Understanding Inevitable Miscarriage: A Doula’s Compassionate Guide

Understanding an Inevitable Miscarriage: What It Means for You?

Dear Mama,

I’m so sorry that you’re in this place. An inevitable miscarriage is one of the hardest things a woman can go through, and my heart goes out to you. You may have been told that your pregnancy is no longer viable, and the miscarriage can’t be stopped. Right now, it might feel like everything is falling apart — and it’s okay to feel that way.

An inevitable miscarriage is the term used when a miscarriage is happening, and there is no way to prevent it. You may notice that your cervix has opened, and the pregnancy is now passing from your body.

What Does This Mean for You?

You might notice symptoms like:

  • Heavy bleeding (soaking through pads quickly)
  • Severe cramping in your lower abdomen
  • Passage of tissue or clots (this might include the pregnancy tissue)

These signs can feel overwhelming, but it’s important to know that your body is going through a natural process. This doesn’t mean you did anything wrong, and it’s not something you could’ve prevented.

How Is It Diagnosed?

Your healthcare provider will typically diagnose an inevitable miscarriage by:

  • Examining the cervix (which will be open)
  • Doing an ultrasound to confirm the pregnancy has ended
  • Checking the level of your pregnancy hormones (hCG)

The physical symptoms of heavy bleeding and cramping are signs that the pregnancy is passing. While it may feel like a dramatic loss, remember that your body is doing what it needs to do.

How to Care for Yourself

As painful as this experience is, please try to take care of yourself as much as you can:

  • Rest when you need to.
  • Keep hydrated.
  • Reach out to your support system — whether it’s family, friends, or a doula.
  • Try to allow yourself to grieve — this is a significant loss, and your feelings are valid.
  • It’s okay to seek therapy, counseling, or a miscarriage support group if you need it.

Remember, you are not alone, and no matter what happens next, your journey is valid and deserving of love and care.