Does an obstetrics and gynaecology specialist perform surgical management of miscarriage?

Surgical management removes pregnancy tissue from the uterus using instruments passed through the vagina and cervix. It may be called evacuation, ERPC or D&C. An obstetrics and gynaecology team assesses your symptoms, examination and ultrasound findings before discussing whether surgery, medicine or expectant care is suitable. The team should explain anaesthesia, what to expect on the day, possible tissue testing, emotional support and follow-up. The choice should reflect your health and preferences as well as clinical needs.

Tell the team about bleeding, pain, fever, blood group information if known, medicines, allergies and previous operations. Ask whether you need to fast, how long monitoring may take, and when you can return to usual activities. Arrange support and transport if sedation or anaesthesia is planned. Follow the discharge instructions about bleeding, pain relief, sex and future pregnancy planning.

Get urgent medical help for very heavy bleeding, severe or one-sided abdominal pain, faintness, shoulder-tip pain, fever, chills, confusion or feeling suddenly very unwell. After surgery, increasing pain, foul-smelling discharge, persistent fever or breathing difficulty also needs prompt review. These symptoms can signal bleeding or infection and should not wait for routine follow-up.

Ask why surgery is being offered, what alternatives are safe, which anaesthetic is planned, and whether tissue will be examined. Clarify expected bleeding and pain, warning signs, follow-up arrangements, emotional support, and when you can discuss another pregnancy.