After receiving a diagnosis of first-trimester miscarriage, women often can choose between a natural miscarriage or a D & C procedure. Some doctors also offer medical management through prescription drugs that will expedite the miscarriage.
Regardless of the management choice, about 3% of women will develop a post-miscarriage infection, sometimes due to retained tissue in the uterus. If you have any of the following symptoms, you should contact your doctor immediately. Uterine infections can be dangerous if not treated.
- prolonged bleeding and cramping (longer than about 2 weeks)
- fever over 100.4 degrees
- chills
- foul smelling vaginal discharge
You can also reduce the risk of infection by avoiding sexual intercourse, douching, swimming pools, and tampons for the amount of time recommended by your doctor.
Sources:
American Pregnancy Association, "D & C Procedure After a Miscarriage." July 2006. Accessed 2 June 2008.
American Pregnancy Association, "Physical Recovery After a Miscarriage." Oct 2003. Accessed 2 June 2008.
Merck Manual, "Miscarriage." Merck Manuals Online Medical Library Feb 2003. Accessed 2 June 2008.
Trinder, J., R. Porter, M. Read, S. Vyas, and L. Smith, "Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial (miscarriage treatment (MIST) trial)." BMJ 17 May 2008. Accessed 2 June 2008.
