Miscarriage images 8 weeks
Miscarriage - what you might actually see and feel
Miscarriage - what you might actually see and feel | Pregnancy Birth and Baby beginning of content7-minute read
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WARNING — This article contains some graphic descriptions of what you might see during a miscarriage.
A miscarriage requires prompt medical care. If you think you are having a miscarriage, call your doctor or midwife for advice and support. Go to the Emergency Department if:
- you are bleeding very heavily (soaking more than 2 pads per hour or passing clots larger than golf balls)
- you have severe pain in your tummy or shoulder
- you have a fever (a temperature above 38 degrees C)
- you are dizzy, fainting or feel like fainting
- you notice fluid coming from your vagina that smells bad
- you have diarrhoea or pain when you have a bowel motion (do a poo)
Miscarriage is a very unfortunate and sad outcome of pregnancy that takes a significant emotional and physical toll on a woman. It also happens more frequently than many people think. It's important to recognise that there's no right or wrong way to feel about a miscarriage.
Despite close to one in 5 pregnancies ending in miscarriage, what actually happens and what a woman needs to know and do when faced with a possible miscarriage are subjects that rarely get discussed.
This article aims to give you an idea of what happens and what a woman needs to know and do at different stages in her pregnancy.
Please call Pregnancy, Birth and Baby on 1800 882 436 if you have any concerns or wish to discuss the topic further.
What might I feel during a miscarriage?
Many women have a miscarriage early in their pregnancy without even realising it. They may just think they are having a heavy period. If this happens to you, you might have cramping, heavier bleeding than normal, pain in the tummy, pelvis or back, and feel weak. If you have started spotting, remember that this is normal in many pregnancies — but talk to your doctor or midwife to be safe and for your own peace of mind.
Later in your pregnancy, you might notice signs like cramping pain, bleeding or passing fluid and blood clots from your vagina. Depending on how many weeks pregnant you are, you may pass tissue that looks more like a fetus, or a fully-formed baby.
In some types of miscarriage, you might not have any symptoms at all — the miscarriage might not be discovered until your next ultrasound. Or you might just notice your morning sickness and breast tenderness have gone.
It is normal to feel very emotional and upset when you realise you’re having a miscarriage. It can take a while to process what is happening. Make sure you have someone with you, for support, and try to be kind to yourself.
What happens during a miscarriage?
Unfortunately, nothing can be done to stop a miscarriage once it has started. Any treatment is to prevent heavy bleeding or an infection.
Your doctor might advise you that no treatment is necessary. This is called 'expectant management', and you just wait to see what will happen. Eventually, the pregnancy tissue (the fetus or baby, pregnancy sac and placenta) will pass naturally. This can take a few days or as long as 3 to 4 weeks.
It can be very hard emotionally to wait for the miscarriage because you don’t know when it will happen. When it starts, you will notice spotting and cramping and then, fairly quickly, you will start bleeding heavily. The cramps will get worse until they feel like contractions, and you will pass the pregnancy tissue.
Some women opt to have medicine to speed up the process. In this case, the pregnancy tissue is likely to pass within a few hours.
If not all the tissue passes naturally or you have signs of infection, you may need to have a small operation called a ‘dilatation and curettage’ (D&C). You may need to wait some time for your hospital appointment. The operation only takes 5 to 10 minutes under general anaesthetic, and you will be able to go home the same day.
While you are waiting for a miscarriage to finish, it’s best to rest at home — but you can go to work if you feel up to it. Do what feels right for you. You can use paracetamol for any pain. If you are bleeding, use sanitary pads rather than tampons.
What might I see during a miscarriage?
In the first month of pregnancy, the developing embryo is the size of a grain of rice so it is very hard to see. You may pass a blood clot or several clots from your vagina, and there may be some white or grey tissue in the clots. The bleeding will settle down in a few days, although it can take up to 2 weeks.
At 6 weeks
Most women can’t see anything recognisable when they have a miscarriage at this time. During the bleeding, you may see clots with a small sac filled with fluid. The embryo, which is about the size of the fingernail on your little finger, and a placenta might be seen inside the sac. You might also notice something that looks like an umbilical cord.
