What to expect from surgical management of miscarriage for missed miscarriage

A missed miscarriage means the pregnancy has stopped developing but bleeding may not have started. After confirmation, your clinician will discuss expectant, medical, and surgical approaches where appropriate. Surgical management usually uses suction to remove tissue through the cervix, with pain relief or anaesthesia planned beforehand. Tissue may be sent for examination according to local practice. The procedure ends the physical process but does not determine how you should feel; grief and mixed emotions are common.

Follow fasting and medication instructions, arrange transport if sedation or anaesthesia is used, and bring details of allergies and current medicines. Afterward, cramps and vaginal bleeding can occur. Use pads while bleeding so you can observe it, rest as needed, and follow instructions about bathing, sex, and tampons. Attend the planned review and ask when pregnancy testing or further imaging is needed.

Contact your care team for bleeding that becomes heavy, pain that is severe or worsening, fever, chills, foul-smelling discharge, dizziness, or fainting. Seek emergency help if you feel weak or collapse. These symptoms can signal infection, significant blood loss, or tissue remaining in the uterus and need timely assessment.

Ask what anaesthesia is planned, how long recovery may take, which symptoms are expected, and when to return to work or exercise. You may also ask about emotional support and planning a future pregnancy.