What are the treatment options for missed miscarriage?

A missed miscarriage means the pregnancy has stopped developing but the body has not yet passed the pregnancy tissue. Bleeding may be absent or limited, so an ultrasound assessment and clinical review are used to confirm the diagnosis. Expectant care allows time for the body to pass the tissue naturally. Medical Management of Miscarriage uses medicine to start or complete that process. Surgical Management of Miscarriage removes tissue during a planned procedure.

Your clinician can explain how each option may affect bleeding, pain, timing, follow-up and emotional wellbeing. Tell them about previous pregnancy experiences, anaemia, medicines, allergies and how quickly you want treatment completed. Keep contact details for urgent advice, use sanitary products to monitor bleeding, and attend the planned review to confirm completion. There is no need to make the decision without support.

Get urgent care for heavy bleeding, severe pain, fainting, marked dizziness, fever, chills, offensive discharge or a sudden deterioration. Seek immediate assessment for one-sided pain or shoulder-tip pain with bleeding. If pain or bleeding continues after treatment, contact the service that arranged your care so infection or retained tissue can be considered.

How was the diagnosis confirmed? What are the advantages and drawbacks of each option for me? What should I expect at home, and how will completion be checked? Which symptoms mean I should attend hospital?