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 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.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it take for a miscarriage to expel the gestational sac?

Under normal circumstances, in the case of a natural miscarriage, the gestational sac is usually expelled within one week, and the decidua tissue is also expelled within one week. If there is still bleeding more than one week after a natural miscarriage, it is imperative to visit a hospital for related examinations, typically requiring an ultrasound to observe the miscarriage situation. If the miscarriage is complete, then there are generally no major issues. However, if the miscarriage is incomplete, a dilation and curettage procedure may be necessary. It is possible for an incomplete miscarriage to occur naturally. Therefore, if there is still bleeding after one week, further examinations are necessary. In cases of natural miscarriage, it is usually advised to wait at least six months before trying to conceive again, and relevant examinations must be conducted before attempting again to determine the causes of the natural miscarriage and to treat accordingly.

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Written by Zhang Lu
Obstetrics
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Can a missed miscarriage miscarry naturally?

Missed miscarriage and spontaneous miscarriage are two terms describing early pregnancy conditions, but there is a significant difference between them. Missed miscarriage refers to the absence of a fetal heartbeat confirmed by ultrasound in early pregnancy, which indicates that the embryo has stopped developing. On the other hand, spontaneous miscarriage refers to the spontaneous expulsion of the gestational sac from the uterine cavity. In the case of a missed miscarriage, it is important to expedite the miscarriage process to expel the gestational sac from the uterus, minimizing the impact on the mother. It is possible for a missed miscarriage to lead to a spontaneous miscarriage, but it may not happen automatically. For a missed miscarriage, if a spontaneous miscarriage occurs, that is preferable. However, if there are no signs of spontaneous miscarriage, it is not advisable to wait indefinitely. Prompt medical intervention is recommended, and the choice of medical or surgical abortion is available.

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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 Liu Wei Jie
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How long after a natural miscarriage can one become pregnant?

Miscarriage naturally refers to the process where the embryo is spontaneously lost from the mother's body, this is called a natural miscarriage. After a natural miscarriage, the medical suggestion is to wait for six months before getting pregnant again; however, the current view is that waiting at least three months is also acceptable. In our clinical cases, there are instances where pregnancy occurs one month after a natural miscarriage. If there are no symptoms of physical discomfort after the miscarriage, and the follow-up ultrasound examination is normal, in fact, there is no specific mandated period to wait before becoming pregnant again after a natural miscarriage. Nevertheless, waiting at least three months primarily allows the endometrium sufficient time to fully recover.