Miscarriage is the loss of pregnancy before the embryo or fetus can live on its own outside the uterus. It is also called early pregnancy loss or spontaneous abortion. Miscarriage is fairly common with 10-20% of all pregnancies ending in miscarriage.
We will provide you will compassionate treatment and support during your miscarriage. The treatment option that is best for you depends on how far your miscarriage has gone on and how much bleeding you have. We will discuss the choices with you and explain the risks and benefits of each choice. All of your questions will be answered; all of your options will be explained.
Doing Nothing or “Wait and See”
In at least half the cases, an incomplete or inevitable miscarriage will complete itself on its own within one week. The advantage of “wait and see” is that it avoids a procedure or the use of medications. Many women consider this more natural.
You will be given a combination of medications: Mifepristone/Misoprostol. The appointment includes: the ultrasound (sonogram) to assess stage of pregnancy, bloodwork, a review of your health history, giving informed consent, and learning what to expect during and after the procedure. The appointment may last anywhere from 3 to 5 hours.
Having a Vacuum Aspiration
The advantage of vacuum aspiration is that it rapidly removes the pregnancy tissue to complete the miscarriage.
An aspiration appointment includes: the ultrasound (sonogram) to assess stage of pregnancy, bloodwork, a review of your health history, giving informed consent, decision-making about sedation, as well as learning what to expect during and after the procedure, performing the aspiration, and your in-clinic recovery time. The appointment may last anywhere from 3 to 5 hours.
Sedation is an option for this procedure. Most women find themselves to be quite comfortable during and after, and generally do not have a recollection of the actual procedure taking place. To receive sedation prior to your procedure, you MUST have a responsible adult drive you home and a plan to remain in their care for 24 hours.
We will give you support during this difficult time and provide additional information to take with you, depending on your treatment choice, plus resources for the emotional toll of miscarriage and for your future fertility options.