A missed miscarriage is when the unborn baby has died but the woman has not yet miscarried. There are no visible miscarriage signs, such as vaginal bleeding, cervical dilation or uterine contractions and the baby remains in the uterus.
Pregnancy symptoms such as morning sickness or sore breasts may cease. A missed miscarriage is not usually detected until a routine ultrasound scan is carried out, when no fetal heart beat is found. The fetus is usually several weeks younger than the woman’s dates, indicating that it died weeks prior.
This can be especially shocking as most women feel they have been carrying a healthy pregnancy and nothing is wrong. Finding out that the baby has been deceased for some time can be equally as distressing.
Causes of Missed Miscarriage
• Chromosomal abnormalities in the baby
• Infections in the mother
• Exposure to chemical agents, pesticides, heavy metals and radiation
• Illnesses such as diabetes or thyroid disease
• Immune disorders
• Illegal drug abuse
• Medicinal drug use, such as ibuprofen
• Hormone disorders
Sometimes the cause is not known.
In an observational study, 76 percent of women with missed miscarriage, eventually miscarried spontaneously without the need for surgery or medical assistance, so it is a perfectly acceptable option to wait and see if bleeding will begin. The majority of miscarriages will be complete by day 14 after diagnosis.
The researchers concluded:
"Most women who miscarry (all types of miscarriage) in the first trimester choose expectant management and about 81 percent of these complete their miscarriage without intervention."
This involves having prostaglandins inserted into the vagina to encourage dilation of the cervix and contraction of the uterus. This will then expel the fetus.
A dilation and curettage (D+C) can be performed under general anaesthetic. This is when the cervix is dilated and the contents of the uterus are gently scraped out. Sometimes suction is used instead.
After a Miscarriage
You may be depressed, tearful or angry for several weeks.