How many days does the lochia last after a natural miscarriage?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 17, 2024
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Natural miscarriage generally cleans up the lochia in about a week. This is because natural miscarriage refers to the process where the embryo flows out from the uterine cavity on its own. Most people can completely clear out after a natural miscarriage, so the amount of bleeding is generally not very much, and the bleeding duration is not very long. If it is not clean after a week, it is necessary to consider whether it has not been completely cleared, and it is best to go to the hospital for an ultrasound to see if there are any issues with the uterus. Additionally, it is essential to rest and reduce activities after a natural miscarriage.

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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 Du Rui Xia
Obstetrics
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How long to rest after a natural miscarriage?

Women will experience both physical and psychological impacts after a miscarriage, and the body needs time to recover. Therefore, it is best to rest for at least two weeks before going back to work after a miscarriage. It is crucial to rest, avoid fatigue, and refrain from vigorous exercise. Consuming foods rich in proteins and vitamins, such as eggs, lean meats, milk, fresh vegetables, and fruits, can help enhance resistance and promote healing post-miscarriage.

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Written by Du Rui Xia
Obstetrics
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Natural miscarriage impact on the body

If a woman experiences a natural miscarriage, it can have adverse effects on her body. If attention is not paid to local cleanliness and hygiene during uterine bleeding, and the body's resistance is lowered, it can easily lead to some gynecological infections. If the inflammation is not treated in time, it can affect future normal pregnancies. Furthermore, if care is not enhanced after surgery, and rest is not adequately observed, it will impact the uterus's normal contraction and recovery, leading to continuous vaginal bleeding, which can also affect future pregnancies. Additionally, it can also have some adverse psychological effects on the pregnant woman.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it take to get a period after a natural miscarriage?

For patients who have had a spontaneous miscarriage, if their menstrual cycle is usually regular, the first day of the spontaneous miscarriage is the time when their next period would begin. However, if the miscarriage is incomplete and a dilation and curettage (D&C) procedure is required, the first day after the D&C is considered the start date for the next menstrual cycle. Some people experience spontaneous miscarriages due to menstrual irregularities and an irregular menstrual cycle, which may be caused by hormonal imbalances. In such cases, the timing of the next period after a miscarriage is uncertain. If the menstrual cycle is regular, the next period can be estimated based on the aforementioned timings. However, if the cycle is irregular, the timing of the next period post-miscarriage primarily depends on the condition of the endometrium. If the endometrium has recovered to a thickness of 1.0 or more, menstruation is likely to occur. If the endometrial lining is thin, menstruation may not occur for the time being. Therefore, the length of time until menstruation resumes following a spontaneous miscarriage also requires monitoring of the hormonal balance and the regularity of the usual menstrual cycle.

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Written by Du Rui Xia
Obstetrics
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Is natural miscarriage dangerous?

Miscarriages that occur before the 28th week of pregnancy generally do not cause significant harm to the expectant mother. This situation is relatively common, mostly due to chromosomal abnormalities in the embryo or environmental stimuli affecting the pregnant woman, such as abdominal impacts, extreme emotional fluctuations, fatigue, or staying up late, all of which may lead to spontaneous miscarriage. Under normal circumstances, spontaneous miscarriages do not lead to particularly serious consequences. However, some women may experience significant bleeding or infections of the reproductive system during a miscarriage, which require timely hemostasis and infection control. Additionally, it is advised to promptly visit a hospital in the event of a miscarriage and follow the doctor's guidance for management.