**TW Grapic Picture** 10 days post miscarriage still passing clots and ??tissue

[Fairydust0205]

Hello all, this is my first miscarriage, I was 7+4 and had brown spotting from finding out I was pregnant I got an early scan at 6+1 where we seen baby and a tiny flicker of heartbeat and all was in the right place however the spotting turned into more like period and eventually clots started to come away and I knew it wasn’t going to be good news. Unfortunately on the scan it showed I had passed baby and there was nothing noted on scan except for thickening of the uterine wall which I was told would settle on its own. I just wanted to ask as the aftercare advice wasn’t clear on what to expect on the days / weeks moving forward had anyone experienced further loss of clots and tissue? I am having sharp stabbing lower abdomen pains unlike the initial intense cramping and heavy migraine like headaches and obviously feeling weak. I know it takes time but I just wanted some advice as symptoms seem to be worsening instead of getting better and I can’t get any clear answers. I have enclosed picture as what I am passing at 10 days post miscarriage. Thank you all for advice x ^^

Sorry for your loss! It’s an extremely difficult time and not know what to expect makes it even worse. I was passing clots for a few weeks after. With having pain I would contact epu and let them know, they may suggest scanning you.

Thank you I will call them again tomorrow x

Your symptoms definitely need checking out- the pain, headache and weakness aren’t normal after 10 days. Very sorry for your loss 💐

You definitely need to be checked - heavy bleeding and / or clots at this stage could be signs of an infection.

I had similar with one of my (many) MCs. Sadly I had tissue stuck in my cervix which meant I couldn't expel the pregnancy properly and was bleeding constantly and heavily

Thank you all for your replies ♥️, I called EPU and they said that this can happen thankfully things are finally starting to settle down. It’s all a learning curve x

I'm so sorry for your loss xx

Passing clots is normal for what's happened; your pregnancy has come to an end, hCG has therefore started to drop and your body is starting the process of expelling the failed pregnancy.

In terms of how much blood and tissue you've lost, the blood loss is concerning and is not normal. However, everyone's case is different and everyone is different with how they cope.

I'm just at the very end stages of an MMC myself. I lost mine at 5 weeks, but it wasn't caught until a scan at 7 weeks. It was an empty sac/blighted ovum. After two heavy bleeds, the sac ended up at the top of my cervix and then passed on Boxing Day last year. So yeah, Christmas 2023, alongside being scared out of my mind about retained products etc I can think of better ways to end a year, like, say not miscarrying and enjoying Christmas. Anyway....

I had 4 haemorrhages in total, all of them passing big clots. I didn't go to the hospital because I didn't need to. I managed it all at home. Granted being sat on the toilet isn't nice, but it's better than being somewhere where you have no access to a toilet while you're having a big bleed. You may feel differently for your specific circumstances and prefer to be in A&E.

The reason you get clots is because your lining is still highly vascular at this stage, so when your uterus begins the process of expelling the lining, the blood vessels that are supplying the lining rupture and as a result, it's like turning on a garden hose. The blood rushes out, coagulates and then once the clot gets too big, it passes out. Then another clot forms, gets too big and passes out etc this will continue until the bleeding naturally tapers off, and I assure you it will taper off.

All of this is why the go-to with missed miscarriages beyond about 7-8 weeks is to have a D&C. You don't have to worry about sudden, random haemorrhaging like that and you can draw a line under the loss and move on to try again as quickly as possible.

Generally, you are fine to let your body do its job, just so long as you are aware of the signs of uterine infection. If you suspect an infection, get yourself to A&E immediately. Also, keep an eye on your hCG levels and test once a week, you want the levels to go down. It can take several weeks for hCG to bottom out to nothing, but as long as the tests continue to get lighter, you'll be closer moving on and trying again.

Miscarriages, be they spontaneous or missed, are truly devastating and I will say again, I am so, so so sorry for your loss xx