Once a miscarriage begins and the pregnancy tissue is expelled, the heaviest bleeding typically lasts for about three to five hours. However, the process doesn't end there. Expect ongoing spotting and the potential passage of mild tissue for up to one to two weeks afterward.
What to Expect After Passing the Miscarriage:
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Bleeding and Spotting: Expect vaginal bleeding, which will gradually decrease over time. Initially, it can be heavy with clots, similar to a very heavy period. As the uterus contracts and returns to its pre-pregnancy size, the bleeding will transition to spotting.
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Tissue Loss: Even after the initial passage of the majority of tissue, you might still experience the loss of smaller tissue fragments. This is a normal part of the process as the uterine lining sheds completely.
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Cramping: Uterine contractions help expel the tissue, so cramping is common. The intensity can vary. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage the discomfort.
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Hormone Levels: Hormone levels, particularly hCG (human chorionic gonadotropin), will gradually decline. This decline can affect symptoms like nausea or breast tenderness, which will subside as the hormones decrease. It can also affect ovulation and menstruation; it can take several weeks for periods to return to normal.
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Emotional Impact: Miscarriage can be a deeply emotional experience. Allow yourself time to grieve and seek support from loved ones, support groups, or a therapist.
Monitoring and When to Seek Medical Attention:
While the symptoms described above are usually normal, be aware of the following warning signs that warrant medical attention:
- Heavy Bleeding: Soaking through more than two sanitary pads per hour for two consecutive hours.
- Severe Pain: Pain that is not relieved by over-the-counter pain medication.
- Fever: A temperature of 100.4°F (38°C) or higher.
- Foul-smelling Discharge: This could indicate an infection.
- Persistent or Worsening Symptoms: If you have any concerns, don't hesitate to contact your healthcare provider.
Summary
The passing of a miscarriage involves the expulsion of pregnancy tissue, followed by a period of bleeding, spotting, and cramping. While most symptoms are normal and resolve on their own, it's crucial to monitor for signs of complications and seek medical attention if needed. Remember to prioritize both your physical and emotional well-being during this difficult time.
