How Long Does a Miscarriage Last? (2024)

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Overview

A miscarriage is the loss of a pregnancy before week 20. About 10 to 20 percent of pregnancies end in miscarriage, though the actual percentage is likely higher because some pregnancies are lost very early, before a woman realizes she is pregnant.

How long a miscarriage lasts can vary, depending on several factors. Read on to learn more about miscarriages.

Risks of having a miscarriage

The risk of a miscarriage increases with age. Women under age 35 have about a 15 percent chance of miscarriage. Women between the ages of 35 and 45 have a 20–35 percent chance.

If you become pregnant after the age of 45, your chance of miscarriage increases to 80 percent.

A miscarriage can happen to anyone, but the risk is higher if you’ve had prior miscarriages, have a chronic condition such as diabetes, or have uterine or cervical problems.

Other contributing factors include being:

  • smoking
  • alcohol abuse
  • being underweight
  • being overweight

How long does a miscarriage last?

If you experience a miscarriage before realizing you’re pregnant, you may think the bleeding and cramping are due to your menstrual cycle. So, some women have miscarriages and never realize it.

The length of a miscarriage differs for every woman, and it depends on different factors, including:

  • how far along you are in the pregnancy
  • whether you were carrying multiples
  • how long it takes your body to expel the fetal tissue and placenta

A woman early in her pregnancy may have a miscarriage and only experience bleeding and cramping for a few hours. But another woman may have miscarriage bleeding for up to a week.

The bleeding can be heavy with clots, but it slowly tapers off over days before stopping, usually within two weeks.

Symptoms of a miscarriage

A miscarriage is the spontaneous loss of a fetus. Most miscarriages take place before week 12 of pregnancy.

Symptoms of a miscarriage may include:

  • vagin*l spotting or bleeding
  • abdominal or pelvic pain
  • cramping in the lower back
  • fluid or discharge from the vagin*

What are the causes of a miscarriage?

Miscarriages can be caused by many things. Some miscarriages occur because of abnormalities with a developing fetus, such as:

  • blighted ovum
  • molar pregnancy, a noncancerous tumor in the uterus that in rare cases develops into cancer

Chromosomal abnormalities caused by an abnormal egg or sperm account for about half of all miscarriages. Another potential cause is trauma to the stomach due to invasive procedures, such as chorionic villus sampling. Early in pregnancy, it would be unlikely that an accident or fall could result in miscarriage, since the uterus is so small and well protected within the bony pelvis.

Other causes include certain maternal diseases that put pregnancies at risk. Some miscarriages are unexplained with no cause known.

Daily activities do not typically cause a pregnancy loss. These include activities like exercise (once your doctor says it’s OK) and sex.

What to do if you have a miscarriage

If you think you’re having a miscarriage, seek medical help immediately. Any vagin*l bleeding or pelvic pain should be evaluated. There are different tests your doctor can run to determine a miscarriage.

Your doctor will check your cervix during a pelvic examination. Your doctor might perform an ultrasound to check the fetal heartbeat. A blood test can look for the pregnancy hormone.

If you’ve passed pregnancy tissue, bring a sample of the tissue to your appointment so your doctor can confirm the miscarriage.

Types of miscarriage

There are different types of miscarriages. These include:

Threatened miscarriage

During a threatened miscarriage your cervix isn’t dilated, but you do experience bleeding. There is still a viable pregnancy present. There’s a risk of miscarriage, but with observation and medical intervention, you may be able to continue the pregnancy.

Inevitable miscarriage

An inevitable miscarriage is when your cervix is dilated and your uterus is contracting. You may already be passing some of the pregnancy tissue vagin*lly. This is a miscarriage already in progress.

Incomplete miscarriage

Your body releases some fetal tissue, but some of the tissue remains in your uterus.

Missed miscarriage

During a missed miscarriage, the embryo has died, but the placenta and embryonic tissue remain in your uterus. You may not have any symptoms, and the diagnosis is made incidentally on an ultrasound exam.

Complete miscarriage

During a complete miscarriage your body passes all the pregnancy tissue.

If you ignore a possible miscarriage, you could develop septic miscarriage, which is a rare but serious uterine infection. Symptoms of this complication include a fever, chills, abdominal tenderness, and foul-smelling vagin*l discharge.

Ways to treat a miscarriage

Treatments vary according to the type of miscarriage. With a threatened miscarriage, your doctor may recommend you rest and limit activity until the pain and bleeding stop. If there’s a continued risk for a miscarriage, you may have to remain on bed rest until labor and delivery.

In some cases, you can let a miscarriage progress naturally. This process can take up to a couple of weeks. Your doctor will review bleeding precautions with you and what to expect. A second option is for your doctor to give you medication to help you pass the pregnancy tissue and placenta faster. This medication can be taken orally or vagin*lly.

Treatment is usually effective within 24 hours. If your body doesn’t expel all the tissue or placenta, your doctor can perform a procedure called dilation and curettage (D and C). This involves dilating the cervix and removing any remaining tissue. You could also discuss having a D and C with your doctor as first-line treatment, without using medication or letting your body pass the tissue on its own.

Next steps

A pregnancy loss can occur even if you do eliminate risk factors like smoking and drinking. Sometimes, there’s nothing you can do to prevent a miscarriage.

After a miscarriage, you can expect a menstrual cycle within about four to six weeks. After this point, you can conceive again. You can also take precautions against having a miscarriage. These include:

  • taking prenatal vitamins
  • limiting your caffeine intake to 200 milligrams per day
  • managing other medical conditions you may have, such as diabetes or high blood pressure

Shop for prenatal vitamins.

Having a miscarriage doesn’t mean you can’t have a baby. But if you have multiple miscarriages, your doctor may suggest testing to determine if there is an underlying cause.

