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| Inevitable Miscarriage Treatment |  An inevitable miscarriage requires medical intervention. The treatment options for an inevitable miscarriage are observation, medical (medication), or surgical (D&C). With an inevitable miscarriage most doctors advise a D&C (dilatation & curettage). A D&C involves a women going into the hospital and having anesthesia while an obstetrician dilates her cervix and curettes (scrapes) the uterine lining to make sure complete removal of all products of conception.
This is done for an inevitable miscarriage to avert infections, heavy bleeding and other related complications. Another treatment choice for an inevitable miscarriage is medicine. A physician will put prostaglandins inside the vagina next to the cervix to let the cervix soften and completely dilate. After a certain amount of time if there are no uterine contractions then the physician can start pitocin. Once the contractions start the woman’s body will deliver the products of conception. Again this treatment option requires the woman to go into the hospital for her care.
The third treatment alternative for an inevitable miscarriage is observation. With this treatment plan the woman is sent home to allow nature to take its way, with follow up with her physician as instructed. The woman will be advised to get plenty of rest, have complete pelvic rest (nothing to be placed inside the vagina), check up vaginal discharge for any gray or white tissue which might be the products of conception, and look for medical attention if bleeding is extreme, pain is rigorous, and development of fever.
This treatment of miscarriage can take anywhere from hours to days and in rare cases weeks. Though, regardless of what treatment option is decided for an inevitable miscarriage the woman must have correct follow up to make sure that all the products of conception have been expelled. This is usually performed by evaluating the uterus with ultrasound to make sure there are no more products of conception and also following serial hCG levels to ensure that the levels continue to go down.
One more particularly difficult part of an inevitable miscarriage is the emotional aspect. A woman and the couple have to cope with the inevitable miscarriage while they try and decide the best way to cure the miscarriage. If a couple has experienced several early miscarriages (2-3) there is genetic counseling obtainable through their physician.
It is counseled that a couple wait at least one regular menstrual cycle before trying to conceive again after an inevitable miscarriage.
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