Baby, Pregnancy, and Parenting Information

Signs of Miscarriage

Miscarriage is a painful experience that many women have to go through in their lifetime. Painful physically as well as emotionally. The most common medical term used for miscarriage is spontaneous abortion. The term “abortion”, however has very negative connotations so we prefer to use the term miscarriage, referring to the fact that the woman failed to carry the fetus to full term and results in delivery of a baby too young to be able to survive outside the uterus.

When is a Miscarriage More Likely to Occur?

Miscarriage can happen very early or a bit later during the pregnancy period. Clinical guidelines define miscarriage as loss of a fetus aged 20 weeks to 22 weeks, weighing about 500 g or less. Most miscarriages, however, occur at the first trimester before the 13th week. An estimated 50% of pregnancies result in miscarriages due to a wide range of causes but only about 15% to 20% are detected as such.
Miscarriage is a life-and-death event, yet it is not a simple yes-or-no occurrence. It can manifest in many different forms. It does not happen in a single instant but consists of a series of events that culminate in the loss of the fetus and termination of the pregnancy.

Most miscarriages occur at a very early stage, sometimes even before a woman even realizes she is pregnant, and the embryo hasn’t even had the chance to implant in the uterus aka chemical pregnancy. About 15% of pregnancies result in early miscarriage during week 1 or 2. In such cases, the woman is blissfully unaware of what happened.

What’s an Embryonic Pregnancy?

A blighted ovum aka embryonic pregnancy will inevitably end up in a miscarriage which occurs a bit later, when the woman is usually aware of her condition. What she is not aware of is that although there is a sac in her uterus, there is no embryo inside. The body eventually passes the empty sac, usually before the 8th week of pregnancy.

As the fetus grows older, the chances of miscarriage decrease. However, the emotional pain that comes with miscarriage increases with increasing fetal age.

A threatened miscarriage is actually a potential tragedy thwarted. The most common sign of a threatened miscarriage is vaginal bleeding or commonly known as “spotting”. In such cases, the doctor usually prescribes bed rest as well as medications that can prevent contractions. Many threatened miscarriages have a happy ending, resulting in a healthy baby.

What Are the Signs of Miscarriage?

  • Vaginal bleeding, which may be mild or profuse. The bleeding is due to the passing of the embryonic/fetal and placental tissue out of the body, the so-called conception products. Miscarriage is complete if all products are expelled, characterized by profuse bleeding. Miscarriage is incomplete if the body cannot get rid of all products. In such cases, bleeding may be mild. Take note, however, that vaginal bleeding or spotting does not necessarily mean miscarriage. Some women with viable pregnancy can occasionally have some light spotting.
  • Pain in the lower back, which has been described as a persistent, dull but also sharp pain.
  • Abdominal cramps and pain, which can be mild or severe. Some women describe the sensation as being similar to menstrual cramps. The cramps may actually be real contractions wherein the body is trying to expel the conception products.

The intensity, timing, and duration of the symptoms vary from woman to woman.

In the doctor’s clinic, impending, threatened, or complete miscarriage is confirmed by several tests that include manual examination, pelvic ultrasound, and blood test to check for levels of human chorionic gonadotrophin (HCG) hormone.

Manual examination checks the state of the cervix (dilation is a bad sign) and presence of other structural abnormalities such as tenderness and pain.

An ultrasound can check the status of the fetus, usually in terms of its size and heartbeat. The ultrasound can also detect abnormalities such as ectopic pregnancy.

The levels of HCG in the blood can indicate whether the pregnancy is proceeding normally or not.


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5 Responses to “Signs of Miscarriage”

  1. 5
    Jessica Says:

    I missed my period feb.16 but few days before that I was having implantation bleeding it was brownish discharge when I wiped I saw light red. I went to the doctors feb.20 they did urine test it was neg but they took blood I got results back within 3 days it was positive but my hcg was only at 13 so she called me in to do more blood work and that came back neg. but she never gave me hcg number this time. So I don’t know if it’s still early or if I had a miscarriage. Also the doctor said she was not sure if it was going to develop anything cause I was so early.

  2. 4
    jodz Says:

    Ok on the 30th of tis month my hormone level was 40
    Had another blood test done came bk 21 on the 2nd now i
    I need abother blood test. I had a misscarraige on the
    16/4/13. Ive been bleeding for 21 days now usaully
    Wen i pee can sum1 plz tell me wat could b goin on???

  3. 3
    Eryn Says:

    i had a bloodtest done at the doctors the day before yesterday and she called me yesterday saying it was positive but was questioning because i have been bleeding since sat or sun i just thought i had my period so i went to the er… they were no help they said my level was only 26 so i dont know if im miscarrying or what… i need help or answers.. im so confused

  4. 2
    laura Says:

    i am 6 weeks pregnant on saturday i get my results on wheather its normal or not, they say that i could be having an ectopic pregnancy or early start miscarriage but also said could be just normal, i have been bleeding not all time just when i wipe myself after been to the toilet but the blood is quite bright sometimes its just brownish. Iv been having pain in my abdomils but nothing serious, they have given me an blood test and i have to go back saturday and if the number doubles its normal if it stays slightly the same its ectopic or if its less its early start off miscarriage my levels on my blood test was 927 so to double for normal pregnancy it should be just under 2000 is 927 a good result? And all this advice has helped alot been reading threw some pages and found it extremly helpfull so thanks.

  5. 1
    sara peppard Says:

    Oh my God I don’t know how can i thank you guys for your website, I was so confused about my pregnancy and i couldn’t find any good sources, also my Mom is far a way from me but now feel safe i feel like my family are giving me these advice and helping me to go through it.

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