Do the symptoms of spontaneous miscarriage include bleeding?

Written by Du Rui Xia
Obstetrics
Updated on October 29, 2024
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During a natural miscarriage, vaginal bleeding occurs. This is because, after a miscarriage, the gestational sac and shed uterine lining also need to be expelled from the body, resulting in vaginal bleeding. Typically, this bleeding lasts about a week, gradually diminishing until it stops. If vaginal bleeding after a natural miscarriage persists for an extended period, even exceeding ten days without stopping, and is accompanied by abdominal pain, it is necessary to visit the hospital for an ultrasound to check for any remnants within the uterine cavity and possibly undergo a dilation and curettage procedure.

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Written by Du Rui Xia
Obstetrics
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What is lochia after a natural miscarriage?

Vaginal bleeding is a symptom of natural miscarriage, and this is known as lochia. Lochia is the discharge from the vagina after childbirth, typically ceasing about a week postpartum. After a natural miscarriage, normal bleeding lochia generally has a bloody smell but does not have any other odorous scents. Following a natural miscarriage, it is important to monitor the expulsion of lochia, paying attention to its amount, color, and odor changes, as these factors can reflect the recovery of the uterus. Normally, the lochia will clear up around a week, and it should not last longer than two weeks at most. If lochia persists for an extended period after the miscarriage and is accompanied by abdominal discomfort, a hospital visit is necessary for a follow-up to check the condition of the uterus.

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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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What should I do if a natural miscarriage is not complete?

If after a natural miscarriage, there is prolonged vaginal bleeding and accompanying abdominal pain, it is necessary to consider the possibility that the miscarriage was incomplete. In this case, the first step is to go to the hospital for an ultrasound to check if there is any residual tissue in the uterine cavity and the size of any remaining embryonic tissue. Treatment should be determined based on the size of the residual tissue. If the residual tissue is relatively small, about 1 centimeter, it is generally possible to promote uterine contraction and aid the expulsion of the residual tissue by taking medications that improve blood circulation and remove blood stasis. If the residual tissue is larger, exceeding 2 centimeters, taking medication generally does not yield good results, and it becomes necessary to proceed with further surgical cleaning of the uterus.

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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.