A missed miscarriage, also known as a silent miscarriage, occurs when a pregnancy ends naturally but the body does not immediately expel the pregnancy tissue. Unlike other types of miscarriage, there may be no obvious symptoms such as bleeding or pain, so the loss can go unnoticed for some time.

Causes and Diagnosis

Missed miscarriages often result from chromosomal abnormalities in the developing embryo that prevent it from growing properly. They are usually diagnosed during routine ultrasound scans when no heartbeat or fetal growth is detected despite the pregnancy progressing in dates. Blood tests measuring pregnancy hormone levels can also assist diagnosis.

Symptoms and Signs

Because there may be no bleeding or cramping, many women find out about a missed miscarriage during a scheduled prenatal visit. Some might experience subtle symptoms like a decrease in pregnancy symptoms such as nausea or breast tenderness, but many have no warning signs.

Management Options

After diagnosis, management may include waiting for the body to miscarry naturally, taking medication to help expel the pregnancy tissue, or having a surgical procedure called dilation and curettage (D&C). The choice depends on medical advice, personal preference and individual circumstances.

Emotional Impact and Support

Experiencing a missed miscarriage can be emotionally challenging. Support from healthcare providers, family and counselling services can help women and their partners cope with the loss and begin the healing process.

Summary

A missed miscarriage is a pregnancy loss where the embryo has stopped developing but the body has not yet expelled the tissue. It is usually diagnosed by ultrasound and managed through natural, medical or surgical options with emotional support.

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