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There is nothing you can do to prevent
a
miscarriage. It is usually the body's way of ending a
pregnancy that has had a bad start, often at the earliest stage of cell
division.
It is important to be alert to the symptoms of a
miscarriage so that you can seek medical evaluation. If you are having symptoms
of a miscarriage, avoid sexual activity (called pelvic rest) and strenuous
activity until your symptoms have been evaluated by a doctor.
Call 911 or other emergency services immediately if you are pregnant
and you have
severe vaginal bleedingAND signs of shock. Early signs of shock include:
- Lightheadedness or a feeling that you are about
to pass out.
- Restlessness, confusion, or signs of
fear.
- Shallow, rapid breathing.
- Moist, cool skin or
possibly profuse sweating.
- Weakness.
- Thirst, nausea, or
vomiting.
- Abnormal increase in heart rate.
Call your doctor immediately if you
are pregnant and you have any vaginal bleeding or
cramping pain in your abdomen, pelvis, or lower back.
Your doctor
may ask you to collect any expelled clots or tissue, if possible, in a clean
container. The clots may be examined to see if you have passed fetal
tissue.
After a miscarriage
The most common miscarriage
complications are excessive bleeding and infection.
It is normal
to have
mild or moderate vaginal bleeding for up to 14 days
after a miscarriage. But the bleeding should not be
severe.
Call 911 or other emergency services immediately if you have recently been treated for a
miscarriage and you have severe vaginal bleeding AND signs of shock.
Call your doctor immediately if you have recently been treated for a miscarriage
and you are experiencing:
- Severe vaginal bleeding without signs of
shock. If your doctor does not respond immediately, or if you do not have a
doctor, have someone drive you to the nearest emergency
room.
- Symptoms of infection. These symptoms include:
Coping with a miscarriage
It is normal to go
through a grieving process after a miscarriage, regardless of the length of
your pregnancy. Guilt, anxiety, and sadness are common and normal reactions
after a miscarriage. It is also normal to want to know why a miscarriage has
happened. In most cases a miscarriage is a natural event that could not have
been prevented.
To help you and your family cope with your loss,
consider meeting with a support group, reading about the experiences of other
mothers, and talking to friends or a counselor or member of the clergy. For
more information, see the topic
Grief and Grieving.
Your local bookstore
or library may have books on coping with miscarriage. Also, your doctor will be
able to address your questions and concerns about the miscarriage.
The intensity and duration of the grief varies from woman to woman, but
most women find that they can return to the daily demands of life in a fairly
short time. The loss and the hormonal swings that result from a miscarriage can
cause symptoms of
depression. It is important to call your doctor if you
have
symptoms of depression that last for more than a
couple of weeks.
A healthy, full-term pregnancy is possible for most
women who have had a miscarriage, and even after having repeated miscarriages.
If you want to become pregnant again, check with your doctor or nurse-midwife.
Most health professionals recommend waiting until you have had at least one
normal menstrual period before attempting to become pregnant after a
miscarriage.