A miscarriage is most often confirmed through an ultrasound scan.
Here's a more detailed explanation:
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Ultrasound Scan: The primary method of confirming a miscarriage involves an ultrasound. This imaging technique allows healthcare professionals to visualize the uterus and assess the pregnancy's viability. The scan can determine if a fetal heartbeat is present, measure the gestational sac, and identify any abnormalities.
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Early Pregnancy Assessment Unit (EPAU): If you are under 12 weeks pregnant, the ultrasound scan will likely be performed at an Early Pregnancy Assessment Unit (EPAU). This specialized unit offers focused care and expertise for early pregnancy complications.
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Referral Process: Your General Practitioner (GP) or a hospital doctor will make the referral to the EPAU or the appropriate radiology department to arrange the ultrasound appointment.
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Reasons for Ultrasound: An ultrasound is used to confirm a miscarriage if you are experiencing symptoms such as:
- Vaginal bleeding
- Lower abdominal pain
- Cessation of pregnancy symptoms
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Follow-up: In some cases, a follow-up ultrasound may be necessary to confirm the miscarriage, especially if the initial scan was inconclusive.
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Other Tests: Sometimes, in addition to ultrasound, blood tests to measure hormone levels (such as hCG) might be used to support the diagnosis. These tests can help determine if the pregnancy is progressing as expected or if hormone levels are declining, which could indicate a miscarriage.
In summary, an ultrasound is the standard and most reliable method for confirming a miscarriage, usually conducted at an EPAU for pregnancies under 12 weeks, following a referral from a GP or hospital.
