How long is it normal to bleed after a natural miscarriage?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 10, 2024
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A natural miscarriage generally stops bleeding within a week; if the bleeding continues beyond a week, it is considered abnormal. This is because in most cases of natural miscarriage, the embryo and the decidua are expelled together, followed by uterine contractions, resulting in some vaginal bleeding. Normally, such bleeding should not persist beyond a week. If vaginal bleeding continues past this period, an ultrasound should be conducted to examine whether the uterine cavity is clean and free of any residual embryonic tissue. If remnants are found, it may be necessary to take some medications to promote blood circulation and remove the residual tissues.

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Written by Du Rui Xia
Obstetrics
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Does a natural miscarriage require surgery?

Generally, after a natural miscarriage, it is not necessary to undergo surgical treatment, as it is usually possible to naturally expel the contents completely. Typically, after a natural miscarriage, the pregnancy tissue can be expelled from the body through contractions of the uterus. However, if there is residual tissue after the miscarriage, a dilation and curettage (D&C) procedure may be required. It is recommended to have an ultrasound at a hospital after a miscarriage to check for any residuals in the uterine cavity. Then, medication or a D&C can be used to remove any remaining tissue. After a natural miscarriage, it is important for a woman to adjust her mindset and take good care of her body to recover and prevent any diseases.

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Written by Liu Wei Jie
Obstetrics
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How long does it take for the bleeding from a natural miscarriage to stop?

If it is a natural miscarriage, and the embryo is expelled completely, there is generally bleeding for about three days, accompanied by a small amount of bleeding or a small amount of brown discharge. If the bleeding lasts for a long time, about three days, and the amount of bleeding is significant, it is considered possible that there might be remnants or that the uterus is not contracting properly. In such cases, it is first necessary to undergo an ultrasound examination. An ultrasound can determine the issue of remnants and how much is left. If the ultrasound shows remnants greater than 1.0 cm, surgical cleaning of the uterus is required; if less than 1.0 cm, it can be treated with medication. Then, another ultrasound will be needed to check the recovery of the uterus.

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Written by Zhang Lu
Obstetrics
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Spontaneous abortion embryonic pathological examination

After a natural miscarriage, pathological tests can be performed on the embryonic tissue. The main purposes of these tests include the following two aspects: First, to check if the chorionic villi in the embryonic tissue are edematous or if it is a hydatidiform mole. In cases of natural miscarriage, if it is a hydatidiform mole, it is necessary to determine whether it is a benign or malignant hydatidiform mole. If it is not a hydatidiform mole, it can be treated as a regular miscarriage. Secondly, testing the embryo can clarify the reasons for the miscarriage, such as checking the chromosomes of the embryo to determine if there are any issues with the chromosomes, which can be informative for the next pregnancy.

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Written by Zhang Lu
Obstetrics
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What is the discharge from a natural miscarriage?

Miscarriage refers to the spontaneous expulsion of the gestational sac from the uterine cavity, without the need for human intervention. Human interventions mainly include medical abortion or painless surgical abortion. During a miscarriage, the gestational sac is expelled from the uterus, so the expelled material is primarily the gestational sac. The sac generally consists of white villous tissue, and during a natural miscarriage, it is essential to identify villous tissue in the pregnancy tissue in order to confirm a natural miscarriage. Besides the villous tissue, due to decidualization changes in the endometrium after pregnancy, the tissue expelled during a miscarriage also contains a certain amount of decidual tissue. Therefore, the material expelled in a natural miscarriage mainly includes the villous tissue, followed by uterine decidual tissue.

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Written by Zhao Li Li
Obstetrics
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How many days after a natural miscarriage can one go outside?

After a natural miscarriage, it is still necessary to consider the specific recovery situation to determine whether one can go out. If the recovery from a natural miscarriage is good, with no residual embryonic tissue in the uterine cavity and no abnormal vaginal bleeding, normal life and work can usually resume half a month after the miscarriage. If there are complications, or if symptoms like persistent vaginal bleeding or abdominal pain occur, it is important to seek medical attention promptly for an examination. This helps to determine whether there are any remaining embryonic tissues or if a pelvic infection or other abnormal conditions are causing these symptoms, so that timely and appropriate treatment can be administered.