I Have Had a Miscarriage -- What Happens Next?

The Emotional Impact Following a Miscarriage

There is no "right" way to feel after having a miscarriage. You may have a flood of emotions, such as disappointment, devastation, despair, shock, grief, anger, and guilt. Try not to bottle these feelings up and put on a "brave" face. It's important to allow yourself to feel the emotions as they come and get them out so you can move on.
Allow yourself permission to grieve your loss. It is a normal response to a miscarriage, so try not to make light of it or just push the emotions aside. If you have a partner, try to keep communication open, as their feelings may be different from yours. Being able to communicate your feelings with each other will help give you the support you need to cope.
If you're finding that you are having a difficult time getting through the grieving process, talk to your healthcare provider. He or she can help you find a counselor or possibly a support group that can help you through this painful process.
Many times, family and friends (who may normally be your source of support) have a difficult time relating, as they may not have experienced a miscarriage and do not fully understand the emotions you are feeling. You may find that support groups consisting of other women and couples who have similar emotions may help give you that extra support you need.

Do I Need Testing to Determine the Cause of Miscarriage?

A few weeks after your miscarriage, your healthcare provider will schedule a follow-up visit with you to make sure the miscarriage is over by using an ultrasound and a blood test. This visit is a chance to talk to your healthcare provider about any concerns you might have, including emotional or physical difficulties. You may also want to discuss whether you should have further testing to determine the possible cause of your miscarriage.
It is common to wonder what happened and if you did something wrong to cause the miscarriage. However, try to remember that in most cases, there is nothing that you did to cause this. Most miscarriages are caused by something that didn't form right with the fetus. In a majority of the cases, it is a chromosomal abnormality, and a miscarriage is the body's natural response to remove an unhealthy pregnancy that wouldn't make it to term.
If this is your first miscarriage, your healthcare provider will probably advise against having any testing done. Having one miscarriage doesn't increase your chances of having another. Your chances of having a second miscarriage in a subsequent pregnancy are similar to the overall rate in the general population.
However, if you have had two or more miscarriages in a row (defined as "recurrent" miscarriages), or if you had a miscarriage during your second trimester, your healthcare provider may recommend having some testing done. These tests will likely include checking for hormonal imbalances, genetic disorders, or other problems.
It's important to understand, however, that medical testing does not always uncover the cause. About half of the couples who have testing done do not find any clear reason why they miscarried. Although this can be discouraging, try to find comfort in the fact that this means there is a very good chance you can become pregnant again and carry the baby to term.
If your healthcare provider does determine a problem, there's a good chance that treatments or medications can be used to help resolve the issue.
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Miscarriage Information

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