Last medically reviewed on June 13, 2018

  • Parenthood
  • Pregnancy
  • Pregnancy Complications

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Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Jun 13, 2018

Written By

Valencia Higuera

Edited By

Frank Crooks

Medically Reviewed By

Holly Ernst, PA-C

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How Long Does a Miscarriage Last? (2024)

FAQs

How Long Does a Miscarriage Last? ›

If it is an incomplete miscarriage (where some but not all pregnancy tissue has passed) it will often happen within days, but for a missed miscarriage (where the fetus or embryo has stopped growing but no tissue has passed) it might take as long as three to four weeks.

How long does a miscarriage last once it starts? ›

Most of the tissue passes within 2 to 4 hours after the cramping and bleeding start. Cramping usually stops within a day. Light bleeding or spotting can go on for 4 to 6 weeks. Two weeks after the tissue passes, your ob-gyn may do an ultrasound exam or other tests to make sure all the tissue has passed.

How do you know when a miscarriage is over? ›

If you have a miscarriage in your first trimester, you may choose to wait 7 to 14 days after a miscarriage for the tissue to pass out naturally. This is called expectant management. If the pain and bleeding have lessened or stopped completely during this time, this usually means the miscarriage has finished.

How long does a natural miscarriage last? ›

A woman early in her pregnancy may have a miscarriage and only experience bleeding and cramping for a few hours. But another woman may have miscarriage bleeding for up to a week. The bleeding can be heavy with clots, but it slowly tapers off over days before stopping, usually within two weeks.

How long does it take to flush out a miscarriage? ›

After a miscarriage, any remaining tissue from the pregnancy should pass from your body. This may happen naturally within about 2 weeks. If the bleeding hasn't stopped after 2 weeks or if you have an infection, your doctor can give you medicine to make your uterus expel the rest of the tissue.

How to confirm a miscarriage at home? ›

The most common sign of miscarriage is vagin*l bleeding.
  1. cramping and pain in your lower tummy.
  2. a discharge of fluid from your vagin*.
  3. a discharge of tissue from your vagin*.
  4. no longer experiencing the symptoms of pregnancy, such as feeling sick and breast tenderness.

How do I know if it's a miscarriage or just bleeding? ›

If it's a miscarriage, your symptoms may end quickly or last for several hours. The cramps are really strong for some people, and really light for others. The bleeding can be heavy, and you can pass large blood clots up to the size of a lemon.

Does a 6 weeks miscarriage need D&C? ›

D&C can be done for anyone who requests it, but we tend to favor it for women of 8 weeks gestation and beyond due to the increased pain and increased risk of an incomplete miscarriage with the Expectant approach. Another advantage of D&C is that you have more control over the timing of the miscarriage.

What does the end of a miscarriage feel like? ›

After a miscarriage, you will have some cramping pain and bleeding after the miscarriage, similar to a period. It will get lighter over time and will usually stop within 2 weeks. Signs of pregnancy, such as nausea and tender breasts, usually fade in the days after the miscarriage.

Does a 4 weeks miscarriage need D&C? ›

Up to 50% of people who miscarry don't need a D&C procedure. If the miscarriage occurs before 10 weeks of pregnancy, it'll most likely happen on its own (natural miscarriage). After the 10th week of pregnancy, there's a higher risk of having an incomplete miscarriage.

What do miscarriage cramps feel like? ›

you've cramps in your lower abdomen – these can feel like bad period pains. there's fluid or tissue coming from your vagin*. your breasts are no longer tender and any morning sickness has passed.

What happens if you have a miscarriage and don't get cleaned out? ›

If it is not removed by scraping the uterus with a curette (a spoon-shaped instrument), you may bleed for a long time or develop an infection. Unless all the pregnancy tissue has been passed, your doctor will usually recommend that a curette (also called a 'D&C' – dilation and curettage) be performed.

Does your tummy still grow after a miscarriage? ›

These symptoms can be so profound in some women that it can seem like the miscarriage didn't even occur. They may include: Abdominal enlargement with increased firmness. Bloating and gas.

What does miscarriage tissue look like? ›

What does miscarriage tissue look like? The clots and tissue passed during a pregnancy loss may look like typical period clots, or they may be larger. Pregnancy loss tissue includes: the fetus or embryo.

What should you not do after a miscarriage? ›

No sex, tampons or douching for 2 weeks.
  • No sex, tampons or douching for 2 weeks. Pregnancy can happen with unprotected sex. ...
  • Wait at least 1 normal periods before you try to get pregnant.
  • You may feel that sex will never be the same due to fatigue, physical discomfort, or anxiety. Tell your partner how you feel.
Oct 19, 2023

What to do with a miscarried baby? ›

After the miscarriage: what happens to your baby

When a baby dies before 24 weeks of pregnancy, there is no legal requirement to have a burial or cremation. Even so, most hospitals have sensitive disposal policies and your baby may be cremated or buried, perhaps along with the remains of other miscarried babies.

Can a miscarriage start then stop? ›

The heaviest bleeding is generally over within three to five hours from the time heavy bleeding begins. Lighter bleeding may stop and start over one to two weeks before it completely ends.

What does an early miscarriage look like? ›

Miscarriage blood can be light pink, red, or brown. It might resemble your monthly period or look like grainy coffee grounds. 6. If the loss occurs early in your pregnancy, there may be minimal clotting, but the farther the pregnancy has progressed, the clots might be denser and larger.

What does a 6 week miscarriage look like? ›

At 6 weeks

Most women can't see anything recognisable when they have a miscarriage at this time. During the bleeding, you may see clots with a small sac filled with fluid. The embryo, which is about the size of the fingernail on your little finger, and a placenta might be seen inside the sac.

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