Miscarriage Signs and Symptoms, Diagnosis, Treatment, Outlook

Signs and Symptoms of Miscarriage

The signs and symptoms will depend upon the type of abortion.

What are the Warning Signs of a Miscarriage?

If you have any of the following signs you should call your doctor –

  • Spotting or vaginal bleeding, even if there is no pain.
  • Slight bleeding with low back pain.
  • Severe bleeding with abdominal pain or cramping.
  • Passage of some clot-like tissues or products of conception.
  • No pain or bleeding, but passage of a gush of fluid from the vagina.

How is a Miscarriage Diagnosed?

  • The doctor will diagnose a case of miscarriage by carefully listening to the history and by doing a physical examination, including a pelvic examination.
  • Ultrasonography will help in a definite diagnosis.
  • Blood tests – complete blood count (CBC), WBC, blood typing and Rh.
  • Qualitative and quantitative HCG (human chorionic gonadotropin).

Complications of a Miscarriage

Immediate and long term complications include –

Prevention of Miscarriage

  • In most cases, miscarriage cannot be prevented, where either the cause is unknown or there is some genetic defect.
  • Proper antenatal care and advice and treatment of diseases such as diabetes, hypertension or thyroid problems.
  • Avoiding exposure to infectious diseases such as rubella.
  • Cerclage procedure in case of incompetent cervix. Stitches are put in the cervix to prevent it from opening too early. The stitches are removed at time of delivery.
  • Treating any other causative factor if identified.
  • Abstaining from smoking, alcohol and drug abuse.
  • Careful assessment and monitoring of women who have recurrent abortion. Starting vitamins and folic acid from at least 3 months before conception may be tried. 3 months spacing between pregnancies is also advisable.

Treatment of Miscarriage


Chances of a normal pregnancy occurring after a miscarriage are very good.
There is no reason why you cannot try for another pregnancy after a miscarriage, although a spacing of one month is suggested.
In case of recurrent abortion, a spacing of 3 months between pregnancies is advisable.