Miscarriages can be difficult to think about, certainly more difficult to experience. However, it is important to walk into your pregnancy armed with knowledge on the subject. Here are the most commonly asked questions about miscarriages.
What is a miscarriage, and how will I know if I have had one?
A miscarriage is a pregnancy loss before 20 weeks of pregnancy. After 20 weeks, it is considered a stillbirth.
What are the chances of having a miscarriage?
Approximately 15-20 percent of pregnancies end in miscarriage, according to the American College of Obstetrics and Gynecology. Often the cause of the miscarriage is not determined. Most occur during the first trimester.
When should I call my doctor if I think I am miscarrying?
Any time you have bleeding during pregnancy you should call your doctor. If you are having painful cramping or bleeding or if you pass any tissue, you should call your doctor.
Is it normal to still feel pregnant after?
If you have not had a D&C done, you may still feel pregnant until your hormones return to pre-pregnancy level. You may still feel pregnant for a few days to a week after you miscarry. Emotionally, it may take longer to stop feeling pregnant. If you continue to have pregnancy symptoms passed a week or so, you should talk to your doctor.
How does my doctor know that I have miscarried?
Two ways that doctors diagnose miscarriage are by checking quantitative beta-HCG levels and by performing an ultrasound. In early pregnancy, beta-HCG levels should double every two to three days. One blood test is not enough to determine miscarriage. Your doctor may order two to three beta-HCG tests to see if your levels are rising appropriately. Even if they are rising slowly, there is cause for concern. Slow rising HCG levels usually result in miscarriage or can be a sign of an ectopic pregnancy.
Your doctor can also diagnose a miscarriage by doing an ultrasound. Your doctor will look for a viable fetus and check your measurements to see if they are consistent with your due date. Your doctor may also do an internal pelvic exam to determine whether your cervix is closed.
Is there anything my doctor can do to stop a miscarriage?
Unfortunately, in most cases by the time you have started to notice bleeding, the baby has already passed. Once a woman has begun to miscarry, it is unlikely that her doctor can stop it.
Could I have done anything to prevent my miscarriage?
Most likely there was nothing you could have done to prevent a miscarriage. Most miscarriages are the result of random genetic defects, which could not be prevented. However, if you have experienced more than one miscarriage, your doctor may run tests for other possible causes such as immune disorders, hormone disorders, or illness.
What is a D&C?
D&C stands for dilation and curettage. The procedure involves dilating the cervix and scraping the lining of the uterus. Your doctor may order a D&C if you have had an incomplete miscarriage.
How long does a miscarriage take, and how much bleeding will I have?
It is normal to have bleeding for about one to two weeks. Some women will continue to have some spotting for a week or longer after they miscarry. You may experience bleeding that is similar to a heavy period. You may also pass tissue or small clots. Your doctor may ask you to collect any tissue that is passed for testing. If you are bleeding through more than one pad per hour, call your doctor right away.
How long will it take for my period to return?
Under normal circumstances, you can expect your period to return four to six weeks after having a miscarriage.
When can I try to get pregnant again?
Most doctors recommend waiting for at least one complete cycle before trying to conceive again. Although medically it is generally safe to conceive after one cycle a woman should wait until she is physically and mentally ready. Always discuss with your doctor what is best for your situation. If you have had more than one miscarriage, you may want to discuss testing/treatment options before you try to conceive again.
Should I have tests done after having a miscarriage?
If this is your first miscarriage, most doctors will not run any tests for a miscarriage occurring in your first trimester. In fact, most doctors will not run tests until you have had three or more miscarriages. However, many doctors are becoming more aggressive in the treatment of miscarriage and may test after two miscarriages, so you will want to discuss your concerns with your health care provider.