What is medical management of miscarriage done with?

Misoprostol is placed or taken in the way instructed by the treating team. It softens the cervix and stimulates uterine contractions, so bleeding and cramping are expected as tissue passes. Nausea, diarrhoea, chills, and a temporary fever can also occur. The clinical plan depends on the pregnancy findings, bleeding, symptoms, and medical history. Follow-up may use symptoms, an examination, a pregnancy test, or an ultrasound to check whether treatment is complete.

Use the medicine exactly as directed and arrange a way to contact the care team. Have pads, fluids, rest, and the recommended pain relief available; avoid inserting anything into the vagina until your clinician advises that it is safe. Keep the follow-up appointment even if bleeding settles. Ask how to manage tissue that passes and how to discuss emotional support, contraception, or trying for another pregnancy.

Seek urgent care for heavy or rapidly increasing bleeding, severe pain that is not helped by the advised medicine, faintness, difficulty breathing, or feeling very unwell. Contact the clinical team for persistent fever, worsening abdominal pain, foul-smelling discharge, or bleeding that does not follow the expected pattern. These symptoms can indicate infection, significant blood loss, or tissue remaining in the uterus.

Ask how and when to use misoprostol, which pain medicines are suitable, what bleeding is expected, and how completion will be confirmed. Ask when to seek help overnight, when intercourse or exercise can resume, and what support is available after the loss.