Post-Miscarriage Heavy Bleeding: When to Seek Help

Q: Post-Miscarriage Heavy Bleeding: When to Seek Help

Hello Ms. <br>Ning： Your condition is somewhat serious and complex. <br>It is difficult to determine whether it is purely due to poor contraction or if there is uterine inflammation (blood tests have confirmed that it is clear). <br>It would be best to visit a hospital for a doct

Post-abortion hemorrhage

Hello doctor, I experienced a miscarriage on August 8th and had heavy bleeding for a week.
After that, the bleeding gradually decreased, and by August 15th, I went to the hospital where my condition was stable with minimal blood loss.
The doctor said I was recovering well and that my menstrual period would return in three to four weeks, indicating there were no issues and no follow-up appointment was scheduled.

Starting on August 24th, the blood turned brown and continued for five days.
I was concerned and planned to see the doctor on August 29th to ask if this was normal.
However, on September 6th, I began to experience heavy bleeding.
That day, I went for a walk in the park, and when I returned home in the afternoon, I suddenly had a heavy flow that soaked through my pad and pants.
After three hours, I went to the emergency room.
The doctor performed an ultrasound and a pelvic exam and said everything was fine, attributing the large blood clots to coagulation issues.
They also drew blood on September 8th to check for any remaining pregnancy tissue.
On September 8th, the doctor said they would expedite the blood test results.
On September 9th, I returned for the results, which indicated that I was not pregnant and there was no retained tissue.
The doctor prescribed three days of uterine contraction medication.
Since then, my bleeding has been so heavy that I have to use maternity pads, which become completely saturated.
When I stand for long periods, I pass large blood clots, and I am experiencing severe uterine pain.

In the first five days, I felt unwell at night and fainted while going to the bathroom, hitting my face.
After the appointment on September 9th, the doctor prescribed contraction medication and advised me to take a home pregnancy test in ten days, without any further explanation.

I would like to ask what I should do about my situation, as I am in so much pain that I can’t get out of bed or be out for long periods.
The uterine pain is unbearable, and I feel emotionally low and sometimes overwhelmed.
What should I do? The hospital is a large facility in Wuchi.

Ning, 20~29 year old female. Ask Date: 2016/09/18

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello Ms.
Ning: Your condition is somewhat serious and complex.
It is difficult to determine whether it is purely due to poor contraction or if there is uterine inflammation (blood tests have confirmed that it is clear).
It would be best to visit a hospital for a doctor's evaluation.

Reply Date: 2016/09/18

More Info

I'm sorry to hear about your situation. It sounds like you are experiencing significant physical and emotional distress following your miscarriage. Heavy bleeding and severe pain after a miscarriage can be concerning, and it's essential to understand when to seek further medical help.

Firstly, it's important to recognize that some bleeding and cramping can be normal after a miscarriage as your body adjusts and heals. However, there are specific signs and symptoms that warrant immediate medical attention:
1. Heavy Bleeding: If you are soaking through one or more pads per hour for two consecutive hours, this is considered heavy bleeding and requires urgent evaluation. It sounds like you have experienced episodes of heavy bleeding, especially after your visit to the park.

2. Severe Pain: While cramping can be expected, severe pain that prevents you from performing daily activities or causes you to faint is not normal. The pain you describe, especially if it is worsening, should be evaluated by a healthcare professional.

3. Passing Large Clots: If you are passing large blood clots (larger than a golf ball), this can indicate retained tissue or other complications that may need to be addressed.

4. Signs of Infection: Symptoms such as fever, chills, or foul-smelling discharge could indicate an infection, which requires prompt treatment.

5. Emotional Distress: The emotional toll of a miscarriage can be significant. Feelings of sadness, anxiety, or depression are common, and it's important to seek support from healthcare providers, counselors, or support groups.

Given your symptoms of severe pain, heavy bleeding, and emotional distress, I strongly recommend that you seek immediate medical attention. Even if previous examinations showed no issues, your current symptoms suggest that there may be complications that need to be addressed.
You mentioned that you were prescribed medication to help with uterine contractions, but if the bleeding and pain persist or worsen, it may be necessary to revisit your healthcare provider or go to the emergency room. They may perform additional tests, such as an ultrasound, to ensure that there is no retained tissue and that your uterus is healing properly.

In the meantime, try to rest as much as possible and avoid strenuous activities. It may also be helpful to talk to someone about your emotional health, whether it's a friend, family member, or mental health professional.
Remember, your health and well-being are paramount, and it's always better to err on the side of caution when it comes to your body. Please take care and seek help as needed.

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