When a missed miscarriage is not passing

A missed miscarriage can remain in the uterus because the body has not begun the process of opening the cervix and expelling pregnancy tissue. Little or no bleeding does not show whether tissue is still present. Follow-up assessment, often including ultrasound, helps distinguish ongoing tissue from a completed miscarriage.

If the wait is affecting your wellbeing, or the process has not started by the agreed review, you can ask about changing the plan. Treatment decisions consider your symptoms, health history, infection concerns, access to care, and preferences.

Call the clinic that diagnosed the miscarriage and describe any bleeding, pain, fever, or new symptoms. Do not take leftover medicine or try to remove tissue yourself. Follow instructions about pain relief and vaginal products, keep pads available, and attend the recommended review even when nothing seems to be happening.

Medical Management of Miscarriage uses prescribed medicine to encourage the uterus to empty. Surgical Management of Miscarriage uses a procedure to remove remaining tissue. Ask how each option is carried out, what recovery involves, and how completion will be confirmed.

Seek urgent care for very heavy bleeding, faintness, severe or increasing pain, fever, chills, or vaginal discharge that smells unpleasant. Call emergency services if you collapse, have severe weakness, or develop breathing difficulty. Do not wait for the next clinic review when these symptoms occur.

Ask whether you need an ultrasound, how long observation can continue, and which option is medically suitable. Clarify pain control, bleeding expectations, signs of infection, time away from work, and what to do if the first treatment does not fully remove the tissue.