First week miscarriage pictures
What Does a Miscarriage Look Like? Bleeding, Duration, and More
A miscarriage is a spontaneous pregnancy loss before 20 weeks of gestation. Some 8 to 20 percent known pregnancies end in miscarriage, with the majority happening before the 12th week.
The signs and symptoms of miscarriage vary from person to person. Symptoms may also vary depending on how far along you are. For example, a fetus at 14 weeks will be much larger than a fetus at 5 weeks of gestation, so there may be more bleeding and tissue loss with a later miscarriage.
Miscarriage symptoms may include:
- spotting or bleeding from the vagina
- abdominal cramping or pain in the lower back
- passage of tissue, fluid, or other products from the vagina
Read on to learn more about identifying a miscarriage and what to do if you suspect you’re experiencing one.
Bleeding may start as light spotting, or it could be heavier and appear as a gush of blood. As the cervix dilates to empty, the bleeding becomes heavier.
The heaviest bleeding is generally over within three to five hours from the time heavy bleeding begins. Lighter bleeding may stop and start over one to two weeks before it completely ends.
The color of the blood can range from pink to red to brown. Red blood is fresh blood that leaves the body quickly. Brown blood, on the other hand, is blood that’s been in the uterus a while. You may see discharge the color of coffee grounds, or near black, during a miscarriage.
Exactly how much bleeding you’ll experience depends on a variety of circumstances, including how far along you are and whether or not your miscarriage is progressing naturally.
While you may see a lot of blood, let your doctor know if you fill more than two sanitary pads an hour for two or more hours in a row.
What does a missed miscarriage look like?
You may not experience bleeding or other symptoms with a miscarriage, at least at first.
A missed miscarriage, also referred to as a missed abortion, happens when the fetus has died but the products of conception remain in the uterus. This type of miscarriage is usually diagnosed via ultrasound.
Just as with the amount of blood you’ll see, the duration of a miscarriage will vary from person to person and even from pregnancy to pregnancy.
In many cases, a miscarriage will take around two weeks to pass naturally. Your doctor may prescribe the medication misoprostol (Cytotec) to help a miscarriage pass more quickly. Bleeding may start within two days of beginning the medication. For others, it may take up to two weeks.
Once the miscarriage has started, the tissue and heaviest bleeding should be passed in about three to five hours. After the fetus has passed, you may still experience spotting and mild tissue loss for one to two weeks.
It may be difficult to tell a very early miscarriage from a late period. In fact, many miscarriages happen before a person even knows they’re pregnant.
In general, a miscarriage will cause more intense symptoms than a menstrual period. For example:
- Your menstrual flow may be relatively similar from month to month with heavy days and light days.
A miscarriage can also have heavy and light days, but bleeding may be especially heavy at times and last longer than you’re used to.
- Bleeding from a miscarriage may also contain large clots and tissue you don’t normally see during your period.
- Cramps can be a part of your normal monthly cycle, but with a miscarriage, they may be particularly painful as the cervix dilates.
- The color of blood during your period can range from pink to red to brown. If you see a color you’re not used to seeing, it may be a sign of miscarriage.
Always contact your doctor if you’re pregnant and experience bleeding. While a miscarriage can’t be stopped once it starts, you doctor can run tests to help determine if you’re experiencing the loss of your pregnancy or something else.
To diagnose a miscarriage, your doctor will likely perform an ultrasound to look for the baby’s heartbeat, if you’re far enough along to see a heartbeat. Your doctor may also order a blood test to check human chorionic gonadotropin (hcG) levels to see if they’re rising or falling.
If a miscarriage is confirmed, your doctor may suggest “expectant management” or waiting for the miscarriage to pass naturally. This generally happens within two weeks.
Incomplete miscarriage
The miscarriage may be incomplete if:
- your bleeding is particularly heavy
- you have a fever
- an ultrasound reveals there’s still tissue in your uterus
If this is the case, your doctor may suggest a dilation and curettage (D and C), which is a surgical procedure done to remove remaining tissue. The procedure is done under general or regional anesthesia, and is considered safe. D and C doesn’t usually lead to long-term complications.
