If you decline to have an ERPC (D&C) this will be your decision. The benefits and risks of the above treatment options will be discussed with you so that your decision is informed. Occasionally miscarriage can be accompanied by very heavy bleeding, necessitating blood transfusion and may pose risks to your overall health and well being. The other reason for suggesting an ERPC is if pregnancy tissue remains in the uterus (womb) this can lead to infection which occasionally can be serious.