At 8 weeks
The tissue you pass may look dark red and shiny — some women describe it as looking like liver. You might find a sac with an embryo inside, about the size of a small bean. If you look closely, you might be able to see where the eyes, arms and legs were forming.
At 10 weeks
The clots that are passed are dark red and look like jelly. They might have what looks like a membrane inside, which is part of the placenta. The sac will be inside one of the clots. At this time, the developing baby is usually fully formed but still tiny and difficult to see.
At 12 to 16 weeks
If you miscarry now, you might notice water coming out of your vagina first, followed by some bleeding and clots. The fetus will be tiny and fully formed. If you see the baby it might be outside the sac by now. It might also be attached to the umbilical cord and the placenta.
From 16 to 20 weeks
This is often called a 'late miscarriage'. You might pass large shiny red clots that look like liver as well as other pieces of tissue that look and feel like membrane. It might be painful and feel just like labour, and you might need pain relief in hospital. Your baby will be fully formed and can fit on the palm of your hand.
After the miscarriage
You will have some cramping pain and bleeding after the miscarriage, similar to a period. It will gradually get lighter and will usually stop within 2 weeks.
The signs of your pregnancy, such as nausea and tender breasts, will fade in the days after the miscarriage. If you had a late miscarriage, your breasts might produce some milk. You will probably have your next period in 4 to 6 weeks.
Remember, it’ll be normal to feel very emotional and upset at this time.
More information
Read more about miscarriage:
- What is a miscarriage?
- What happens after a miscarriage
- Emotional support after miscarriage
- Fathers and miscarriage
- Experiencing a pregnancy loss
Speak to a maternal child health nurse
Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.
Sources:
KidsHealth (Understanding miscarriage), The Royal Women's Hospital (Treating miscarriage), Pink Elephants Support Network (Sorry for your loss), Women’s and Children’s Health Network (Miscarriage), Patient.com (Miscarriage and bleeding in early pregnancy), Pink Elephants Support Network (Treatments and procedures), New Kids Center (Blood Clots of Miscarriage: What It Looks Like?), Babycenter Australia (Understanding late miscarriage)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: March 2022
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Related pages
- Fathers and miscarriage
- Emotional support after miscarriage
- What happens after miscarriage
- Miscarriage
- Experiencing a pregnancy loss
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Why I Wish More People Talked About Their Pregnancy Loss
In December 2014, I scheduled our first, eight-week ultrasound. I remember looking up the statistics for pregnancy loss and learning that at least 26% of pregnancies end in loss.1 As we got closer to the appointment, the more anxious I became. I can’t tell you what it was, but those statistics kept creeping back into my head.
At the appointment, when we got to the ultrasound portion, the doctor pulled over her dinky little machine and got the wand in place. Then she just went quiet.
Looking back now, this moment still feels like a hazy dream. It seemed to last forever. I don’t see anything, she finally said. She kept looking, and still, nothing. She explained that she saw the gestational sac, the yolk sac, and some other things, but no heartbeat.
She sent me for blood tests to confirm what she thought the ultrasounds were showing, and said we would go from there.
Afterward, my husband and I sat down in shock, and tried to process everything. He reassured me that we would try again, and that everything would work out. I just remember hearing him but not quite taking it in.
That night was one of the hardest of my life. I made the dreaded phone calls to my mother, mother-in-law, and all my friends that I had told about the pregnancy, who had been anxiously awaiting my ultrasound pictures. Those friends and family members were the perfect people to talk to in that moment: Three of them had experienced pregnancy loss, and my mother-in-law went through the same type as me.
While waiting for those results over the next few days, I was in a zombie-like state. I remember lying awake at night, staring at the ceiling, holding my belly, just wondering why.
Then we received the results, and they showed that my blood levels were rising like they should in a normal pregnancy. So my doctor sent us for clearer ultrasound pictures. Afterward, she informed us that it was what she had expected from the beginning: I had suffered what's called a "missed pregnancy loss" in which the baby stops developing but the body doesn’t recognize a problem and continues the pregnancy process.