Threatened miscarriage
It’s important to report any bleeding or pain you experience in your pregnancy to your doctor. In some cases, you may have what’s called a threatened miscarriage, and there may be certain treatments that can help. These include:
- hormone supplements if the bleeding is caused by low progesterone
- a cerclage (stitch in the cervix) if the issue is with the cervix opening prematurely
Speak with your healthcare provider if you’re looking to get pregnant again after a miscarriage. While it may be safe to start trying after your first normal period, you may want to schedule a checkup depending on the cause or the number of miscarriages you’ve had.
The reason for loss isn’t always known, but around half of miscarriages are caused by issues with the baby’s chromosomes.
Other possible causes include:
- uterine issues
- hormonal imbalances
- other health conditions, such as diabetes, autoimmune disorders, or polycystic ovary syndrome
After a miscarriage, you may have hcG in your blood for one to two months, which could lead to a false positive pregnancy test. In most cases, your period will return within four to six weeks, though you may start ovulating almost immediately following a miscarriage.
Speak with your doctor about birth control options if you don’t wish to become pregnant after a miscarriage.
Will I miscarry again?
Having one miscarriage doesn’t necessarily increases your chances of having another. The risk remains around 20 percent.
Two or more miscarriages is referred to as recurrent pregnancy loss (RPL). The risk of miscarriage after two losses is 28 percent. After three consecutive losses, it increases to 43 percent.
Only 1 percent of people experience three or more miscarriages. About 65 percent of those with unexplained RPL go on to have successful pregnancies.
Activities like exercise, work, morning sickness, and sex don’t cause miscarriages. Even things like smoking or drinking alcohol or caffeine, which can lead to other complications, are also unlikely to lead to early pregnancy loss.
A miscarriage can be physically painful, and it may also cause a variety of emotions. While your body may recover in a few weeks, be sure to take time to process your feelings, grieve, and reach out for help when you need it.
Bleeding, Clots, Timing, and Other Signs
Miscarriage is fairly common in the first trimester. It happens in about 10 percent of known pregnancies.
In some cases, miscarriage can occur before you know you’re pregnant. If this happens, you might not notice anything different from your usual period.
The further along you are in a pregnancy, the less likely it is that a miscarriage will feel like a period.
Continue reading to learn more about early miscarriage, including specific symptoms to watch for, when you should see a doctor, and more.
The most common symptoms of early miscarriage are cramping and bleeding.
However, spotting or light bleeding during early pregnancy aren’t always a sign of miscarriage. If this happens, watch for any other unusual symptoms.
Other symptoms of miscarriage
- cramping in your abdomen or lower back (This could start out like period cramps, but the pain typically worsens over time.)
- nausea
- diarrhea
- passing fluids, larger-than-normal blood clots, or tissue from your vagina
Timing
A miscarriage can happen any time after fertilization. If you didn’t know you were pregnant, it would be easy to mistake it for a period.
Both a period and a miscarriage can cause spotting to heavy bleeding.
After the first eight weeks or so, it’s less likely that you’ll mistake a miscarriage for a period.
Duration
You know how long and heavy your typical period is.
During a miscarriage, bleeding gets heavier and lasts longer than a period.
As your cervix starts to dilate, cramping may become more painful than typical period cramping.
Characteristics
Bleeding during miscarriage can appear brown and resemble coffee grounds. Or it can be pink to bright red.
It can alternate between light and heavy or even stop temporarily before starting up again.
If you miscarry before you’re eight weeks pregnant, it might look the same as a heavy period. Later, you’re more likely to notice fetal or placental tissue.
Menstruation products
Heavy bleeding, pieces of tissue, or large blood clots on your menstruation products could mean that you’re having more than a heavy period.
See a doctor if you’re soaking through a tampon or pad every hour for more than two consecutive hours.
You should call a doctor or other healthcare provider any time you experience unexpected pain or excessive bleeding.
These symptoms can result from an ectopic pregnancy. This occurs when a fertilized egg has implanted outside the uterus, possibly inside a fallopian tube. It’s a medical emergency.
You should also call a doctor if you experience bleeding alongside:
- mucus
- tissue
- blood clots
- what feels like uterine contractions
If you believe you’re having a miscarriage, ask your doctor the following:
- Should I collect a sample of blood or tissue? (This isn’t always necessary.)
- Should I go to an emergency room or make an office appointment?
