The Jeroen Bosch Hospital offers the use of Misoprostol before a curettage is performed. This vaginal tablet may incite a miscarriage and may be introduced by the client at any time. A disadvantage to Misoprostol is that you do not rule out a curettage. It may cause a miscarriage, but you may not lose the full embryo or fetus, and still have to undergo a curettage.
It’s difficult for some women to wait for the miscarriage to start and for the bleeding to end again. Emotionally and practically, it may be unpleasant to have to wait for a spontaneous miscarriage. Physically it can be hard when blood loss persists. These are reasons for some women to intervene by having a curettage. In a curettage, the uterus is emptied through the vagina using a small tube, or cleaned with a scraper. This procedure takes 5 to 10 minutes. You’ll receive general but short-lasting anesthesia, so you won’t experience the procedure, and you can usually go home the same day. There’s a small change of complications with a curettage.
You cannot prevent or stop a miscarriage. Not by resting, or by taking medication. If blood loss increases or you get menstrual-like pain, make sure someone who you feel safe with is close by. If the blood loss or cramps is severe (temporarily), support from a trusted person is important. If you want to use painkillers, the best choices are Paracetamol or Naproxen. Do not use tampons during blood loss. The rejected tissue does not have to be saved or stored.