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Miscarriage Support and Management
Summary
Experiencing a miscarriage can be an emotionally challenging time. It's important to understand that you are not alone, and support is available to help you through this process. This handout provides guidance on caring for yourself after a miscarriage, whether it occurred naturally or was medically managed. Remember, healing takes time, both physically and emotionally.
What Is This & Why It Matters
A miscarriage, or spontaneous abortion, refers to the loss of a pregnancy before 20 weeks. It can happen naturally (expectant management), with medication (medical management), or through a surgical procedure called dilation and curettage (D&C). Understanding what to expect and how to care for yourself during this time can help ease the healing process. Emotional support is equally essential, with options like grief counseling and support groups available.
What You Should Do
- Rest as much as needed; listen to your body and take breaks when tired.
- Take prescribed medications exactly as directed by your healthcare provider.
- Maintain hydration by drinking plenty of water throughout the day.
- Eat balanced meals to support your body's recovery process.
- Use sanitary pads instead of tampons until bleeding stops.
- Attend all follow-up appointments scheduled by your healthcare provider.
- Seek emotional support through counseling or join a support group if needed.
- Monitor your body for any changes and report concerns to your doctor immediately.
What You Should NOT Do
- Avoid using tampons until your doctor gives the go-ahead.
- Refrain from heavy lifting or strenuous exercise until cleared by your healthcare provider.
- Do not ignore signs of infection such as fever or unusual discharge.
- Avoid sexual intercourse until advised by your doctor that it's safe.
- Do not hesitate to ask for help from friends, family, or professionals.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild abdominal cramping similar to menstrual cramps.
- Light spotting or bleeding lasting up to two weeks.
- Feelings of sadness or mood swings as you process emotions.
- Mild fatigue as your body recovers.
Call Your Doctor If...
- Bleeding that soaks through more than one pad per hour for more than two hours in a row.
- Severe abdominal pain that is not relieved by over-the-counter pain medication.
- Fever over 100.4°F (38°C) indicating possible infection.
- Foul-smelling discharge which may suggest an infection.
- Persistent feelings of extreme sadness or hopelessness needing professional help.
- Dizziness or fainting spells which could indicate blood loss.
FAQ
How long will bleeding last after a miscarriage?
Bleeding may last up to two weeks. If it continues beyond this, contact your doctor.
When can I try to conceive again?
You can try again after being cleared by your doctor, typically when you've had at least one normal menstrual cycle.
Is it normal to feel very emotional after a miscarriage?
Yes, feeling emotional is normal. Consider talking to a counselor or joining a support group.
Will I need any special follow-up tests?
Your doctor might recommend tests if you've had recurrent miscarriages, such as genetic testing.
Are there any risks associated with D&C?
Complications are rare but can include infection or uterine perforation. Discuss any concerns with your doctor.
What should I eat to aid recovery?
Focus on nutritious foods like fruits, vegetables, lean proteins, and whole grains to support healing.