You lie awake at night wondering what you did wrong — and then you spend hours trying to convince yourself that it wasn’t your fault.
We were told we had two options: to let my body pass it on its own or to get a D&C, or dilation and curettage, where tissue is removed from the inside of the uterus. Since a D&C is a surgical procedure, we chose to wait it out and let my body process everything naturally.
When I thought my body was finished three weeks later, I called my new doctor and went in for a follow-up ultrasound. I remember him just looking at me and shaking his head. “I know this isn’t what you wanted to hear,” he said. “But you didn’t expel everything. What’s left needs to come out now before it makes you sick — you have to get the D&C.”
This was almost two months after first being told there was no heartbeat, and I just wanted to be done. I needed to try to start moving on. But now I was going to have to do the last thing I wanted to do.
We scheduled the D&C for two days later. In the operating room, I stared at the ceiling, trying not to cry. The anesthesiologist was having a hard time getting his computer to work and couldn’t put me under right away. The longer I laid there, the harder my heart started to beat. My doctor looked at me, held my hand, and said, “It will all be over soon. ”
Two days after the procedure, I came down with a fever and severe abdominal pain. I was clotting badly and had an infection. The doctor said that if I didn’t pass the clots over the next week he would have to do another D&C. The thought of that was more than I could handle, and I begged my body to do something correctly for once.
Finally I passed the clots, broke my fever, and got the good-to-go from my doctor. The physical process was over, and I had suffered only some pain.
But I learned that the mental torment of going through a pregnancy loss is a pain like no other. You lie awake at night wondering what you did wrong. Was it that glass of wine you had the day before you found out? Or maybe that Italian sub you ate full of processed meats? Every day, you think of something new that could have been the cause — and then you spend hours trying to convince yourself that it wasn’t your fault.
My husband was my pillar through it all: He held me anytime I asked and never questioned if I started crying.
It’s now been nine months since that first appointment. I have mostly good days, though the first few months were very hard.
But the more I look back on what I have been through, the more I realize there is one thing that still irks me: Why is pregnancy loss so taboo? My dad died when I was 17, and when people would ask why I was sad, I would tell them. But throughout my experience, if someone asked me what was wrong I could only say, Oh it’s nothing. Just having a bad day.
At one of my follow-up appointments, my doctor told me that that week he had already had five patients with pregnancy loss, and it was only Tuesday. Every person probably knows at least one person who experienced this type of loss without knowing.
We shouldn't have to hide our sadness. Pregnancy loss needs to be treated like any other tragedy, so women can turn to any of their friends for support, not just the ones who have gone through it too.
I’m now sharing my story not because I want sympathy but because I want other women to know they are not alone. I know that one story isn’t going to change society’s views. But I like to think that it will be a start.
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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
Spontaneous miscarriage and miscarriage
Over the past 10 years, the number of spontaneous miscarriages has been growing rapidly. The International Histological Classification Organization (FIGO) has declared the situation with an increase in the frequency of miscarriages an epidemic.
Spontaneous miscarriage is the termination of pregnancy before the fetus reaches a viable term (up to 22 weeks of pregnancy and fetal weight 500 g.).
Most miscarriages (about 80%) occur before 12 weeks of pregnancy. Moreover, in the early stages up to 8 weeks of pregnancy, the cause of miscarriage is chromosomal abnormalities in 50% of cases. It turns out that nature eliminates the defective product of conception. And these causes are difficult to prevent, especially in the presence of hereditary diseases. Fortunately, accidental breakdowns are much more common than genetically determined ones. Therefore, subsequent pregnancies usually end happily. nine0068 But the remaining 50% of miscarriages have completely real and avoidable causes. They can be easily identified at the stage of preparation for pregnancy by a gynecologist.
What are the reasons?
- chronic diseases: inflammatory diseases of the uterus and appendages, polycystic ovary syndrome, uterine fibroids, endometriosis, malformations of the genital organs.
