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Treatment Options for Early Pregnancy Loss

Understanding the options available to you and what to expect during this difficult time

If you are reading this, you may have been informed that your pregnancy is no longer viable or that your baby doesn't have a heartbeat. We are truly sorry for your loss. This period can be filled with uncertainty and sadness, and you likely have many questions. Every woman's experience of pregnancy loss is unique, and the process can vary in duration.

If you are experiencing a pregnancy loss, we strongly recommend consulting your healthcare provider. They will help guide you through the available treatment options tailored to your specific needs and ensure that your chosen path is the safest for you. Below, we outline three treatment options for early pregnancy loss: Natural/Expectant management, Medication, and Surgical procedures.

Important Note:

The information provided here is for educational purposes only and should not replace professional medical advice. Always consult with your healthcare provider for personalised care and guidance.

Natural / Expectant Management

What is it?

Allowing the pregnancy to pass naturally without medical intervention. The timing can vary significantly—it may happen soon or take several weeks.

Is it right for you?

  • Prefer minimal medical intervention
  • Have stable vital signs
  • No signs of infection
  • Understand that the process may take time
  • Have support and access to emergency care

Medication Management

What is it?

Taking medication to help start or complete the miscarriage process. The medications used work by helping the uterus contract and expel the pregnancy tissue.

Is it right for you?

  • Want to avoid surgery if possible
  • Prefer a more predictable timeframe than waiting
  • Can manage pain at home
  • No contraindications to the medications
  • Have support and access to emergency care

Surgical Management

What is it?

A procedure called dilation and curettage (D&C) that gently removes pregnancy tissue from the uterus. This is usually done under anesthesia as a day procedure.

Is it right for you?

  • Need or want prompt completion of the process
  • Have heavy bleeding or signs of infection
  • Have certain medical conditions
  • Prefer a scheduled procedure with anesthesia
  • Second trimester loss or retained tissue

Medical Overview

Overall, all treatment options carry similar risks of blood loss and infection. Expectant and medical management may result in delays or incomplete miscarriage, which can lead to needing surgery. Surgical management carries a low risk of injury or adhesions, with adhesions occurring in about 3% of cases.

Emotional Support

Regardless of which management option you choose, experiencing pregnancy loss can be emotionally challenging. It's important to acknowledge your feelings and seek support. Two Souls Co. provides resources for emotional healing and support for partners and family members.

Emotional Healing & Self-Care

Find strategies for processing grief, practicing self-care, and moving forward after pregnancy loss.

Explore Resources

Support for Partners & Family

Guidance for partners and family members on providing support while also addressing their own grief.

Learn More

Disclaimer: This information is provided for educational purposes only and does not constitute medical advice. Always consult with your healthcare provider for personalised guidance regarding your specific situation.