The heaviest bleeding is generally over within three to five hours from the time heavy bleeding begins. Lighter bleeding may stop and start over one to two weeks before it completely ends. The color of the blood can range from pink to red to brown. Red blood is fresh blood that leaves the body quickly. You may see discharge the color of coffee grounds, or near black, during a miscarriage.
While you may see a lot of blood, let your doctor know if you fill more than two sanitary pads an hour for two or more hours in a row. A missed miscarriage , also referred to as a missed abortion, happens when the fetus has died but the products of conception remain in the uterus. This type of miscarriage is usually diagnosed via ultrasound. In many cases, a miscarriage will take around two weeks to pass naturally.
Your doctor may prescribe the medication misoprostol Cytotec to help a miscarriage pass more quickly. Bleeding may start within two days of beginning the medication. For others, it may take up to two weeks. Once the miscarriage has started, the tissue and heaviest bleeding should be passed in about three to five hours.
After the fetus has passed, you may still experience spotting and mild tissue loss for one to two weeks. It may be difficult to tell a very early miscarriage from a late period. This generally happens within two weeks. If this is the case, your doctor may suggest a dilation and curettage D and C , which is a surgical procedure done to remove remaining tissue.
The procedure is done under general or regional anesthesia, and is considered safe. Find an early pregnancy unit near you. Sometimes, miscarriages happen because the pregnancy develops outside the womb. This is known as an ectopic pregnancy. Ectopic pregnancies are potentially serious as there's a risk you could experience internal bleeding. Symptoms of an ectopic pregnancy usually appear between weeks 5 and 14 of the pregnancy.
Common symptoms include bleeding and cramping. It is important to note that bleeding is common during pregnancy — especially in early pregnancy. It does not necessarily mean that anything is wrong. The only way to accurately identify a miscarriage is to test pregnancy hormone levels and have an ultrasound of the uterus. Not all miscarriages involve bleeding.
Overall, there is no single pattern that miscarriages follow. This is why it is crucial to seek medical care for bleeding and any unusual symptoms during pregnancy. If a woman takes a pregnancy test after experiencing a miscarriage during this time, the result may be negative, or the test may have a positive line that gets fainter. Experiencing pregnancy loss later in the first trimester and beyond will involve passing more tissue.
Second-trimester miscarriages can also cause intense cramping and sometimes even contractions. In addition to bleeding and cramping, some women may notice larger blood clots. Rarely, a woman may see a tiny fetus.
Some differences between bleeding due to a miscarriage and other types of bleeding during pregnancy include:. For women who do experience bleeding, the duration tends to depend on how far the pregnancy has progressed. Miscarriages that occur in the first weeks of pregnancy tend to cause bleeding that lasts a few days.
Those that occur later may cause bleeding that lasts for as long as 4 weeks. If a doctor believes that this has occurred, they may recommend surgery or medication to help the woman bleed and, if necessary, pass tissue. In this case, the bleeding may last from a few days to a few weeks.
Most miscarriages pass on their own. In some cases, the fetus dies without causing any bleeding.
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