Te tahe me te materoto Miscarriage
Signs of a miscarriage
Some spotting or light vaginal bleeding is common in the first 3 months of pregnancy. It does not usually mean you are having a miscarriage. You can wait to see your midwife or healthcare provider for up to 48 hours if you have spotting or light bleeding (needing a liner but not a pad).
Signs that could indicate a miscarriage include:
- vaginal bleeding, which varies from light spotting to heavy bleeding
- fluid, blood clots, or tissue passing from your vagina
- tummy (abdominal) pain, or cramping
- lower back pain
- fever and chills (this may indicate an infection).
Contact your midwife, lead maternity carer, or doctor immediately, or go to the emergency department if you:
- feel dizzy or light-headed
- are passing large clots, or soaking one or more pads in an hour
- have tummy pain that does not get better with pain relievers or heat packs
- feel cold, shivery or unwell, or you think you have a high temperature.
Diagnosing a miscarriage
If you have any signs of a miscarriage, see your midwife or doctor. They will usually arrange an ultrasound scan to check on your pregnancy.
Treating a miscarriage
The type of treatment you need will depend on:
- how far along your pregnancy was
- whether you can pass all the pregnancy tissue
- if you have any complications.
If your body passes all the pregnancy tissue naturally, you may not need any treatment.
If this does not happen or you have complications, you may need tablets or minor surgery to remove the pregnancy tissue.
After a miscarriage
It is important to have a check-up with your midwife, doctor or lead maternity carer 2 to 3 weeks after your miscarriage to make sure that everything is OK.
Infection
After a miscarriage it is possible to get an infection in your womb, which will be treated with antibiotics.
You may have an infection if you:
- feel cold, shivery, or unwell
- have smelly vaginal bleeding or discharge
- have a high temperature.
Make sure you see your midwife, doctor or lead maternity carer straight away if you have any of these symptoms.
You can do several things to help prevent an infection.
- Only use sanitary pads until your next period. Do not use tampons.
- Do not use a spa or public swimming pool for 10 days. Avoid having a bath, but it is fine to have a shower.
- Do not put anything in your vagina until bleeding has stopped completely. This includes having sex.
Emotional impact
A miscarriage can have a profound emotional impact on you, and also your partner, friends and family.
It is normal to feel grief at the loss of a baby, even if early in a pregnancy. You may feel this way immediately after the miscarriage, or it may take several weeks to develop.
Other common feelings include anger, guilt and anxiety.
It is important to seek help and support from whānau (family), friends, or a healthcare provider.
Getting help after a miscarriage
Losing a pēpi can be extremely upsetting, but there are places to go for support and information.
Sands New Zealand
A support service for people who have lost a pēpi. You can contact your nearest group through the Sands website.
Sands New Zealand (external link)
Miscarriage Support
Support and information those who grieve for the loss of their babies.
Videos about miscarriage
Misconceptions is a 10-part web series about miscarriage, including personal stories.
Clinical review
This content was written by HealthInfo clinical advisers. It has been adapted for Health Information and Services.