
Pregnancy loss before the stage of viability. Terminology varies by country; many services use early pregnancy loss for loss in the first trimester and miscarriage for loss before viability.
Threatened, inevitable, incomplete, complete, missed (silent), and recurrent pregnancy loss (repeated miscarriages).
Vaginal bleeding (light to heavy), cramping, passage of tissue; sometimes no symptoms and found on
ultrasound.
Ultrasound to assess the pregnancy and bleeding source, blood tests (hCG trends, blood count), and Rh status.thickened junctional zone) and sometimes **MRI** for clarification. Definitive diagnosis is by pathology, usually after hysterectomy, but non-invasive diagnosis is common in practice.
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Expectant: allow miscarriage to complete naturally with close follow-up.
Medical: medications (e.g., misoprostol ± mifepristone) to help the uterus pass tissue.
Procedural: uterine evacuation (manual vacuum aspiration or dilatation & curettage).
Give anti-D if Rh-negative as recommended locally.
Most people go on to have a healthy pregnancy later. Consider a work-up for recurrent losses if they are repeated; emotional support and counseling are available.
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Emotional support: grief is real and valid—support groups, counseling, and rituals can help.
Rh factor: if you are Rh-negative, anti-D (Rho(D) immune globulin) may be recommended after certain types of bleeding or procedures—your clinician will advise.
Trying again: many can try as soon as they feel ready after bleeding stops; timing can be individualized based on medical and emotional recovery.
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