Treatment
Immediate care usually involves observation only, especially in early or first trimester miscarriages. Medication may be indicated in the event of heavy bleeding or cramping. A dilation and evacuation (D&E) may be needed if all uterine contents are not spontaneously expelled. During a D&E, the doctor dilates the cervix, inserts a tool into the uterus, and suctions out remaining material.
You may need professional counseling to recover emotionally from the loss.
The goal of long-term treatment is to prevent future miscarriages. This is geared toward whatever caused past losses.
Medications
Medications to decrease the chance of miscarriage may include:
- Antibiotics for infection
- Progesterone supplements (if this hormone is below normal levels)
- Aspirin and other medications to treat blood-clotting problems caused by immunologic disorders
Surgery
Many uterine physical abnormalities can be corrected to decrease the chance of another miscarriage. If the cervix is weak, the doctor can place a stitch (called a cerclage), usually at the beginning of the second trimester of the next pregnancy, to keep it closed until you are ready to deliver. If fibroids are a contributing factor, removing them may prevent another loss.
Support Services
Talking with a professional counselor often helps women deal with their loss. Some people benefit from participating in a support group.
If you are diagnosed with a miscarriage, follow your doctor's instructions .
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright © 2012 EBSCO Publishing All rights reserved.
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