Your local early pregnancy assessment service or out-of-hours gynaecology service.Your obstetrician or gynaecologist (if you have one).Accident and Emergency (also called casualty or the emergency department) at your local hospital.You should contact a health professional if you are pregnant and experience any of the symptoms of miscarriage. What should I do if I think I am having a miscarriage? Early pregnancy symptoms can vary, so if you stop experiencing a particular symptom it does not necessarily mean you have had a miscarriage, but ask a health professional if you are concerned. Abdominal pain and vaginal bleeding can also be due to an ectopic pregnancy (see medical terms). However you should always report pain and bleeding to a health professional who will decide if you need further investigations. Vaginal bleeding and lower abdominal pain are common in early pregnancy and do not always mean you are having a miscarriage, for example it can be normal to have light bleeding (also called spotting) at the time of implantation when the baby attaches to your womb. Unfortunately, it can be difficult for you to tell if you are having a miscarriage. If you think you have passed some tissue into the toilet you do not need to retrieve it. If you think you have passed any pregnancy tissue it is useful to keep it to show to a health professional, you can wrap it in a sanitary pad. It may be a different colour from the other clots you have passed. Other pregnancy tissue can look like a spongy blood clot. Not all women will be able to tell that they have passed their baby. You may also notice a discharge of fluid from the vagina (if the sac around the baby bursts) or some pregnancy tissue. Some women also notice that they stop feeling pregnant, for example stopping experiencing early pregnancy symptoms such as feeling sick or having tender breasts. The pain with a miscarriage is often crampy and can be mild or severe. Vaginal bleeding with a miscarriage can vary from brown discharge to heavy bleeding with fresh red blood and clots. Some women have no symptoms (called a missed miscarriage which is explained below). This process allows the pregnancy tissue including the baby (which may be called an embryo or fetus depending on the stage of the pregnancy) the placenta (afterbirth) and the sac around the baby to pass out of the womb. This is associated with vaginal bleeding and lower abdominal (tummy) pain, the most common symptoms of miscarriage. When your baby has died, usually your body recognises the loss and your cervix (neck of the womb) opens. How can I tell if I am having a miscarriage? Sadly early miscarriage can at times happen before you even know that you are pregnant with perhaps as many as three-quarters of all fertilised eggs lost in the very earliest days of pregnancy. Unfortunately, miscarriage is common: about 25% of all pregnancies (one in four) end in a miscarriage. ![]() Miscarriage means the loss of a baby in the first 23 weeks of pregnancy, with early miscarriage being the loss of a baby in the first 12 weeks.
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