Which specialist performs surgical management of miscarriage?

The obstetrician-gynaecologist confirms the pregnancy findings, discusses whether surgical care is suitable, and explains the procedure, anaesthesia, expected bleeding, and follow-up. Surgical management may be called evacuation of retained pregnancy tissue, ERPC, or D&C, depending on the service.

The operation is usually carried out in a hospital or day-surgery setting. A nurse, anaesthetist, and theatre team support the doctor. The exact approach depends on your symptoms, examination, scan findings, medical history, and preferences where options are appropriate.

Contact an early pregnancy or gynaecology service for assessment. Bring information about your last menstrual period, bleeding pattern, pain, blood group if known, medicines, allergies, and previous pregnancy history. Ask whether you need to avoid food or drink before anaesthesia and how to arrange transport home.

Read the hospital's instructions carefully and tell the team if your bleeding or pain changes. Discuss emotional support as well as physical recovery; miscarriage can be distressing even when treatment is straightforward. More detail is available in [Surgical Management of Miscarriage](/treatments/gynaecological-surgery/surgical-management-of-miscarriage/).

Seek urgent medical help for heavy bleeding, faintness, severe or one-sided abdominal pain, fever, unpleasant-smelling discharge, or feeling acutely unwell. These symptoms need prompt assessment because blood loss, infection, or an ectopic pregnancy may require immediate treatment.

Ask why surgery is recommended, what alternatives may be suitable, which anaesthetic will be used, and how tissue will be assessed. Confirm warning signs after discharge, when bleeding should settle, when follow-up is planned, and when you can try for pregnancy again.