Heavy bleeding, clots and period type pains indicate an inevitable miscarriage which, when it occurs, may be incomplete and need dilatation and curettage. Sometimes, and fortunately fairly rarely, the foetus dies in the early months of pregnancy and the condition remains undiagnosed until symptoms and signs of pregnancy appear to be diminishing. In an advanced pregnancy, if this occurs, it may be necessary to initiate labour. In early pregnancy a dilatation and curettage to remove the dead foetus and placenta will be required after an ultrasound examination has been confirmed the absence of foetal heartbeats. In the case of repeated miscarriages it will be necessary to have a full medical and gynecological examination, an ultrasound examination and blood tests in order to check for a possible cause.
Depression is the main aftermath of a miscarriage, particularly if it is the first pregnancy.
A miscarriage does not mean that you will not be able to carry your next pregnancy to full term. In the past women with large families may have had 2 or 3 miscarriages interspersed with their successful pregnancies.