Miscarriage usually presents with vaginal bleeding and abdominal pain. Vaginal discharge may resemble blood clots. In many situations, bleeding will gradually stop. The time it may take to do this may vary from case to case. This usually takes a few days, but can take 2 weeks or more. In most women, bleeding is profuse, with the presence of clots resembling heavy periods. However, in some situations, heavy bleeding may occur.
On the other hand, a number of cases of miscarriage are not accompanied by the development of symptoms. The fetus stops developing and dies, but remains in the uterus. This is the so-called non-developing pregnancy. There may be no pain or bleeding. Also, toxicosis and soreness of the glands sometimes disappear. In some situations, this type of miscarriage is diagnosed only at the next scheduled ultrasound.
In some women, the symptoms of miscarriage are characterized by very little bleeding and no or little pain. Then the pregnancy begins to proceed normally. This is the so-called threatened miscarriage. In threatened miscarriage, rest and restriction of physical activity is usually recommended until pain is minimized and bleeding stops.
Usually, with spontaneous abortion, pain is localized in the lower abdomen and is spasmodic in nature. Acute and severe pain, localized on one side of the abdomen, often indicates an ectopic pregnancy. In this case, the bleeding is extremely small or the blood has an almost black color. If an ectopic pregnancy is suspected, an urgent referral to a specialist is necessary, since this condition is often life-threatening. Minor short-term bleeding is a variant of the norm. You should consult a doctor immediately with any amount of discharge, their number does not always reflect the true picture, and if the pads are not enough for an hour, call an ambulance.
Some early miscarriages are diagnosed only during a routine check-up of the condition of a pregnant woman. In this case, an ultrasound examination does not detect a fetus in the uterus. Sometimes the level of progesterone drops so much that nausea and soreness of the mammary glands disappear. It should be remembered that after about 12-13 weeks, these pregnancy symptoms often become less pronounced or disappear altogether, which is a variant of the norm.
Late miscarriage is the most difficult to tolerate, as it is accompanied by heavy bleeding, and sometimes rupture of the fetal bladder. Also, in a number of situations, intense cramping pains are noted, which require the use of painkillers prescribed by a doctor. However, miscarriage due to a weak cervix is sometimes painless.