What should you know about multiple missed miscarriage?

A missed miscarriage, also called a silent or delayed miscarriage, occurs when a pregnancy has stopped developing but the body has not yet passed the pregnancy tissue. There may be little or no bleeding, cramping or change in pregnancy symptoms. Diagnosis is usually based on ultrasound findings, sometimes with repeat assessment to clarify the pregnancy’s development. Having multiple losses can be emotionally exhausting and does not mean you caused them. A clinician may review your medical history, previous pregnancies, medicines and possible health factors before discussing whether further evaluation is appropriate.

You can discuss three broad approaches: waiting for the tissue to pass naturally, using medicine to help the uterus empty, or having a procedure to remove the tissue. The suitable option depends on your symptoms, scan findings, medical history and personal preference. Ask about expected bleeding and cramps, pain relief, follow-up testing and emotional support. Information on [Medical Management of Miscarriage](/treatments/medical-gynaecology/medical-management-of-miscarriage/) and [Surgical Management of Miscarriage](/treatments/gynaecological-surgery/surgical-management-of-miscarriage/) can help you prepare for that discussion.

Get urgent medical help for heavy bleeding, severe or worsening abdominal pain, faintness, dizziness, shoulder-tip pain, fever, or feeling very unwell. These symptoms can signal bleeding, infection or another pregnancy complication. Contact your maternity or gynaecology team if bleeding or pain continues after treatment, or if you are worried about recovery.

Ask how the diagnosis was confirmed, whether any tests are recommended after repeated losses, and which management option fits your situation. You may also ask when to expect the next period, when follow-up is needed, how soon pregnancy can be considered again, and where to find grief or counselling support.