Self-care after miscarriage

Bleeding and cramping may continue for a while after a pregnancy loss. The pattern should gradually ease rather than become heavier or more painful. Tiredness, breast tenderness, and changing emotions can also persist as your body adjusts. Grief is individual; sadness, anger, numbness, or relief can all occur, sometimes in combination.

A clinician may recommend a check-up, pregnancy testing, or imaging to confirm that the miscarriage is complete. A transvaginal ultrasound can help assess the uterus when symptoms or examination make that useful.

Rest when you need to, drink fluids, and use sanitary pads while bleeding so you can observe changes. Follow the pain-relief advice given to you, and avoid inserting anything into the vagina or having sex until bleeding and discomfort have settled or your clinician advises otherwise. Gentle movement can be resumed as you feel able.

Choose support that feels manageable: tell a trusted person what you need, arrange practical help, and consider bereavement or counselling support. If tissue remains, your clinician may discuss medical management or surgical management of miscarriage, depending on your symptoms and preferences.

Seek urgent medical help for very heavy bleeding, faintness, severe or worsening abdominal pain, fever, chills, or feeling unusually unwell. Contact a clinician promptly if bleeding develops an unpleasant smell or does not settle, because these can signal infection or retained pregnancy tissue. Emergency help is appropriate if you feel unsafe because of thoughts of harming yourself.

Ask how long bleeding and cramping should last for you, whether you need an examination or ultrasound, when you can return to exercise and sex, and what contraception or future-pregnancy planning is suitable. You can also ask where to find emotional support.