Heavy bleeding and cramping often indicate that a miscarriage is progressing. In most cases, your body will complete a miscarriage on its own by expelling all of the pregnancy-related tissue, especially if the miscarriage occurs early in the pregnancy.
If vaginal bleeding fills more than one super-size sanitary pad in an hour for 2 hours in a row, you should contact Health Quarters or your regular health care provider for a referral to Health Quarters.
At Health Quarters, we provide two options for treating an incomplete miscarriage.
The first option is aspiration of the retained tissue, which involves the widening of the cervix and gentle suction of the uterine lining, called the endometrium. At Health Quarters, we offer nitrous oxide to help manage pain and discomfort during this procedure. With nitrous oxide, you will be ready to leave almost immediately after the procedure and do not need a ride.
The second option is medication (mifepristone and/or misoprostol), which will help your body expel the pregnancy-related tissue.
You may be given antibiotics or other medications afterward to minimize bleeding. Your provider will help you find out whether you are Rh negative. If you are, you probably will need a shot of Rh immune globulin vaccine to prevent problems in future pregnancies.