Do the symptoms of spontaneous miscarriage include bleeding?

Written by Du Rui Xia
Obstetrics
Updated on October 29, 2024
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During a natural miscarriage, vaginal bleeding occurs. This is because, after a miscarriage, the gestational sac and shed uterine lining also need to be expelled from the body, resulting in vaginal bleeding. Typically, this bleeding lasts about a week, gradually diminishing until it stops. If vaginal bleeding after a natural miscarriage persists for an extended period, even exceeding ten days without stopping, and is accompanied by abdominal pain, it is necessary to visit the hospital for an ultrasound to check for any remnants within the uterine cavity and possibly undergo a dilation and curettage procedure.

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Written by Du Rui Xia
Obstetrics
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How long to rest after a natural miscarriage?

Women will experience both physical and psychological impacts after a miscarriage, and the body needs time to recover. Therefore, it is best to rest for at least two weeks before going back to work after a miscarriage. It is crucial to rest, avoid fatigue, and refrain from vigorous exercise. Consuming foods rich in proteins and vitamins, such as eggs, lean meats, milk, fresh vegetables, and fruits, can help enhance resistance and promote healing post-miscarriage.

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Written by Liu Wei Jie
Obstetrics
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How long do I need to rest after a natural miscarriage?

The duration of rest required after a miscarriage depends on the duration of pregnancy. For instance, for miscarriages within the first 3 months of pregnancy, it is recommended to rest for at least 2 weeks. Additionally, avoid sharing a bed for a month. If the miscarriage occurs between 3 to 28 weeks of pregnancy, follow the normal postpartum rest period of about 42 days, as it takes this time for the body to fully recover. Besides resting, it is crucial to avoid catching cold after a miscarriage, abstain from sharing a bed for a month, and take appropriate contraceptive measures or prepare for pregnancy accordingly.

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Written by Yue Hua
Obstetrics and Gynecology
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How long is it normal to bleed after a natural miscarriage?

A natural miscarriage generally stops bleeding within a week; if the bleeding continues beyond a week, it is considered abnormal. This is because in most cases of natural miscarriage, the embryo and the decidua are expelled together, followed by uterine contractions, resulting in some vaginal bleeding. Normally, such bleeding should not persist beyond a week. If vaginal bleeding continues past this period, an ultrasound should be conducted to examine whether the uterine cavity is clean and free of any residual embryonic tissue. If remnants are found, it may be necessary to take some medications to promote blood circulation and remove the residual tissues.

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Written by Du Rui Xia
Obstetrics
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Can work during a natural miscarriage

During the natural miscarriage period, it is not advisable to go to work. This is because the woman's body is relatively weak after a natural miscarriage and the immune system is compromised, so she should not go to work and needs to rest at home. A natural miscarriage can cause certain harm to a woman's body, and like normal childbirth, confinement is necessary for at least two weeks. During this period, it is important to rest, boost nutrition, and maintain personal hygiene. Once the body has fully recovered, which generally takes about two weeks, one can then return to work. It is also important to maintain hygiene in intimate areas. Sexual intercourse should be avoided for a month, and baths should be replaced with showers as the endometrial lining needs time to repair. Additionally, it is crucial to keep warm, avoid exposure to cold, and refrain from exertion.

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Written by Du Rui Xia
Obstetrics
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What are the symptoms of a natural miscarriage?

During a natural miscarriage, the most typical clinical symptoms include abdominal pain and vaginal bleeding. Based on the different symptoms of a natural miscarriage, women should undergo differential diagnosis. When a woman experiences abdominal pain and vaginal bleeding, it may initially suggest a threatened miscarriage. If the abdominal pain worsens and vaginal bleeding increases, it could progress to an inevitable miscarriage. An inevitable miscarriage can further be classified into complete or incomplete miscarriage. In the case of a complete miscarriage, the abdominal pain generally subsides gradually, and the vaginal bleeding eventually stops. In contrast, during an incomplete miscarriage, the vaginal bleeding lasts longer, and the abdominal pain is prolonged. At this point, it is necessary to visit a hospital for an examination to check if there are any remnants in the uterine cavity and to receive further treatment.