Early Pregnancy Loss Patient Information

If you are pregnant, early pregnancy loss, also known as a miscarriage, can be a very difficult and emotional time. It is important to be aware of the potential causes of early pregnancy loss so that you can share this information with your health care provider, or if you choose, talk with other women who have had this experience.

The most important step in understanding and dealing with your loss is knowing what to expect. We’re here to help you through this difficult time, and this page provides a wealth of information about early pregnancy loss and what you can expect during the weeks and months ahead. We also offer stories from women we have helped who have shared their own experiences so that you can see how others have coped. You cannot be certain if early pregnancy loss will happen to you, but you can take steps to reduce your risk. In general, it is safe for a woman with one healthy fallopian tube to try conceiving again as soon as she and her partner are ready.

Find out how to recognize the signs and symptoms of early pregnancy loss and what to do if you think you may be experiencing a miscarriage. Feeling in your heart that something is wrong? We are here to help. We understand that you may be feeling many emotions, such as shock and sadness, but also fear and confusion. The journey of pregnancy loss recovery will vary for everyone and there is no right way to grieve. The most important thing is that you allow yourself time to heal. We know this can be a challenging road and are here to support you while offering information and resources along the way.

If you are pregnant after a miscarriage, or if you think you might be, you may be feeling thrilled—but maybe a little scared, too. You may be wondering how careful you need to be during your first trimester compared to if you hadn’t had a miscarriage.1

Rest assured, while it’s natural to worry, in many cases, you don’t need to do anything very differently. Instead, do your best to enjoy your pregnancy knowing that the odds are that you will be able to carry to term.2

When there are differences in your prenatal care, they will usually entail having a bit more monitoring by your doctor. Plus, you may experience more stress over whether everything will go well. After your pregnancy is confirmed, however, it may help to focus on taking things one step at a time.

Take a Pregnancy Test

If your period is late, it’s definitely time for a pregnancy test. Home pregnancy tests are very reliable as long as you follow the instructions, which can vary by brand of test. However, typically, you can expect close to 99% accuracy if you take the test no earlier than on the first day of your expected period.3 (Keep in mind that some fertility medications can affect test results.)

To improve accuracy, make sure to read the package directions carefully before taking the test. Don’t drink a ton of water in order to have enough urine to do the test. This can dilute your test, possibly giving you a negative reading even if you are pregnant. Use first-morning urine, and if that isn’t possible, make sure the urine has been in your bladder for at least four hours.4

Choose a Supportive Practitioner

You may already have a doctor or midwife in mind for your prenatal care. If you’re happy with that medical professional, then by all means, stick with them. It’s often comforting to have continuity of care and to work with a health provider that you know and trust. However, if you were not satisfied with your current practitioner’s treatment during your miscarriage, you may want to consider choosing a new provider for your next pregnancy.5

Know that you can switch medical care providers at any point. Having a doctor or midwife who you feel comfortable with can help to ease any concerns you may have about your pregnancy.5

 How to Select an OB/GYN for Your Pregnancy

Calculate Your Due Date

If you know the first day of your last menstrual period, you can calculate an estimated due date for your new pregnancy using Naegele’s rule:6

  1. Determine the date of your last menstrual period and add seven days.
  2. Now, subtract three months. This is your due date.

For example, if your last menstrual period was March 7, add 7 days to get March 14. Now subtract 3 months. Your due date would be December 14.

This method of due date calculation is fairly accurate for those with regular menstrual cycles. However, if your last menstrual period is unknown, your cycles are irregular, or you conceived immediately after a miscarriage, the American College of Obstetricians and Gynecologists (ACOG) recommends an ultrasound exam to estimate the due date.6

Note that you can get pregnant as soon as two weeks after a miscarriage without ever having had a new menstrual cycle. That said, a miscarriage restarts the menstrual cycle just like a period does. So you can use the first day of bleeding in the miscarriage as the first day of the last period when calculating your due date.6

Understand Morning Sickness

Morning sickness usually starts before the ninth week of pregnancy.7 Many people dread morning sickness, but those who have had a miscarriage may feel relief upon experiencing it. This is because some research shows that feeling morning sickness may mean miscarriage is less likely.8

However, keep in mind that lack of morning sickness, or even loss of morning sickness, is not a sign of miscarriage. Many people have mild, limited, or no morning sickness and still go on to have healthy pregnancies.2