- infections: toxoplasmosis, listeriosis, genital tuberculosis, sexual infections - chlamydia, mycoplasma, ureaplasma, syphilis. nine0064 - antiphospholipid syndrome.
- endocrine diseases: diabetes, thyroid disease.
- metabolic disorders in the body: obesity, folic acid deficiency, iron deficiency, vitamin D deficiency.
- male factor.
Of course, these causes are identified and eliminated before the planned conception.
There are harmful factors that can affect the development of the fetus in the early stages of pregnancy and lead to miscarriage:
- alcohol consumption. nine0064 - use of caffeine (4-5 cups of coffee per day).
- smoking (more than 10 cigarettes a day).
- drug use.
- taking medications with a teratogenic effect (for example: aspirin, nise and others from this group of drugs; antifungals; antidepressants; some antibiotics and a number of other drugs).
- toxins and occupational hazards: ionizing radiation, pesticides, inhalation of anesthetic gases.
What are the signs of possible pregnancy loss? nine0069
These are complaints of pain in the lower abdomen and lower back, bloody discharge from the genital tract. It is necessary to consult a doctor to rule out an ectopic pregnancy and conduct an additional examination (hCG test, blood test for progesterone, ultrasound).
In early pregnancy, with dubious ultrasound data or suspected non-developing (missing) pregnancy, expectant management is chosen with a repeat examination by a gynecologist, ultrasound, tests after 7-10 days. If the diagnosis was made and the fact of uterine pregnancy was confirmed, with a threatened miscarriage, preservation therapy is carried out in an outpatient day hospital. A miscarriage that has begun requires hospitalization in the gynecological department. In the case of a non-developing pregnancy, an abortion is performed. nine0003
In accordance with the clinical treatment protocol approved by the Ministry of Health of the Russian Federation dated 07.06.2016. Preference is given to drug therapy aimed at terminating pregnancy with prostaglandin analogues (misoprostol) with or without prior use of an antiprogestin (mifepristone). In case of need for surgical treatment (with incomplete miscarriage with infected miscarriage), it is recommended to use aspiration curettage (with an electric vacuum source or a manual vacuum aspirator). What has a significant advantage over curettage of the uterine cavity because it is less traumatic and can be performed on an outpatient basis. nine0003
All women who have had a miscarriage need treatment to prevent complications and prevent recurrent miscarriages. Why is rehabilitation therapy necessary?
According to the decision of the XVIII World Congress of Obstetricians and Gynecologists , the diagnosis of chronic endometritis should be made to absolutely all women who have had an undeveloped pregnancy. Two out of three miscarriages according to Professor V.E. Radzinsky are caused by this disease. When examining the material from the uterine cavity, infectious pathogens were isolated: ureaplasmas, mycoplasmas, streptococci, staphylococci, Escherichia coli, viruses (herpes, HPV). Therefore, it is very important to carry out treatment immediately after the termination of pregnancy. nine0064 If time is lost, it is necessary to carry out additional diagnostics: endometrial biopsy with histological examination and examination for infections, including tuberculosis. Then, taking into account the results obtained, symptomatic anti-inflammatory therapy is carried out (immunomodulators, antibacterial drugs, physiotherapy, gynecological massage, mud therapy). In parallel, an examination is prescribed to identify other causes of miscarriage (male factor, chronic maternal diseases, genital infections, antiphospholipid syndrome). nine0064 In the medical center "Mifra-Med" at the level of modern requirements of medicine, all the possibilities for a complete adequate examination have been created: all types of tests, ultrasound, hysteroscopy, aspiration biopsy, consultations of narrow specialists (endocrinologist, therapist, neurologist, urologist). Our gynecologists of the highest category Melko O.N., Novitskaya E.L., Tikhonova T.N. and urologist of the highest category Kanaev S.A. have sufficient experience in the rehabilitation and preparation of couples for the next pregnancy with a successful outcome. Treatment is carried out in a day hospital with the use of drugs, physiotherapy, gynecological massage, prostate massage.