In most cases, no treatment is necessary for women who miscarry early in their pregnancy, because the bleeding associated with miscarriage usually empties the uterus of pregnancy-associated tissue. In some cases, however, a woman may need to undergo a surgical procedure called a dilation and curettage (D&C) to remove any pregnancy-associated tissue remaining in the uterus. A D&C is performed if the woman is bleeding heavily or if an ultrasound test detects any remaining tissue in the uterus.
An alternative to a D&C is the use of a medication called misoprostol that helps the tissue pass out of the uterus. The use of misoprostol has proven to be effective in 84% of the cases studied. Other treatments after a woman miscarries may include control of mild to moderate bleeding, prevention of infection, pain relief, and emotional support. If heavy bleeding occurs, the woman should contact her health care provider immediately.1
- Snell, B. J. (2009). Assessment and management of bleeding in the first trimester of pregnancy. Journal of Midwifery & Women's Health, 54(6), 483-491. doi:10.1016/j.jmwh.2009.08.007 [top]