- Is it fine to drive myself, or do you recommend against it?
If it appears that you’ve had a miscarriage, your doctor will want to perform a physical exam.
Be sure to discuss all your symptoms, including the amount of:
- bleeding
- clotting
- pain
- any tissue that may have been expelled
Testing may include:
- an ultrasound to check the uterus for signs of an embryo or a heartbeat
- a blood test to check for human chorionic gonadotropin (hCG), a substance that indicates pregnancy
There’s no way to stop a miscarriage in progress. If your doctor determines that you’ve experienced a miscarriage, they’ll want to check for:
- signs of infection
- uncontrollable bleeding
- tissue that may be left in your uterus
It can take two weeks or more to completely expel the tissue naturally. Your doctor will review with you typical bleeding patterns to expect. If you have heavy bleeding lasting several days or any signs of infection, you may need medical treatment.
If your doctor isn’t sure that all of the pregnancy tissue has been cleared from your uterus, they may order an ultrasound to confirm.
Your doctor can prescribe medication, such as misoprostol (Cytotec), to increase uterine contractions to help you expel the tissue.
You’ll experience cramping and bleeding as you pass tissue and blood.
Most people pass the tissue within 24 hours after taking the drug. For others, it can take a few days to complete. Either way, it doesn’t require a hospital stay.
Your doctor may be able to prescribe pain medication to help ease your symptoms.
If your blood type is Rh negative, you’ll need an injection of Rh immunoglobulin. This may help prevent complications in a future pregnancy.
There are also a few surgical options to remove tissue from the uterus. This includes:
- Vacuum aspiration. Your doctor inserts a thin tube that contains a suction device into your uterus. This can be done with local anesthesia in your doctor’s office.
- Dilation and curettage (D&C). Your doctor dilates your cervix, and then uses an instrument called a curette to scrape your uterine lining.
This can be done at a surgical center or operating room on an outpatient basis. Regional or general anesthesia can be used.
Both of these treatments have been well-studied and are considered safe. They each carry a very small risk of serious complications.
If you’ve experienced a miscarriage, it’s important to understand that it isn’t your fault.
In many cases, doctors are unable determine the cause. Here are some things that can contribute to miscarriage:
During the first trimester
As many as 80 percent of miscarriages occur in the first trimester.
When a miscarriage occurs in the first five weeks after fertilization, it’s called a “chemical pregnancy.” It’s so early that you might not have known you were pregnant.
Although your period may seem heavier than usual, there might not be any other noticeable sign of miscarriage.
Miscarriages in the first trimester often have to do with chromosome abnormalities that interfere with normal development. Missing or extra chromosomes are linked to 50 percent of all miscarriages.
Sometimes, a fertilized egg simply doesn’t develop into an embryo (blighted ovum).
It may help to know that having sex, exercising, morning sickness, and previous use of oral contraceptives don’t cause miscarriage. Even an accidental fall doesn’t necessarily cause it.
According to the American College of Obstetricians and Gynecologists (ACOG), smoking and alcohol consumption in the first trimester may result in a slightly higher risk of miscarriage. But the research on this is mixed.
It’s also worth noting that drinking less than 200 milligrams of caffeine per day doesn’t appear to increase the risk of miscarriage.
Some things that may increase the risk of early miscarriage are:
- fibroids or other abnormalities of the uterus
- hyperthyroidism or hypothyroidism
- uncontrolled diabetes
- use of cocaine or similar drugs
During the second trimester
About 2 to 3 percent of miscarriages occur during the second trimester.
Some things that may increase the risk are:
- conditions that can cause blood clots
- early preeclampsia or eclampsia
- fetal abnormalities
- fibroids or other abnormalities of the uterus
- infection of the uterus
- lupus
- prior surgery of the cervix
- trauma
- uncontrolled diabetes
- hyperthyroidism or hypothyroidism
- high blood pressure
- use of cocaine or similar drugs
During the third trimester
Losing a pregnancy starting from the 20th week of pregnancy and into the third trimester is considered stillbirth, not miscarriage.
In general, the risk of stillbirth increases with maternal age.
If you’ve experienced a miscarriage, it doesn’t mean you’ll have another, and it doesn’t mean you can’t have children.
Most people who experience a miscarriage can go on to have a successful pregnancy.
