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OMNI Gynaecological Care

Centre for Women's Ultrasound

and Early Pregnancy

Ground Floor 207 Pacific Highway St Leonards NSW 2065

Pregnancy After Care: Miscarriage

Most women with a miscarriage undergo surgery in the form of D&C (dilatation and curettage). At OMNI, selected women with miscarriage can be managed non-surgically or expectantly. This means that the woman can avoid hospital admission, general anaesthetic as well as instrumentation of her womb (uterus). Up to 70% of women offered expectant management will take this option.

Expectant management

Expectant management means just that: a "watch and wait" approach to see if nature takes its course and allows the miscarriage to occur spontaneously. Women who are eligible for expectant management will be followed-up with ultrasound on a weekly basis. If the miscarriage is not complete after two weeks, then D&C should be recommended.

Not all women will be suitable for expectant management of their miscarriage. If there is heavy bleeding with clots or there are any signs of infection at the initial consultation, surgery will be arranged with your Obstetrician.

Importantly, expectant management of miscarriage does not affect future fertility.