Miscarriage around three months of pregnancy

Bleeding and cramping can occur with miscarriage, but these symptoms can have other causes in pregnancy. An ultrasound, examination and sometimes blood tests help the clinical team establish what is happening before treatment is chosen.

Pregnancy dating is usually described in weeks from the first day of the last menstrual period rather than by fetal age. Ultrasound assesses the pregnancy's location, development and heartbeat. If the findings are uncertain, a repeat scan or follow-up blood tests may be needed before a definite diagnosis can be made.

A miscarriage may be complete, or pregnancy tissue may remain in the womb. This distinction, along with bleeding, pain, infection risk, personal preference and clinical history, guides the next steps. Pregnancy loss is not caused by ordinary movement, work or something you thought.

Depending on the assessment, options may include waiting for tissue to pass naturally, medicine to help the womb empty, or a procedure to remove remaining tissue. A clinician should explain what to expect from each option, including pain relief, bleeding, follow-up and what to do outside clinic hours.

Use pads while bleeding so the amount is easier to monitor, and follow local advice about sex, tampons and swimming while recovery continues. Emotional responses vary widely; support may come from a trusted person, the maternity team, a counsellor or a pregnancy-loss service.

Seek urgent medical help for heavy bleeding, fainting, marked dizziness, severe or one-sided abdominal pain, shoulder-tip pain, fever, chills, offensive-smelling discharge or feeling very unwell. These signs may indicate substantial blood loss, infection or an ectopic pregnancy and should not wait for a routine appointment.

Contact the treating service if bleeding or pain is not settling as expected, pregnancy symptoms persist after treatment, or you are unsure whether tissue has passed. Tell staff your blood group if known, because some patients may need an injection related to rhesus status.

Ask how the diagnosis was confirmed, whether tissue remains, which management choices are suitable, and how follow-up will show that treatment is complete. You can also ask when to expect periods to return, when trying for pregnancy would be medically reasonable, and where to find emotional support.