If cervical dilatation has begun, the doctor may diagnose cervical incompetence and apply stitches (cerclage) to prevent late miscarriage. In the case when a miscarriage did occur, it is likely that it was complete, that is, not only the fetus was rejected, but also the placenta and the upper layer of the endometrium. Complete elimination of these tissues can take up to 2 weeks. If this does not happen, then emptying of the uterus is required so that the body can normalize the menstrual cycle. Therefore, in some cases of incomplete miscarriage, medications or surgery (curettage) may be prescribed to help the body cleanse the uterine cavity. Also, in the near future after a spontaneous abortion, additional precautions are required to avoid the development of infection.
In rare cases, it is possible to misdiagnose miscarriage. Sometimes bleeding is observed, the fetal heartbeat is not fixed, and the fetus itself can develop. It is important to understand that this is possible only in the early stages, and if the heartbeat during this pregnancy has not yet been seen before. However, when bleeding stops and pregnancy symptoms return, a second ultrasound may clarify the situation.