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What happens during a miscarriage?

2 fertility expert(s) answered this question

Answer from: Luciano Nardo, MD, MRCOG

Gynaecologist, Subspecialist in Reproductive Medicine, CEO & Founder, NOW-fertility
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So during a miscarriage and normally women will be experiencing vaginal bleeding they could also pass some large clots and could experience crumps as well as lower pelvic pain. They are normally (not always) present in a sequence as bleeding, cramping and pain. Sometimes it could happen all together or sometimes the pain or the crumps could precede the start of bleeding.
Miscarriage could be a “threatened miscarriage” where there is always some bleeding and pain or could be a complete miscarriage where there is a the product of conception that is being expelled and in some cases women can find large blood clots with some tissue like products that could be obviously associated to the presence of the fetus. Depending on what stage the miscarriage happens, obviously later on in pregnancy happens and more likely is to find the fetus with the fetal paths attached to it. So in women that miscarried later on in the first trimester or indeed in the second trimester, they could and actually pass the full fetus and that is associated with the degree of uterine contraction, so the pain symptoms are more persistent, the bleeding could be heavier and the later on the later on the miscarriage happens, then it’s more likely also to have some fluid that is being passed together with the miscarriage and that is the amniotic fluid.

Answer from: Ingrid Granne, DPhil MA MBBS MRCOG

Gynaecologist, Consultant Gynaecologist and Sub-Specialist in Reproductive Medicine
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Miscarriages can be a really different experience for the different individuals and it can often depend on what stage of pregnancy are also when you miscarry. Very often women will start to spot, light bleeding, it will then become heavier and it’s really difficult to know. Sometimes the bleeding gets heavier, often women need to change a pad every hour or more and at the point at which the miscarriage happens which the sack or the baby is passed, then often things start to settle down but again it’s really different. Some women can notice some sort of stringy blood, some clots and of course for some women it can be really quite painful and that’s why certainly we always advise women to have painkillers -that sort of thing available for them. Also, it is really important to have contact details of someone at their local clinic in case things become really difficult for them but it’s a really variable experience I think.

About this question:

What exactly happens in a miscarriage?

What defines miscarriage? How to recognise miscarriage? What should we do if we think we miscarried?

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