Miscarriage shouldn’t affect your ability to get pregnant. You can ovulate and become pregnant within two weeks of an early miscarriage.
If you don’t want to become pregnant again, you should use birth control right away.
About 1 percent of people have multiple miscarriages. If you’ve experienced several miscarriages, your doctor might recommend special testing.
Even if you’ve had three miscarriages in a row, there’s a 70 percent chance your next pregnancy will be successful.
Your doctor will probably advise you to avoid sex, tampons, and douches for two weeks. This will help prevent infection.
They may also want you to take a pregnancy test after about two weeks. This can help them determine whether your hormone levels are back to normal.
In the meantime, call your doctor if you:
- are bleeding heavier than expected or notice that the blood stays bright red
- are soaking through more than two maxi pads an hour for more than two hours
- notice a foul-smelling discharge
- experience abdominal tenderness or severe pain
- have persistent cramping
- develop a fever or chills
For the first few days, you may notice blood clots and tissue passing, but this should taper off after about a week. It will take about four to eight weeks for your regular period to return.
Mild exercise following an early miscarriage is usually fine, but check with your doctor. It may depend on how far along you were, as well as your overall health.
There are many emotions a person might have following a miscarriage. Some feel anger, sadness, or profound loss. Others might feel relieved.
These feelings may have to do with whether you knew you were pregnant or if you were trying to have a baby.
Pregnancy and miscarriage also cause hormone fluctuations, which can affect your emotions.
Everyone is different, so there’s no correct way to feel about experiencing a miscarriage. It may take some time for you to process everything.
You may find it helpful to talk to your partner, family, or friends about what you’re going through.
You may also consider looking into support groups for people who have experienced miscarriage. Sometimes it helps to talk to others who have been through the same thing.
Here are a few places to seek support:
- your doctor’s office or local hospital for referrals to support services
- clergy
- Compassionate Friends, which has a searchable database of local chapters
- March of Dimes Loss and Grief Forum
- Share Pregnancy & Infant Loss Support which offers online support and information on how to find local groups
If grief continues to worsen after a few weeks, talk to a doctor about your options for treatment. You may benefit from grief counseling or treatment for depression.
Miscarriage isn’t your fault.
Physical recovery generally takes a few weeks. Everyone has their own timetable for emotional recovery.
There’s no need to rush yourself or to pretend to “get over it” for anyone else’s sake.
And if you need it, reaching out for support is a reasonable thing to do. You aren’t alone in this.
Early miscarriage - symptoms and how to prevent it
The term "early miscarriage" refers to a spontaneous abortion that occurs in the first 6-8 weeks of pregnancy. It can occur before 20 weeks of pregnancy for reasons related to the natural states of the fair sex. According to statistics, the logical outcome of every fifth pregnancy is a miscarriage. However, quite often a woman does not even know that she was pregnant by the time the fetus is rejected by the body. nine0003
In addition, a curious pattern was revealed: more often than a natural one, a pregnancy induced artificially ends in a miscarriage. For example, in vitro fertilization, unfortunately, does not always lead to a successful pregnancy and the birth of a baby on time.
Why can an early miscarriage occur?
Here are the most common causes, each of which significantly increases the risk of miscarriage: nine0003
- the expectant mother has certain infectious diseases, as well as STDs;
- intoxication of a woman's body for various reasons, including as a result of her living in an ecologically unfavorable region;
- all kinds of metabolic disorders in the body;
- hormonal disruptions, including those caused by a malfunction of the thyroid gland;
- various neoplasms in the uterus and others, as well as the cervix, pathologies; nine0012
- maintenance by the future mother of a life far from a healthy lifestyle.
May include drinking alcohol, smoking, taking psychotropic and narcotic drugs, as well as malnutrition;
- obesity;
- immune status disorders;
- cardiac diseases;
- diabetes mellitus;
- too early for pregnancy or, conversely, the patient's overly mature age at times increases the risk of miscarriage; nine0012
- all kinds of pathologies of chromosomes and genes;
- prolonged exposure to stress or severe psycho-emotional trauma in a woman.
The timing of a miscarriage may depend, among other things, on the patient's genetic predisposition to miscarriage. Finally, often its specific cause remains unexplained to the end.
