It’s one of the most common questions after a miscarriage—and one of the hardest to sit with. 

There is a lot of misinformation, myths, and outdated beliefs about what can lead to pregnancy loss. The truth is that most miscarriages happen because of factors outside your control.

Here are some myths that do not cause miscarriage:

• Stress or emotional ups and downs

• Exercise or physical activity

• Sex during pregnancy

• Working or a demanding job

• Wearing high heels or tight clothing

• Having morning sickness—or not having it at all

• Feeling uncertain or emotionally unprepared for pregnancy

Natural Miscarriage

A natural miscarriage is when the body expels pregnancy tissue without medical intervention. This is often the first sign of a pregnancy loss.

What to expect:

• Can take days to several weeks to complete

• Bleeding may be heavy and accompanied by large clots

• Cramping can be intense like labor or stronger than a menstrual period

• Tissue may pass gradually in pieces or all at once

• May occur at home or before diagnosis is confirmed

Monitoring & recovery:

• Follow-up with your doctor is essential to ensure the uterus has fully cleared

• You may be offered medication or a D&C if tissue remains

• Recovery time varies from person to person

• Emotional and hormonal shifts are common

Medication Management

If your body hasn’t passed the tissue naturally, your doctor may offer medication (most commonly misoprostol) to help complete the miscarriage.

What to expect:

• Usually taken orally or inserted vaginally

• Cramping and bleeding begin within a few hours – it can feel like labor

• Process can take several hours to a few days

• May pass tissue at home in a private setting

Monitoring & recovery:

• Follow-up appointment or ultrasound may be needed to confirm completion

• Some people require a second dose or a D&C if the medication is ineffective

• Cramping, bleeding, and hormone-related symptoms are common

• Expect physical recovery in 1–2 weeks

D&C Procedure

A D&C (Dilation & Curettage) is a surgical procedure that removes pregnancy tissue from the uterus. It may be recommended for medical or personal reasons.

What to expect:

• Performed under anesthesia or sedation, usually as an outpatient procedure

• Procedure takes 10–15 minutes; recovery time at the clinic may take a few hours

• Cramping and light bleeding are common afterward

Monitoring & recovery:

• Physical recovery typically takes less than a week

• Heavy activity should be avoided for about a week

• Watch for signs of infection, fever, or persistent pain

Surgery for Ectopic Pregnancy

Ectopic pregnancies occur when a fertilized egg implants outside the uterus, most commonly in a fallopian tube.

What to expect:

• Requires surgical removal, often via laparoscopy

• You may go home the same day or stay overnight

• In some cases, removal of the affected tube is necessary

After surgery, you will experience:

• Vaginal bleeding or spotting for up to two weeks

• Abdominal cramping and tenderness

• Shoulder pain from gas used during laparoscopy

• Fatigue, bloating, or constipation

• Soreness at incision sites

Monitoring & recovery:

• hCG levels are monitored until they return to zero

• Physical recovery may take 1–2 weeks

While it may not always be possible, there are times when you have space to prepare for what’s to come. Whether you are managing a natural miscarriage at home or recovering from a procedure, having the right supplies can bring some physical comfort and emotional grounding during a very difficult time.

Helpful Items for At-Home Management (Natural Miscarriage)

These items can help you feel more prepared and supported during a natural miscarriage:

• Disposable underpads or old towels – to protect bedding or furniture

• Medical gloves – for handling tissue or cleanup

• Thick sanitary pads – never use tampons during or shortly after a miscarriage

• Ice pack or heating pad – for pain relief and cramping

• Pain relievers – such as ibuprofen or acetaminophen (consult your provider)

• Urine hat, strainer, or container – to collect and monitor tissue if needed

• Small box or container – if you wish to preserve the remains or have a memorial

• Comfort items – blanket, cozy socks, tea, soft lighting, snacks

• Trusted support person – someone to sit with you, help, or just be present

Suggestions for Recovery (All Types of Miscarriage or Loss)

Whether your experience involved medication, a D&C, or surgery for ectopic pregnancy, recovery is both physical and emotional. These items can offer comfort and ease:

• Thick sanitary pads – for post-procedure bleeding. No tampons.

• Pain medication – as prescribed or recommended

• Comfortable clothes – soft waistbands and breathable fabrics

• Rest and hydration – your body needs time to heal

• Drink fluids and eat bland, easy-to-digest foods (toast, broth, rice, bananas)

• Journaling materials – to help process thoughts and emotions

• Emotional support – talk with a loved one, counselor, or support group

• Soothing items – essential oils, a weighted blanket, music, or meditation