dating purposes, there may be some advantage in waiting until your next normal period. However, if you do conceive before your next normal period there is no increased risk of miscarriage.

If you are unsure whether you wish to try for a future pregnancy, it is advisable to consider your contraceptive needs during this time. If this is your third consecutive miscarriage, staff will discuss with you and your partner if you wish to be referred to one of the consultant gynaecologists, who counsels couples in this situation for investigation and support.

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But if there is heavy bleeding or signs of infection you will need treatment. You and the doctor can discuss and decide the preferred option for you.

Medicine is available that can speed up the process of passing the pregnancy tissue. For an incomplete miscarriage, the medicine will usually encourage the pregnancy tissue to pass within a few hours. At most it will happen within a day or two. For a missed miscarriage, it may happen quickly, but it can take up to two weeks and, occasionally, longer.

The full name is dilatation and curettage. It is done in an operating theatre, usually under general anaesthetic. There is no cutting involved because the surgery happens through the vagina. The cervix neck of the uterus is gently opened and the remaining pregnancy tissue is removed so that the uterus is empty. Usually the doctor is not able to see a recognisable embryo. The actual procedure usually only takes five to ten minutes, but you will usually need to be in the hospital for around four to five hours.

Most of this time will be spent waiting and recovering. You may have to wait a day or two to have a curette and sometimes, while you are waiting, the pregnancy tissue will pass on its own. If this happens and all of the tissue is passed you may not need to have a curette. If you have heavy bleeding with clots and crampy pain, it is likely that you are passing the pregnancy tissue. The bleeding, clots and pain will usually settle when most of the pregnancy tissue has been passed. Sometimes the bleeding will continue to be heavy and you may need further treatment.

It is important to have your blood group checked. This is unlikely to have caused your miscarriage and is more likely to affect future pregnancies. Women with a negative blood type usually need an Anti-D injection, which will stop the antibodies forming. One of the most common concerns following a miscarriage is that it might happen again. However, if you have had one miscarriage the next pregnancy will usually be normal.

If you do try for another pregnancy, try and avoid smoking, alcohol and excess caffeine as they increase the risk of miscarriage. It is recommended that all women take folic acid while trying to conceive, and continue until three months of pregnancy. In your next pregnancy you are encouraged to see your GP and have an ultrasound at about seven weeks. If ultrasound is done too early in pregnancy the findings are often uncertain and cause unnecessary worry.

Partners may react quite differently, just as people can respond differently to a continuing pregnancy.