How long does it take for a miscarriage to expel the gestational sac?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 20, 2024
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Under normal circumstances, in the case of a natural miscarriage, the gestational sac is usually expelled within one week, and the decidua tissue is also expelled within one week. If there is still bleeding more than one week after a natural miscarriage, it is imperative to visit a hospital for related examinations, typically requiring an ultrasound to observe the miscarriage situation. If the miscarriage is complete, then there are generally no major issues. However, if the miscarriage is incomplete, a dilation and curettage procedure may be necessary. It is possible for an incomplete miscarriage to occur naturally. Therefore, if there is still bleeding after one week, further examinations are necessary. In cases of natural miscarriage, it is usually advised to wait at least six months before trying to conceive again, and relevant examinations must be conducted before attempting again to determine the causes of the natural miscarriage and to treat accordingly.

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Written by Du Rui Xia
Obstetrics
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Does a natural miscarriage require a uterine cleaning (D&C)?

When a miscarriage occurs, whether a uterine cleaning is needed depends on whether there are any remnants in the uterine cavity as shown by a follow-up ultrasound examination, that is, to see if the miscarriage was complete. If the examination reveals significant remnants in the uterine cavity after the miscarriage, then a uterine cleaning treatment is required. Most women do not need a uterine cleaning after a natural miscarriage, as typically the bleeding will stop around 7-10 days post-miscarriage. Therefore, women should focus on resting, improving their nutrition, and enhancing their body's resistance to prevent any potential complications after a natural miscarriage.

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Written by Du Rui Xia
Obstetrics
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Can you smoke after a natural miscarriage?

After a natural miscarriage, it is best for women not to smoke, as smoking is an unhealthy lifestyle habit that can reduce a woman's body resistance. After a miscarriage, a woman’s body is relatively weak, and smoking could possibly induce infections, such as gynecological inflammation. After the miscarriage, it's important to avoid smoking and ensure rest, adequate sleep, enhanced nutrition, and intake of foods rich in protein and vitamins. It is also essential to drink plenty of water and maintain a positive mood. After the miscarriage, one should avoid heavy physical labor and spicy, stimulating foods to ensure a good mood and promote physical recovery.

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Written by Du Rui Xia
Obstetrics
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What to pay attention to during a natural miscarriage?

During the period of miscarriage, it is important to ensure adequate sleep to help the body recover. Additionally, it is crucial to stay warm, avoid cold exposure, and refrain from consuming raw, cold, or spicy foods. Opt for light, easily digestible foods instead, and consider drinking some brown sugar or millet porridge. It is also essential to maintain a good emotional state to facilitate physical recovery. Since women may feel particularly low after a miscarriage, family support and psychological care are important during this time. Moreover, maintaining cleanliness and hygiene in the genital area is necessary; frequent changing of underwear and sanitary pads is advised. A week after the miscarriage, it is advisable to visit the hospital for a follow-up examination.

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Written by Liu Wei Jie
Obstetrics
1min 11sec home-news-image

What are the symptoms of a natural miscarriage?

What are the symptoms of a spontaneous miscarriage? Spontaneous miscarriage is a process where the embryo is lost from the mother's body. Before diagnosing a spontaneous miscarriage, it is first necessary to confirm an intrauterine pregnancy. After confirming the intrauterine pregnancy, symptoms include abdominal pain and heavy bleeding, which indicate a spontaneous miscarriage. The manifestations of a spontaneous miscarriage primarily include abdominal pain or bleeding, along with the expulsion of necrotic tissue-like material, which is the embryonic tissue. The symptoms are bleeding and abdominal pain. The symptoms of a spontaneous miscarriage are mainly distinguished from an ectopic pregnancy. An ectopic pregnancy can also present similarly, where an ultrasound fails to reveal a gestational sac, accompanied by abdominal pain and bleeding. Such scenarios should be considered for ectopic pregnancy, whereas abdominal pain and bleeding after confirming an intrauterine pregnancy indicates a spontaneous miscarriage.

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Written by Yue Hua
Obstetrics and Gynecology
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How to clean the uterus after a natural miscarriage

Most patients with natural miscarriages do not need uterine cleaning, as these patients usually have short pregnancy durations and the embryo expels itself. At this time, it is necessary to visit a hospital for an ultrasound to check the condition of the uterine cavity. Most women generally have nothing remaining in their uterine cavity. If there are some small amounts of residual embryonic tissue, one can take some blood-activating and stasis-resolving medications, and then strengthen uterine contractions to expel such tissues. A week later, a hospital check-up can generally confirm that the uterine cavity is quite clean, hence, uterine cleaning is not needed for a natural miscarriage.