Missed Miscarriage Treatment & Doctor in Jaipur

Missed miscarriages

What is a missed miscarriage?

A missed miscarriage, also known as a missed abortion or a silent miscarriage is when the fetus is dead but the body does not recognize the pregnancy loss or expel the pregnancy tissue so the dead fetus remains inside the uterus for a variable period. As a result, the placenta may continue to release hormones, so you may continue to experience signs of pregnancy. It is also called early fetal demise.

What causes missed miscarriage?

Majority (50%) of early miscarriages are due to chromosomal abnormality in the fetus. structural abnormalities of the uterus, endocrinal disorders and infections may also play a role.

What are the signs of missed miscarriage?

Since the uterus does not expel the dead fetus there are no signs of a typical miscarriage like heavy bleeding, abdominal cramps etc. instead –

  • Persistence of brownish vaginal discharge.
  • Subsidence of pregnancy symptoms.
  • Retrogression of breast changes.
  • Stopped uterine growth which in fact becomes smaller in size.

How is this diagnosed?

  • Nonaudibility of the fetal heart sound even with Doppler ultrasound if it had been audible before.
  • Immunological test for pregnancy becomes negative.
  • Ultrasonography reveals an empty sac early in the pregnancy or the absence of fetal cheart motion and fetal movements.

How is missed miscarriage managed?

Uterus is less than 12 weeks:

  1. Many women expel the fetus spontaneously.
  2. Prostaglandin E1 (misoprostol) 800 mg given vaginally. Expulsion usually occurs within 48 hours.
  3. Suction evacuation or dilatation and evacuation is done either as a definitive treatment or when the medical method fails.

Uterus more than 12 weeks:

  1. Prostaglandin E1 analog (misoprostol) 200 µg tablet is inserted into the vagina.
  2. Oxytocin—10–20 units of oxytocin in 500 mL of normal saline at 30 drops/min is started. If fails, escalating dose of oxytocin to the maximum of 200 mlU/min may be used with monitoring.
  3. Many patients need surgical evacuation following medical treatment. Following medical treatment, ultrasonography should be done to document empty uterine cavity. Otherwise evacuation of the retained products of conception (ERPC) should be done.

Book An Appointment

    Dr. Mayuri Kothiwala

    Gynecologist, Obstetrician; Laparoscopic Surgeon & Infertility Specialist

    Dr Mayuri Kothiwala is an experienced Best Gynecologist in Jaipur taking care of all Obstetrical and Gynecological related health concerns at every stage of women. Having worked for 14+ Years, she is passionate to explore her expertise in rural and remote areas of Rajasthan to educate, diagnose & treat women for their obstetric & gynecology issues, laparoscopy procedures, oncology & urogyne concerns. Dr Mayuri uses the latest and most advanced techniques including sonography, ultrasound, laparoscopy and lasers for early diagnosis and timely management of her patients.

    Dr. Mayuri Kothiwala Clinic

    Opening Hours

    Dr. Mayuri Kothiwala Clinic Branches Timing

    Tonk Road Timing

    • Morning :-
    • ( Mon to Sat ) 09.30 AM to 12 PM
    • Evening :-
    • ( Mon, Tue, Wed, Fri, Sat ) 05 PM to 07 PM

    Vaishali Nagar Timing

    • ( Every Thursday ) 05 PM to 7 PM
    • Sunday Closed

    Jagatpura Timing

    • ( Mon to Sat ) 12.30 PM to 2.30 PM
    • Sunday Closed

    Need Help?

    Just make an appointment to get help from our experts .


    Scroll to Top
    Follow Us


    Book An Appointment
    call now