Miscarriage management

mural1bMiscarriages (spontaneous abortions) are common; about one in six established pregnancies will stop growing – they miscarry. Usually, this does not mean there is anything wrong with the woman nor does it increase her risk of a second miscarriage. A miscarriage can be a difficult experience emotionally and we offer supportive and compassionate early pregnancy loss management in our clinic.

You will need confirmation by ultrasound or blood tests that the pregnancy has stopped growing to be able to make an appointment with us to complete the miscarriage. We offer medical or surgical treatment of miscarriages. Miscarriages can happen naturally without any treatment but sometimes it can take a long time. A woman may or may not start bleeding when a pregnancy stops growing.

  1. Medication: We provide instructions and a prescription for misoprostol which causes the uterus to contract and expel the pregnancy tissue. Some women get side effects for a few hours such as fever, chills, diarrhea, headache or vomiting. We always check afterwards to make sure all the tissue is gone because with either a natural miscarriage (no treatment), or a medically managed miscarriage there is a 5-10% chance of having retained tissue that needs further treatment. You will not start ovulating and be able to try again for a pregnancy until all the pregnancy tissue is gone.
  2. Surgery: we do a surgical aspiration of the pregnancy tissue in our clinic. We use local anesthetic (freezing) and IV sedation. The procedure is very safe. There is less than 1% chance of infection or complications requiring a second procedure. For more information please see our abortion pages.
  3. Watchful waiting: we will monitor how you are doing with ultrasound checks and provide you with medication as needed.

You can discuss these options with a counsellor and our medical staff. We can also help with support and resources for afterwards as well as information about birth control if you want.
To contact our clinic call 604-322-6692 from 9:30 am to 4:00 pm from Monday to Friday.
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