Inevitable Miscarriage

Definition - What does Inevitable Miscarriage mean?

An inevitable miscarriage occurs when the symptoms of pregnancy loss, including bleeding, cervical dilation, cramping, and abdominal pain are present, but the products of conception are still intact in the uterus. While the pregnancy has ended, the products of conception have yet to vacate the uterine cavity.

An inevitable miscarriage may be a progression from a threatened miscarriage when signs of loss are just beginning. Once tissue begins to expel, it is called an incomplete miscarriage, and eventually a complete miscarriage. Read more about treating an inevitable miscarriage.

An inevitable miscarriage is also referred to as inevitable abortion.

FertilitySmarts explains Inevitable Miscarriage

Up to a quarter of all pregnancies end in miscarriage, the majority in the first 8 weeks of pregnancy. There are a variety of causes for why miscarriages occur. These may include:

  • Embryonic abnormalities
    • Genetic conditions
    • Chromosomal abnormalities
  • Accident or trauma
  • Maternal medical or health conditions
    • Diabetes
    • Lupus
    • Thyroid conditions
    • Preeclampsia
    • Infection
  • Maternal physical/anatomic problems
    • Incompetent cervix
    • Uterine disorders
    • Other reproductive system abnormalities

In order to diagnose a miscarriage, an ultrasound and blood tests are completed. In the case of an inevitable miscarriage, the signs of pregnancy loss are occurring, but the uterus still contains the products of conception. Depending on the stage of pregnancy, the products of conception may naturally be expelled through the vagina, similar to a period, or removed through a dilation and curettage (D&C) or dilation & evacuation (D&E) procedure.

Recovery from a miscarriage will vary based on each woman’s individual experience. Additionally, the emotional loss of a miscarriage may be challenging. Around 85% of all women who experience a pregnancy loss are able to become pregnant again and carry a successful pregnancy full term. However, a doctor should consult on when it is appropriate to begin trying, based on the body’s healing and other health measures.

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