Medical Treatment for Early Miscarriage
1. What is medical treatment?
- You will be given tablets to swallow or to put under your tongue, or pessaries to insert into the vagina.
- The drug will stimulate your womb to contract, helping you to pass the pregnancy tissue.
- The whole process may take more than one day.
- Vaginal bleeding and abdominal pain will precede the passage of pregnancy tissue.
- You may expect the amount of vaginal bleeding like a heavy period, and there may be clots.
- You may take pain-killers if necessary.
- Medical treatment is successful in 85% of women.
- You do not need to stay in the hospital.
2. What are the risks of medical treatment?
- Side effects of drugs, e.g. nausea, vomiting, abdominal pain, diarrhoea, fever, chills, allergic reactions
- Failed treatment
- Incomplete miscarriage
- Heavy bleeding, may need blood transfusion
- Pelvic infection
3. How should I be followed up after medical treatment?
- You can save any tissue passed and send it for analysis in the laboratory. This is to confirm it is normal pregnancy tissue.
- A follow up appointment should be arranged in 1-2 weeks’ time, when you will be offered an ultrasound examination again to see the response to treatment.
- If medical treatment fails, or if the miscarriage has not completed, you can have an option of repeating the medical treatment or having a suction evacuation, provided conditions allow.
- If your bleeding is too excessive, or if your pain is too severe, or if there are signs of pelvic infection, it is advisable to have a suction evacuation.