What are the symptoms of a natural miscarriage?

Written by Du Rui Xia
Obstetrics
Updated on September 01, 2024
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During a natural miscarriage, the most typical clinical symptoms include abdominal pain and vaginal bleeding. Based on the different symptoms of a natural miscarriage, women should undergo differential diagnosis. When a woman experiences abdominal pain and vaginal bleeding, it may initially suggest a threatened miscarriage. If the abdominal pain worsens and vaginal bleeding increases, it could progress to an inevitable miscarriage. An inevitable miscarriage can further be classified into complete or incomplete miscarriage. In the case of a complete miscarriage, the abdominal pain generally subsides gradually, and the vaginal bleeding eventually stops. In contrast, during an incomplete miscarriage, the vaginal bleeding lasts longer, and the abdominal pain is prolonged. At this point, it is necessary to visit a hospital for an examination to check if there are any remnants in the uterine cavity and to receive further treatment.

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Written by Du Rui Xia
Obstetrics
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Does a natural miscarriage require a uterine cleaning (D&C)?

When a miscarriage occurs, whether a uterine cleaning is needed depends on whether there are any remnants in the uterine cavity as shown by a follow-up ultrasound examination, that is, to see if the miscarriage was complete. If the examination reveals significant remnants in the uterine cavity after the miscarriage, then a uterine cleaning treatment is required. Most women do not need a uterine cleaning after a natural miscarriage, as typically the bleeding will stop around 7-10 days post-miscarriage. Therefore, women should focus on resting, improving their nutrition, and enhancing their body's resistance to prevent any potential complications after a natural miscarriage.

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Written by Zhang Lu
Obstetrics
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Does a natural miscarriage require a uterine curettage?

A natural miscarriage refers to the spontaneous expulsion of the gestational sac from within the uterine cavity, in contrast to a miscarriage induced through medical intervention. A natural miscarriage is not the same as a complete miscarriage, which occurs when the gestational sac is completely expelled from the uterus without any remnants. Whether a natural miscarriage is complete is typically determined about a week after the event by a follow-up ultrasound. If the uterine cavity has no remnants or only minimal fluid accumulation, the miscarriage is considered complete, and usually, no surgical cleaning of the uterus is required. However, if the ultrasound after a natural miscarriage reveals substantial remnants within the uterine cavity, this indicates an incomplete miscarriage, and surgical cleaning of the uterus is generally necessary.

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Written by Du Rui Xia
Obstetrics
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How long does it take for the placenta to come out after a natural miscarriage?

During a natural miscarriage, the timing of the placenta's expulsion is not fixed. In some cases, the fetus and placenta may be expelled together soon after abdominal pain begins, while in others, the expulsion may occur slightly later. After the fetus is expelled, it may be minutes or hours before the placenta is expelled. It is recommended to visit a hospital for an ultrasound examination after a natural miscarriage to check if the uterine cavity is clean and free of any residual tissue. After a natural miscarriage, it is important to take care of oneself. Resting, avoiding overexertion, keeping warm, and not getting chilled are crucial. Strengthening nutrition is also important; consuming foods rich in vitamins and protein can help replenish energy, enhance physical condition, and promote recovery.

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Written by Du Rui Xia
Obstetrics
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How many days after a natural miscarriage can you wash your hair and take a bath?

You can wash your hair and bathe one week after a natural miscarriage. After a natural miscarriage, as women are generally weaker, washing their hair and bathing too soon should be avoided to prevent a decrease in resistance and the risk of catching a cold. Even after one week, care should be taken when washing hair and bathing. The bathing time should not be too long, ideally less than half an hour, and the water temperature should not be too hot or too cold, as these can affect the body's recovery. After bathing, promptly dry your hair and body with a dry towel to prevent catching cold. After bathing, it is best to keep the room ventilated to avoid problems like dizziness caused by poor air circulation.

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Written by Yue Hua
Obstetrics and Gynecology
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How to clean the uterus after a natural miscarriage

Most patients with natural miscarriages do not need uterine cleaning, as these patients usually have short pregnancy durations and the embryo expels itself. At this time, it is necessary to visit a hospital for an ultrasound to check the condition of the uterine cavity. Most women generally have nothing remaining in their uterine cavity. If there are some small amounts of residual embryonic tissue, one can take some blood-activating and stasis-resolving medications, and then strengthen uterine contractions to expel such tissues. A week later, a hospital check-up can generally confirm that the uterine cavity is quite clean, hence, uterine cleaning is not needed for a natural miscarriage.