Course of a miscarriage

Not a pleasant thought, but sometimes unavoidable: a miscarriage. There can be several causes for a miscarriage. In most cases, a miscarriage starts with blood loss. If a miscarriage really continues, abdominal cramps occur.

What is a miscarriage?

Not a pleasant thought, but sometimes unavoidable: a miscarriage. A miscarriage is the rejection of the fetus by the body. There can be several reasons why a miscarriage occurs:

  • A predisposition disorder: this cause is the most common. Something went wrong during the development of the fetus, which means that development cannot proceed normally. In principle, you could count on the fact that if the child were to be born, it would have no chance of survival or would have to go through life as a greenhouse plant.
  • Incorrect implantation: if the fertilized egg is not implanted properly or in the wrong place, it has no chance of success. The body therefore rejects the fruit.
  • Disease: with certain diseases of the woman, the fetus is also rejected. Such as with Wilson’s disease. Clotting abnormalities can also cause a miscarriage. Venereal diseases also sometimes cause a miscarriage.
  • Hormonal problems: With a deficiency of a certain hormone, too little uterine lining is produced and the fertilized egg cannot implant. PCO syndrome involves an increased concentration of LH hormone.
  • Antibodies: antibodies in the mother’s blood repel pathogens, but sometimes the fetus is recognized as a pathogen and rejected.
  • Uterine abnormalities: if there is an abnormality in the shape of the uterus, the fetus cannot implant or grow properly and is therefore rejected.
  • Molar pregnancy: a molar pregnancy often only consists of a placenta that continues to grow, while the fetus no longer grows further.

Course of a miscarriage

It is difficult to explain how a miscarriage will proceed, because it will be different for every woman. It also depends on what caused the miscarriage. Sometimes there is no miscarriage, but the fetus has died. An abortion will then have to be performed via medical intervention.

Blood loss

In most cases, a miscarriage starts with blood loss. This can be pink, bright red or brown. Sometimes the bleeding stops, but continues after 1 or 2 days. Sometimes a miscarriage announces itself with very little bleeding, only when wiping and pink in color. Sometimes it suddenly becomes a lot and bright red in color. The blood may be smooth or contain small clots.

Stomach cramp

If a miscarriage really continues, abdominal cramps occur. This can be compared to menstrual pain, but can also lead to real contractions. This depends on how far the pregnancy has progressed. The further along the pregnancy, the more work the body has to do to reject the fetus or embryo. There will then be more abdominal cramps.

Lots of blood loss and clots or clots

Eventually the blood loss will increase and be bright red in color. There are clots in the blood. Sometimes a plug comes out all at once. This may be the fetus or embryo in its entirety, but it may also contain the amniotic sac or placenta. Whether the fetus comes out all at once or in parts varies per miscarriage. It also has to do with how long the fruit has been dead and has been digested. A large clot can also consist of the uterine lining that has thickened.


When everything is out, the pain subsides and the bleeding decreases. However, the woman continues to bleed for a few days. This has a purifying effect on the uterus. Think of it as flushing out the uterus. If the bleeding remains heavy or does not decrease, there is a good chance that something has remained in the uterus. Then go to your doctor or midwife. After a miscarriage, the blood changes from bright red to brown to yellow over the days.