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Threatened Miscarriage
What is a threatened miscarriage?
The term ‘threatened miscarriage’ can induce feelings of confusion, anxiety, and fear. It is a term used to describe when there is vaginal bleeding in early pregnancy, usually before 20 weeks, but the pregnancy is still viable.1,2
Although this can be an unsettling experience, it is relatively common, occurring in about 15–25% of all pregnancies.3,4 Of these, about half will miscarry,2 therefore, many women and birthing people with early pregnancy bleeding go on to have a healthy pregnancy. Over 90% of pregnancies with a foetal heartbeat and bleeding in the first trimester do not miscarry.3 However, any bleeding, with or without pain, should be evaluated by a healthcare professional to check the viability of the pregnancy.
Bleeding in the first trimester
Vaginal bleeding in the first trimester of pregnancy is more common than people believe. Up to a quarter of women and birthing people will experience this complication and have a healthy pregnancy.1
Although bleeding is common in early pregnancy, it should always be investigated. If you are experiencing these symptoms, your healthcare provider will refer you for an ultrasound scan to check the viability of the pregnancy. If the pregnancy is still in the early stages (before 6 weeks), the baby may be too small to detect a heartbeat. In this scenario, a follow-up scan will be offered after 7–14 days.1
Some women and birthing people may continue to experience bleeding throughout their pregnancy. However, if bleeding symptoms persist, speak with your healthcare provider for advice.
If you have been diagnosed with a threatened miscarriage within the first trimester, and have had miscarriages in the past, talk with your healthcare provider about further examinations and possible treatment options, which in some cases can help support an ongoing pregnancy.11
Remember that any medicine may have side-effects. Talk to your healthcare provider for more information