Grieve Your Miscarriage

Miscarriage is often a heart-wrenching experience, causing long-lasting sadness. Your grief may be magnified by silence and isolation, especially if you miscarried before sharing the news of your pregnancy. Getting pregnant again is unlikely to erase this sadness and may instead renew feelings of grief. However, studies show that focusing on being yourself and seeking connection with others can help you cope.9

It’s also key to take time to process your pregnancy loss. Letting yourself grieve your miscarriage can assist you in moving on—and focusing on the joy of your current pregnancy. Working through any lingering disappointment, guilt, or sadness may help you let go of stress and feel more secure about the health of your growing baby.1

Of course, know that it’s normal to feel some worry about carrying your baby to term. Research shows that rates of anxiety and depression are increased during future pregnancies in people who have had prior miscarriages. If you find that you are having trouble coping with your grief, consider reaching out to your support system, doctor, or a therapist.1

Know What Your Ultrasound Might Look Like

You’ll likely have an ultrasound during or soon after your pregnancy confirmation visit. You may end up with ultrasound photos, as well. If you’re curious about how your ultrasound pictures compare to others at the same point of pregnancy, it can be fun to compare them to other first-trimester ultrasound pictures.10 You can easily view pictures online from singleton and twin pregnancies, ranging from four to 12 weeks gestation.

Watch What You Eat

When you’re pregnant, you’re more susceptible to food poisoning. Additionally, food-borne infections can be more dangerous during pregnancy than when you’re not pregnant. An example is listeriosis, which typically causes only mild symptoms in non-pregnant people but can lead to miscarriage, stillbirth, and other pregnancy complications when contracted during pregnancy.11

Don’t panic, however, because avoiding food-borne illness is relatively easy as long as you take precautions. Wash all fruits and vegetables before eating, cook meat to medium or more, and avoid soft cheeses, deli meats, high-mercury fish, and sushi. You can also ask your doctor about foods to skip during pregnancy. Additionally, be sure to take prenatal vitamins to make sure you get all the nutrients you need.12

Have Sex If You’d Like

Many couples are afraid of having sex during pregnancy, particularly after having experienced a miscarriage. However, there is no existing research evidence linking sexual activity to miscarriage.13

There are certain conditions in which sex may not be advisable, but these are very uncommon. Your doctor will make you aware if there are any risks for your situation. If you have any concerns about your sex life during pregnancy, don’t hesitate to bring them up yourself.13

Announce Your Pregnancy

It is completely up to you to decide when to let others know that you are pregnant. Depending on your personal circumstances and comfort level and how people reacted to your miscarriage news, if you told them, you may decide to announce your pregnancy immediately or wait until you finish the first trimester or later.

This is a very personal decision and there is no right or wrong time to announce your pregnancy. You can also tell some people earlier and wait until later to inform others.

Start Planning

You may feel it’s too early to be thinking about baby names and baby showers quite yet, which is completely understandable. But there is some planning that you can and should start during the first trimester, such as watching your nutrient intake, exercising appropriately, and avoiding alcohol and cigarette smoke. If you’re a planner, making a first-trimester checklist can help you streamline your pregnancy preparations accordingly.

A Word From Verywell

Pregnancy after miscarriage is often seen as a blessing. However, it can come with some added stress as well. Getting through the first trimester can be a challenge emotionally. Once you reach the second trimester, you’ll likely feel more relaxed and confident in the health of your pregnancy. In the meantime, focusing on tackling the various steps and stages of early pregnancy can help you cope. Be sure to contact your doctor if you have any questions or concerns.

Early Pregnancy Loss Guidelines

If you have had a miscarriage, you may want some help to prevent another one from happening. Our early pregnancy loss guidelines can help you understand the situation and take action before it’s too late. We understand that early pregnancy loss can be difficult and heartbreaking. The guidelines in this brochure can help you make informed decisions about how to proceed through this process.

To help get you through the difficult time of early pregnancy loss, we are providing these guidelines to ensure your health and safety. A patient’s early pregnancy loss may be defined as a pregnancy that ends within 7 weeks after the first day of the last menstrual period, or before 49 days of gestation. The guidelines emphasize that health care professionals should consider an early pregnancy loss to be a reportable adverse drug reaction when it is recognized in patients either as such, or diagnosed on ultrasound examination.

Pregnant women who have experienced a loss before 20 weeks are more likely to experience another loss. Symptoms of early pregnancy are often different than those of a miscarriage and should be investigated immediately at the first sign of spotting or bleeding. If a woman is concerned about pregnancy loss, she should see her obgyn immediately.”

