What does the doctor do if you have a miscarriage?

The management of a miscarriage depends on the stage of pregnancy and the circumstances surrounding it. Here's what a doctor may do in different scenarios:

1. Early Miscarriage (Up to 12 Weeks):

- Observation: In some cases, the doctor may advise expectant management, allowing the miscarriage to occur naturally without medical intervention. This approach is considered if there are no signs of infection or excessive bleeding.

- Medical Management: Medications such as misoprostol or mifepristone may be prescribed to induce the miscarriage and help expel the pregnancy tissue. This is typically used when there is confirmation of a missed miscarriage or incomplete abortion.

- Surgical Management (Dilation and Curettage, D&C): If medical management is unsuccessful or there are concerns about retained pregnancy tissue or excessive bleeding, a D&C procedure may be performed. This involves dilating the cervix and using a surgical instrument to gently remove the remaining tissue from the uterus.

2. Late Miscarriage (After 12 Weeks):

- Medical Management: Similar to early miscarriage, medications may be used to induce labor and expel the pregnancy tissue. This is often combined with additional support, such as IV fluids and pain management.

- Surgical Management (Dilation and Evacuation, D&E): For more advanced miscarriages, a D&E procedure may be necessary. It involves dilating the cervix and using a combination of surgical instruments and suction to remove the pregnancy tissue.

3. Missed Miscarriage:

In cases of a missed miscarriage (where the pregnancy has stopped developing but remains in the uterus), the doctor may recommend medical or surgical management based on the patient's preferences and specific circumstances.

4. Incomplete Miscarriage:

If there is incomplete expulsion of pregnancy tissue, the doctor may perform a D&C to ensure complete removal of the retained tissue and prevent complications.

5. Follow-Up Care:

After any type of miscarriage management, the doctor will provide instructions for recovery, including monitoring for signs of infection, managing bleeding, and scheduling follow-up appointments to ensure proper healing and emotional well-being.

It's important to consult with a healthcare provider to determine the most appropriate management approach based on individual circumstances and preferences.