Miscarriage and Pregnancy Loss

Pregnancy loss can be a very difficult experience, both physically and emotionally. Our skilled health care providers are here to help you with pregnancy loss services, including:

  • Miscarriage management and counseling
  • Fetal demise management and counseling
  • Maternal health management and counseling


When a pregnancy ends by itself before 20 weeks, it is called "miscarriage." It is also called "early pregnancy loss" or "spontaneous abortion." Early pregnancy loss is very common; as many as 1 in 4 pregnancies end this way. Usually, there is no known cause for a miscarriage. Many miscarriages are caused by chromosomal problems that prevent the fetus from developing normally, unrelated to either parent's genes. Problems related to other medical conditions or lifestyle factors can also cause miscarriage.

If you have any of the following symptoms, please contact a health care provider immediately:

  • Sudden decrease in pregnancy signs
  • Mild to severe back pain (worse than normal period cramps)
  • Weight loss
  • Contractions (painful and happening regularly)
  • Bleeding with or without cramps
  • Passing tissue or clots

While some or all of these symptoms may occur if you are having a miscarriage, you may also experience these symptoms even if you are not having a miscarriage. It is important for you to see a doctor to find out.

Treatment options

While some women do not require any treatment during or after a miscarriage, it is important that you see a health care provider to determine whether any medical interventions are needed.

We provide several treatment options besides expectant management (watchful waiting), including medication management, manual vacuum aspiration (MVA), and electric vacuum aspiration (EVA), sometimes also called D&C or D&E. You and your doctor will determine whether you need treatment and which treatment is best for your situation. Click here to learn more about miscarriage and about what to expect at your appointment.

It is possible for an infection to develop if any tissue from a fetus or placenta remains in the uterus. If you have any symptoms of a complication, including fever, abnormal bleeding, cramping, or foul-smelling discharge, you need to see your doctor right away.

For many people, a miscarriage is a very difficult emotional experience. If you experience pregnancy loss, it is important for you to take time to acknowledge your loss, and seek support if you feel like it would be helpful. Our physicians and social workers are here to help you process your experience.

Getting pregnant after a miscarriage

Most women who have a miscarriage go on to have normal, healthy pregnancies. If you choose, you can try to get pregnant as soon as you'd like following an early pregnancy loss.

Helpful resources

More information about miscarriage
FAQs on early pregnancy loss
FAQs on bleeding during pregnancy
FAQs on repeated miscarriage
Caffeine consumption and miscarriage

Questions about pregnancy loss?

To schedule an appointment, click here or call 206-598-5500 and push option #4. Please do not hesitate to contact us if you have any questions or need further information about our services.