If the fetus appears normal and symptoms are mild, the doctor may recommend that you return home to rest as a threatened miscarriage may resolve itself. If you experience severe vaginal bleeding, the doctor may decide to admit you into the hospital for monitoring. Treatment, if any, may include:
- If this is your first miscarriage, no testing is usually necessary. Most women who miscarry the first time will go on to have normal pregnancies. But if this is your second miscarriage (or more), additional testing may be carried out to discover the cause of these losses.
- If you have cervical incompetence and miscarriage occurs in the second trimester of pregnancy, the doctor may place a cerclage (stitch) to keep your cervix closed. If the miscarriage is attributed to a growth in your uterus, that growth will be removed.
- If the miscarriage is related to hormones, you may be prescribed progesterone.
- If the miscarriage cannot be avoided, the doctor may decide to perform a dilation and curettage (D&C) to remove the contents or your uterus or give you medication to ensure complete miscarriage.
- If the miscarriage is incomplete, a dilation and curettage (D&C) will be required.
- If any uterine contents are retained, a dilation and curettage (D&C) and/or medication to trigger contractions will be required.
- Excessive vaginal bleeding can cause anemia or even shock and death.
- Infection may occur from prolonged vaginal bleeding or if any pregnancy content remains in the uterus for a long time.
- Patients who undergo a dilation and curettage (D&C) have the small risk of a uterine perforation.