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All your pregnancy questions answered

Previous:  Miscarriages [Spontaneous abortions]

After a miscarriage

Other common queries of patients who have undergone a miscarriage.

• What investigations should I undergo after a miscarriage?

As it is very unusual to find anything abnormal, doctors do not usually investigate a patient unless she has had two or more consecutive miscarriages. Investigations to look for a cause for a miscarriage are expensive and probably justified if a patient has had repeated abortions. Most women have a normal pregnancy after one or two miscarriages whether they are investigated or not.

• How will my recovery be after a miscarriage?

1. If there have been no complications you will be discharged the same day and you will have between 2-7 days of bleeding not heavier than your normal periods.

2. You should be able to get back to work and normal activities within a day or two.

3. Your next period may arrive early, on time, or late. The later in pregnancy a woman miscarries, the more likely that the next period will be late. The bleeding with the next period may be light, normal or heavy.

4. You should avoid sexual intercourse till after your next periods so as to avoid any chance of infections

• The following are normal after a miscarriage:
   

  1. Bleeding as described above

  2. Mild cramps

  3. Nausea

  4. Grief and some element of depression

   

• The following are not normal after a miscarriage:

  1. Heavy bleeding which is more than that you would have in a normal period

  2. Severe pain

  3. Giddiness

  4. Fever

  5. Foul smelling vaginal discharge

If you have any of the above you must contact your doctor

• When can I try again for another pregnancy?

You should try to avoid getting pregnant for atleast 2 cycles after your miscarriage. As you start to ovulate immediately you should think of some contraception during those 2 cycles. You should take a Folic Acid supplementation in that period

• What should I do when I get pregnant again?

You should see your doctor as soon as you miss your periods and he may put you on some natural progesterone supplements [injections or vaginal tablets] to reduce the chances of a repeat miscarriage.

• How will this affect my future pregnancies?

As I said earlier most miscarriages are "one off" events which will have no bearing on your future pregnancies. Your chance of conceiving normally, having a normal pregnancy and delivery will be like any other woman who has not had any miscarriage.