Loss & Complications

A quieter corner of the app. You're not alone here.

Whatever brought you to this page — we're sorry. This hub summarizes the main choices for miscarriage, stillbirth, and the NICU, and gives you one clear place to find urgent-care and crisis support. Educational only; final decisions belong to you and your care team.

Miscarriage

Pregnancy loss before 20 weeks — three management options.

Stillbirth & late loss

Loss at 20 weeks or later — care, choices, and support.

NICU basics

When your baby needs extra care after birth.

Miscarriage — the main choices

Miscarriage — What Happens, What Your Options Are, and Where to Get Support

Plain-language information on early pregnancy loss (before 20 weeks): what causes it, the three main management options, physical recovery, and grief support — with a clear list of when to call.

  • Expectant management: wait up to 2–4 weeks for the body to complete the process on its own
  • Medical management: misoprostol (with or without mifepristone) — completes the process at home over hours to a couple of days
  • Procedural management: suction curettage / manual vacuum aspiration — completed in minutes, tissue can be sent for chromosomal testing
  • For any option: ask about pain management, what to expect visually, and who to call after hours

When to call — tailored to miscarriage

Each row shows what's usually normal and the specific signs that mean call now.

  • Heavy bleeding

    Within the range of normal

    Bleeding during a miscarriage is heavier than a period and often includes clots. Cramping comes in waves as the tissue passes.

    Call your healthcare team if

    You soak two full pads in an hour for two hours in a row, pass clots bigger than a lemon, feel dizzy or faint, or your heart is racing — same day, in person.

  • Severe or one-sided pelvic pain

    Within the range of normal

    Cramping in the middle/low pelvis is expected. It usually eases significantly within a day of the tissue passing.

    Call your healthcare team if

    Severe one-sided pain, shoulder-tip pain, or pain with fainting — go in. This can signal ectopic pregnancy, which is a surgical emergency.

  • Fever or foul-smelling discharge

    Within the range of normal

    A brief low-grade warmth in the day or two after passing tissue is common.

    Call your healthcare team if

    Temperature ≥100.4°F (38°C), chills, foul-smelling discharge, or worsening pelvic pain after things had improved — same day. Retained tissue and infection are treatable when caught.

  • Emotional wellbeing

    Within the range of normal

    Grief can look like sadness, anger, guilt, numbness, or intrusive thoughts — often in waves for weeks or months. There's no 'right' timeline.

    Call your healthcare team if

    You can't sleep, eat, or function; you feel disconnected from reality; you have thoughts of harming yourself — call your provider, PSI (1-800-944-4773), or 988 (US crisis line) same day.

  • Trying again

    Within the range of normal

    Most people can safely try again after one normal cycle, though there's no medical reason you must wait — physical and emotional readiness are separate questions.

    Call your healthcare team if

    You want to talk through timing, or you've had two or more losses — ask for a recurrent-loss workup so you're not repeating decisions without more information.

Read the full topic

Deeper explanation, evidence sources, and every "usually normal vs. call" variation.

Open Miscarriage