Does a natural miscarriage require surgery?

Written by Du Rui Xia
Obstetrics
Updated on December 24, 2024
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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 Du Rui Xia
Obstetrics
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Will there be stomach pain during a natural miscarriage?

During a natural miscarriage, abdominal pain occurs due to uterine contractions. This pain is caused by localized ischemia and hypoxia in the uterus and is a common occurrence. During a miscarriage, the uterus needs to continually contract to expel the gestational sac and decidual tissues. However, this pain is generally slightly less severe than the pain experienced during childbirth. After the gestational sac is expelled, the pain usually diminishes. Post-miscarriage, abdominal pain typically persists for two to three days. Once the residual tissues are expelled, the extent of uterine contractions gradually decreases, and the abdominal pain will also ease.

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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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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 long does it take for the lochia to clear after a natural miscarriage?

Generally, lochia can be cleared within a week after a natural miscarriage occurs. The duration of lochia discharge during a natural miscarriage is also related to the length of pregnancy. If the miscarriage occurs during a later stage of pregnancy, there may be a longer period of vaginal bleeding because the endometrium is thicker, potentially requiring about ten days. Typically, it will clear within a week, and it should not last more than ten days at most. It is advised for women to undergo a medical examination at a hospital two weeks after a natural miscarriage, at which time the recovery of the uterus and any remaining tissues can be assessed. After such a miscarriage, it is important to rest, enhance nutrition, and abstain from intercourse for a month.

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Written by Du Rui Xia
Obstetrics
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What are the symptoms of a natural miscarriage?

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.