Spontaneous miscarriage

A miscarriage happens as the uterus contracts and the cervix opens. You may feel lower pelvic pressure and blood clots may come out. Clots are usually dark red, flat and break apart easily.

At the peak of the miscarriage, the cramping will be the worst and the bleeding will probably be heavier than your normal period for two to three hours. You may have some gushes of blood that fill one or two large pads within an hour. You will likely pass some clots. They may vary from the size of a coin to the size of the palm of your hand. Try to assess the amount of your bleeding on a pad and not in the toilet.

Tissue may also come out and appear red with white or grey parts and feel firm. You may see a small sac with fluid inside. The size of the tissue will vary with how far along your pregnancy is. The tissue may be as small as a coin or as large as the palm of your hand. It may come out all at once or a bit at a time.

Controlling your pain is important. You can choose to rest, change positions and apply heat for the cramping. 

You may also wish to take pain medication such as ibuprofen (Advil or Motrin) or acetaminophen (Tylenol). You may alternate between these pain medications. It is important to follow the recommended dose listed on the package.

You can take medication for your nausea such as dimenhydrinate (Gravol). Follow the recommended amount listed on the package.

Nausea and diarrhea should stop in 24 to 48 hours.

You may wonder if you should collect the pregnancy tissue, and there is no right or wrong answer to this question. There is no testing of the remains to determine the reason for the miscarriage. 

If it is important for you to commemorate your pregnancy by burying the remains, there are several options to consider. You may bury the remains yourself, have a hospital burial or choose cremation. Collect any solid pieces you pass and place them in a plastic container with a lid. Store them in a cold place (refrigerator) and contact the early pregnancy loss program to discuss your options. 

Use contraception to prevent pregnancy until after your first period following the miscarriage. Wait one menstrual cycle before trying to get pregnant again. Talk to your primary healthcare provider about this at your follow-up appointment.

It is normal to have tender breasts, and this should go away in a few days.

You may also see fluid leaking from your breasts. Wear a well-fitted bra that is not tight and put a cotton pad inside, if needed.

It is important to get plenty of rest.

Make sure you eat healthy foods, drink lots of water and continue your prenatal vitamins until the bottle is finished.

You can go back to work, school and driving as soon as you feel ready. Our team can give you a note for time off work if you need one.

There are a wide range of feelings you may have after your pregnancy stops growing. You may feel fear, relief, guilt, anger, shock or even numbness. All feelings are normal and okay to have, and your partner’s feelings may be very different from your own.

Often, no reason for a miscarriage can be found. Give yourself time to feel sad, cry and talk about your feelings and what happened. It is hard to know how long it will take for you to feel better, but it may help to:

• talk to someone who will listen and understand
• be kind to yourself. Do not expect too much of yourself and try to be with people who are caring
• get in touch with a support group or talk with other people who have experienced a miscarriage