Symptoms of miscarriage
A pregnant woman should urgently seek medical help if she has the following warning signs: nine0003
- bleeding from the vagina;
- spotting discharge from the genital tract. They can have both light pink and intense red or brownish tint;
- convulsions;
- severe pain in the lumbar region;
- abdominal pain, etc.
All of the above signs can be symptoms of a miscarriage. Timely provision of qualified medical care is the key to maintaining pregnancy. nine0003
Life after miscarriage
If a woman could not bear the pregnancy - an early miscarriage crossed out all her plans - then she needs to calm down and take all measures to prevent such complications in the future. Usually obstetricians-gynecologists recommend planning a new pregnancy no earlier than six months after a miscarriage. During this time, a woman needs to be examined and find out if she has any pathology in her body that could lead to an abortion. It can be various STDs and infectious diseases. In the presence of chronic diseases that can provoke spontaneous abortion, it is necessary to throw all your efforts into their treatment. nine0003
Gynecologists of the corresponding department of our private clinic in Ryazan will help you find out what could have caused the miscarriage, as well as make recommendations on how to prepare for pregnancy. They usually include a set of physical exercises suitable for a woman, a diet rich in everything necessary for bearing a healthy baby, no stress, and measures to maintain a normal body mass index. Can't recover or get pregnant after a miscarriage? Contact "ON CLINIC in Ryazan" - here you will definitely be helped! nine0003
Early miscarriage help
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A miscarriage occurs when the fetus is shed from the endometrium, the inner lining of the uterus. According to experts, two out of 10 clinically established pregnancies end in spontaneous abortion. It is necessary to understand in more detail the causes, symptoms and methods of dealing with miscarriage. nine0003
How an early miscarriage occurs
There are three steps in this process. First, the fetus dies, after which it detaches from the endometrial layer. This is manifested by the fact that bleeding begins.
At the third stage, everything that has exfoliated is removed from the uterine cavity. The process may be complete or incomplete. In the early stages - five to six weeks - the process resembles ordinary menstruation. They are characterized by painful and much more unpleasant sensations. You can find out that it was just an early miscarriage by taking tests for the ratio of hCG in the blood. nine0003
Symptoms of a miscarriage
Signs of miscarriage are abdominal cramps, cramps or spotting. However, they do not always appear. It is necessary to note the most typical manifestations of the presented state and their main characteristics.
Temperature
For a short period of time, hyperthermia may well not be observed. Fever is not the most common symptom. In some cases, the thermometer readings really rise to 38 degrees or more. nine0003
At the same time, when hyperthermia is accompanied by a number of additional symptoms, a septic miscarriage is likely. These are its signs:
- severe pain in the abdomen and deep in the vagina;
- increased tone of the uterus, which is felt by jerks inside;
- pungent, pungent and unpleasant odour.
All this indicates that the infection has joined. In such a case, emergency hospitalization is strongly recommended to stop the development of the process. It is better not to engage in self-medication or the use of folk recipes. nine0003
Discharge
Early miscarriage can indeed be accompanied by discharge. They may be habitual, as during menstruation. Also, the discharge may be smearing, insignificant.
Brown, scanty secretion, much less likely to end in spontaneous abortion. Most often, this is indicated by abundant and bright red discharge. It is blood that normally appears when the fetus is rejected from the inner layer of the uterus.
Pain
The severity of unpleasant and specific sensations may differ from each other depending on the duration of pregnancy. Probably the accession of pain, similar to menstruation. Most often, a similar symptom indicates an early miscarriage - no more than six weeks. nine0003
Probably cramping pains in the abdomen, which pull in the back. Their strength can vary from subtle to much more pronounced. In the rarest cases, when the clinical picture is complicated by a long course, this leads to a state of shock.
Another typical manifestation of pain is discomfort in the back or abdomen. Only then are the discharges identified. A similar situation is most typical for spontaneous abortion at the seventh or eighth week of pregnancy. nine0003
Causes of miscarriage
The first factor is genetic abnormalities in the development of the fetus. It is they who most often lead to miscarriage in the early stages. Violations can be expressed in qualitative or quantitative failures in chromosomes. In this regard, the female body recognizes the defect, and therefore does not allow such a fetus to develop further. Most often, such rejection is noted in the third week of pregnancy.
