I'm Having a Miscarriage

Deciding on Treatment for a Miscarriage

Once you know that your pregnancy is no longer viable or that you are actively miscarrying, you will have various treatment options. You might be offered a dilatation and curettage (D & C), which is a surgery to remove the contents of the uterus. You may also be offered the opportunity to have a natural miscarriage. Both of these treatments, including waiting to decide, have their benefits and risks. Be sure to talk to your doctor or midwife about which is best for your situation.

Ectopic Pregnancy

The treatment for an ectopic pregnancy (tubal pregnancy) will vary depending on how far along you are into your pregnancy, what damage may already be done, if you are already bleeding and your obstetrical history. You may be offered a non-surgical treatment if you qualify. There are also surgical options, some of which may results in the loss of your Fallopian tube. Again, this is a decision best discussed with your doctor because of the long lasting ramifications on your reproductive future.

Physical Recovery

Your physical recovery will depend on what type of treatment you had. Your practitioner can help guide you in your expectations. You will want to ask questions like:

• How long will I bleed?
• What amount of pain and cramping is normal?
• Will I know if I have an infection?
• Do I need Rhogam?
• When will my period return?
• When should I call your office?

Emotional Recovery

It is important to note that everyone grieves and heals differently after a pregnancy loss. For some people there is little to grieve while many others feel a very deep sense of loss and longing. You will have to learn to makes decisions that you didn't think about, like telling others about your miscarriage, including your other children. You should expect people to not know what to say to you, which will usually lead to them saying things that they shouldn't. You may also have the need for formal therapy.