How Common Is Early Pregnancy Loss

Early pregnancy loss is relatively common. Between 10 and 20 percent of known pregnancies end in miscarriage, which means that at least one out of every five women experiences an early pregnancy loss. It’s not uncommon for a couple to experience early pregnancy loss (weeks one through three, typically). Early pregnancy loss usually occurs in the first 12 weeks of pregnancy, but it can happen earlier. These losses are often normal and tend to occur when conception hasn’t occurred or when there is no fetal heartbeat. Your body may not have been ready to support a developing baby

Early pregnancy loss is extremely common. Most pregnancies end in miscarriage before you even know that you are pregnant. When a baby dies in the womb before 20 weeks of pregnancy, it would be classed as an early pregnancy loss. It’s believed that between 25 and 50% of all pregnancies end in early miscarriage, with some sources citing even higher losses. However, most women who experience an early miscarriage never tell anyone about it. Many feel ashamed or scared about how others will react.

Pregnancy loss is a sad reality for most couples who have been trying to get pregnant. Learn more about the common causes of early pregnancy loss, symptoms, and how you can move forward.

How To Track Pregnancy After Miscarriage

Tracking your pregnancy after a miscarriage can help you stay hopeful and put your mind at ease. Tracking your pregnancy will also help you check in on how you’re feeling, cope with the stress of loss, and find the right time to try again. After experiencing a miscarriage, it’s important to follow up with your doctor to ensure that you don’t have an underlying health condition. There are several ways you can track your pregnancy post-miscarriage.

Pregnancy after miscarriage is possible with the right support and care. It can take some time to get pregnant after miscarrying, so it’s important to take a few things into account if you are trying to conceive again. First, wait until at least one normal menstrual cycle has passed since your last miscarriage before trying to conceive. Even if you have not gotten your period yet, it is OK to try getting pregnant as long as you are using birth control effectively.”

Pregnancy after miscarriage can be daunting. While it’s important not to dwell on the miscarriage, it’s also important to think about what happens next. Consider talking with your doctor before you try to become pregnant again in order to discuss how soon after a miscarriage you should try becoming pregnant again. It might be wise to wait until your body has recovered from the stress of carrying and losing a pregnancy before trying again.

If you’ve recently suffered a miscarriage, you may be feeling depressed and anxious — especially if this is your first pregnancy. The good news is that there are many things that can help boost your fertility, including tracking your ovulation cycle. Most women don’t track their cycles, but it’s essential for getting pregnant after miscarriage.

How To Calculate Your Pregnancy After Miscarriage

If you have been trying to conceive for a long time, it can be distressing to find out that you are pregnant only to miscarry weeks or months later. Discovering the date of your last menstrual period will help you figure out how to calculate your pregnancy after miscarriage.

The first step to calculating your pregnancy after miscarriage is to determine the length of your gestation period. Typically, doctors use a woman’s last menstrual cycle and subtract it from the date when she would have delivered if she had been able to carry the fetus to term. This is called gestational age. For example, if you became pregnant on April 15 and had a miscarriage around 40 days later on June 15, your due date would be July 4th. If you were two weeks pregnant when you miscarried, then your doctor can estimate that your baby would have been full term around May 30th.

Your doctor or midwife may be able to tell you when your baby was conceived from a dating ultrasound. However, if the pregnancy ended earlier than that, it’s possible that the miscarriage occurred before you ovulated. This can make it difficult to pin down exactly when you conceived, but it’s important to know whether or not you’ve hit the deadline for conceiving again after a miscarriage, especially if you want to get pregnant as soon as possible. The average time for a woman to get pregnant after a miscarriage is 6 months. If you are not pregnant at that point, don’t feel like you failed. Many women experience some type of problem when they try to get pregnant again following a miscarriage. It may be due to medical reasons such as low-grade infections or hormonal imbalances in their bodies. To help improve your chances of getting pregnant again, your doctor may recommend taking an oral contraceptive pill or performing artificial insemination (AI) via intrauterine insemination (IUI).

The more babies you have, the more likely you are to have a miscarriage. If you have had two or more miscarriages within a year, your doctor will likely offer genetic testing to see if there’s an underlying medical cause. But if this is not the case and you want to get pregnant again, it can be hard to know how long after a miscarriage do you need to wait before trying again.

Pregnancy after miscarriage is a common occurrence, even though this topic is often sensitive to discuss. Many women have questions about what might happen after a miscarriage, and whether they can have another baby. This article will help you understand your chances of pregnancy after a miscarriage and what to expect.

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