The next reason that an early miscarriage has developed may be disturbances in the work of the endocrine gland. Hormones determine not only the success and regularity of the cycle, but also how well the fetus is attached to the mucous surface of the uterus. If, due to a malfunction of the thyroid gland, the endometrium is not able to provide the fetus with all the necessary components, the pregnancy will not go well. Most often, a miscarriage occurs at the beginning or at the end of the fourth week. nine0003
Other reasons why pregnancy is terminated:
- Rhesus conflict. If the parents have different Rh factors, then the risk that a miscarriage will occur after the first weeks of pregnancy increases significantly. This happens if a woman has a negative Rh, and the child has a positive, inherited from the father.
In such a situation, the female body recognizes the fetus as a foreign object. Therefore, it is excreted from the uterus. Timely diagnosis allows you to save the child through full-fledged drug therapy. nine0012
- Sexually transmitted diseases, other infections. Similar problematic conditions also lead to spontaneous abortion. In this case, the embryo is infected at a very early stage. That is why the body will perceive it as a foreign object. In this regard, a miscarriage will occur already in the fifth week.
- Previous abortions. Another common reason why a miscarriage occurred. Abortion is a huge stress for the reproductive system, which leads to thinning of the lining of the uterus. That is why the risk of miscarriage may be greater. nine0012
Abdominal injuries should not be excluded from the injury list. Sharp pressure on the peritoneum, including when lifting weights, can provoke an abortion. Also on the list are severe stress, anxiety and depression. Anything that violates the normal state of a woman can lead to serious consequences.
How to avoid miscarriage
The main goal of treatment is to relieve tension in the uterus. It will be equally important to stop the bleeding and prolong the pregnancy, but only on the condition that the fetus is viable. The sooner medical assistance is provided, the higher the likelihood of preserving the fetus, without the need to determine the expected timing of miscarriages. nine0003
Our specialists will help you with this. Only we have the most qualified and experienced doctors who know exactly how to treat even the most difficult cases. They will conduct a full diagnosis and prescribe the most effective, effective medicines.
Drug treatment
Hormonal drugs are used. They at an early stage determine the normal course of pregnancy. Medicines based on the hormone progesterone are effective.
- The use of hemostatic drugs. In the case of pregnant women, droppers are used with drugs such as Dicinon or Tranexam. They are needed to stop bleeding.
- Antispasmodics. Experts recommend injections of Drotaverin, followed by a switch to painkillers such as No-shpa. Papaverine suppositories, droppers with the addition of magnesia are also used. All of them are necessary in order to remove a number of signs of a pathological condition, namely, an increased tone of the uterus and pronounced pain. nine0012
- Use of Tocopherol. Vitamin E is an indispensable component for women, including pregnant women. It ensures the normal and full functioning of the ovaries. Tocopherol also strengthens the vascular walls, eliminates the formation of blood clots.
- Sedative preparations. Use motherwort or valerian tincture. The presented measure is recommended for increased irritability or nervousness of a pregnant woman.
To prevent early miscarriage, our clinic recommends glucocorticosteroids. Apply Dexamethasone or Metipred. They are prescribed to patients with diagnosed immune disorders that can lead to early termination of pregnancy. nine0003
Optionally, a special relief ring can be installed. The presented procedure is carried out in the second trimester, or rather after the 20th week of gestation.
Remove such device not earlier than 38 weeks. It is necessary for a woman to maintain the correct position of the uterus. Also, the unloading ring helps to prevent premature birth.
Additional measures
To prevent early miscarriage, it is recommended to stop physical activity. Especially when it comes to jumping, lifting weights. Rest, lack of sudden physical activity and adherence to bed rest will help to keep the pregnancy. nine0003
Another preventive measure will be the exclusion of sudden movements. At any stage of pregnancy, they can provoke detachment of the embryo or lead to serious complications in its development.
An early miscarriage will be excluded by:
- emotional calm and absence of stress;
- refusal to take a hot bath or visit a bath, sauna - this is due to the fact that high temperatures provoke increased bleeding, as well as detachment of the fetus; nine0012
- restriction of sexual intercourse - if there is a threat that an early miscarriage will occur, they refuse to have sex;
- exclusion of alcohol, nicotine addiction.