What should you know about misdiagnosed miscarriage?

Bleeding or cramping can occur in early pregnancy without confirming a miscarriage. A scan may be too early to show expected findings if ovulation or implantation happened later than assumed. Clinicians may compare ultrasound findings with pregnancy-hormone results and your symptoms. A transvaginal ultrasound gives a closer view of the uterus and may help clarify whether a pregnancy is developing, has ended, or needs more time to assess.

Ask what was seen on the scan, whether the pregnancy location is clear, and what follow-up interval is appropriate. Keep the report and note bleeding, pain, dizziness, fever, or tissue passed. Do not take miscarriage medicines or arrange a procedure until the treating clinician has explained the diagnosis and options. Follow-up may include another scan, repeat hormone testing, expectant care, medication, or a procedure, depending on the findings and your preference.

Seek urgent medical help for severe or one-sided abdominal pain, fainting, marked dizziness, shoulder-tip pain, fever, or bleeding that rapidly soaks pads. These symptoms need prompt assessment because an ectopic pregnancy or significant blood loss can require immediate treatment. Contact your maternity or gynaecology service promptly if pain or bleeding is worsening, even if an earlier scan suggested miscarriage.

Ask: What exactly did the ultrasound show? Could my dates be different? Do I need repeat imaging or hormone testing? Where should I go if pain or bleeding increases? What are the advantages and drawbacks of waiting, medication, or surgery in my situation?