Article
Miscarriages take both a physical and emotional toll on a woman’s health
Miscarriages are far more common than many people realize. In fact, up to 20 percent of pregnancies end in miscarriage, defined as the loss of a fetus before the 20th week of pregnancy (after 20 weeks, it is called a stillbirth). Just because they are common, however, does not make them easy.
Most miscarriages occur before the seventh week of pregnancy. This means that you may miscarry before you even realize you are pregnant and think you are just having a heavier than normal period. But if you know you are pregnant or are further along in the pregnancy, a miscarriage may feel like a devastating loss.
Physical experience
Typically, most miscarriages, especially those early in a pregnancy, do feel like a heavy period, including cramping and discomfort. The duration is typically longer, as it can take a few days to a few weeks for the body to clear the uterus.
Physically, this is a very important part of the process. In order to resume your normal menstrual cycle and for your overall health, we need to make sure the miscarriage is complete. Sometimes this means allowing nature to take its course; other times, we may prescribe medication to move things along, or recommend dilation and curettage, commonly called a D&C, a procedure in which we gently remove the contents of the uterus. There are several factors we consider with you before recommending how to proceed.
If you’ve miscarried, we’ll typically advise you to avoid strenuous activity, intercourse, and insertion of anything into the vagina, such as a tampon, for a couple weeks afterward. We’ll want to see you for a follow-up appointment a few weeks after the miscarriage, or sooner if you experience signs of an infection including excessive bleeding or abdominal pain, fever and chills, or a foul-smelling discharge.
If you have a D&C, it may be possible to tell the miscarriage happened. Even if this is not the case, a miscarriage or two is not a sign in and of itself that you can’t successfully carry a pregnancy. If you experience multiple miscarriages without a clear cause, we can run tests to determine if there is an underlying issue.
Emotional experience
Beyond the physical outcome of a miscarriage, you can expect a range of emotions, including denial, anger, guilt and depression. It’s normal to undergo all the stages of the grieving process, even if the pregnancy wasn’t planned. Every woman experiences this loss differently. There is no one way or right way to feel. The passing of time often helps, but if you find yourself struggling with depression, let us know as we may be able to help or provide a referral for counseling.
The good news is that most of the time, having a miscarriage does not indicate a problem with your ability to carry a pregnancy to term. Often, women experience a loss between other perfectly healthy and successful pregnancies.
Related posts
Looking for more women's health insights?
April is STD Awareness Month, which provides an important opportunity to talk about the continuing prevalence of sexually transmitted diseases, including a dramatic rise in a disease that was once nearly obsolete: syphilis
Endometriosis is a condition in which the lining of a woman’s uterus is found outside the uterus, most commonly in the abdomen on the ovaries, fallopian tubes, the outside of the uterus, or other organs or ligaments.This tissue develops in the same way as the tissue inside the uterus each month: it builds up, breaks down and sheds
Throughout your pregnancy, you experience tremendous changes physically, hormonally and emotionally. Your body is dedicated to the life forming over the course of about 40 weeks. But after you deliver, you go through just as many changes in a much shorter timeframe, including a sudden dramatic drop in hormones, while also recovering from delivery and caring for a newborn, which can be exhausting and stressful.