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Answer sheet:
1. Symptoms of miscarriage vary. For some women, the first warning sign of miscarriage is a feeling that they aren't
pregnant anymore (for example, breast tenderness may disappear). A woman who is miscarrying may experience
minimal to severe cramping -- or may not -- and often has bleeding, ranging from light to heavy, sometimes
accompanied by clotting. Some women describe the pain of miscarriage as similar to labor.
2. If you think you're having a miscarriage, you should contact your care provider and schedule an ultrasound to
check the baby. It's important to contact your care provider immediately if you have pain, cramping or heavy bleeding;
if you have signs of blood loss, such as weakness, dizziness or light-headedness; if you have a fever or any
discharge with an odor; or if the bleeding persists for 3–5 days.
3. It is normal to question "why" or even feel responsible somehow, despite the fact that very few miscarriages are
actually caused by some environmental factor or maternal activity.
4. Generally a woman will experience bleeding, which may be light or heavy, with or without cramping and/or clots.
The process may take a few hours or several days. If you pass any tissue (or clots), try to save them and show to
your doctor for further confirmation and/or testing.
5. If the miscarriage is complete, bleeding may last about a week, two at the most. You may experience some minor
cramping for a few days after the loss. This can be relieved by OTC medications. The bleeding may vary in color from
pinkish to dark red and should never be heavier than the heaviest day of a period. If you are soaking more than a pad
or tampon an hour or if heavy bright red bleeding lasts longer than two weeks, notify your care provider. It is possible
to miscarry without much, if any, bleeding or cramping, as the embryo can be reabsorbed.
6. Following an uncomplicated miscarriage, most women who had regular cycles will have a period within four to six
weeks following the completion of the miscarriage.
7. Emotional recovery from a pregnancy loss may take many months. It is not unusual for a woman to recall the pain
of a miscarriage into her old age. Physical recovery can depend on the length of the pregnancy, whether or not

complications have occurred and whether there is any remaining tissue. In an uncomplicated miscarriage, physical
recovery may take only one to two weeks.
8. How long you decide to wait is a personal decision, made after discussing your situation with your care provider. In
an uncomplicated miscarriage, you will probably ovulate two to four weeks after the loss. Experts often recommend
waiting at least one cycle before trying to conceive again. Taking time to heal emotionally as well as physically after a
miscarriage is a wise choice. Hormonal balance may be affected by your emotions, and waiting until you have
recovered may also help you approach your next pregnancy with less anxiety.
9. Supporting your partner while you yourself may be grieving the loss of a son or daughter of your dreams can be
very difficult. You need emotional support as well. Try to talk to your partner about the loss. While it will bring up fresh
memories, it is best to communicate openly about your wide range of feelings, including any sense of guilt, bleame or
fears.
10. Many parents want to find a way to help hold on to the memory of the baby they lost. You may want to gather
together mementos, such as an ultrasound picture of your baby, your baby's footprints, a picture of the baby, a lock of
hair (if available), or other items that help you feel close to your baby as you move through the grieving process

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