Miscarriage
Experiencing a miscarriage can be emotionally and physically overwhelming, leaving many questions and feelings of uncertainty. Understanding what may have contributed to the loss and how to care for yourself afterward is an important step toward healing and preparing for future pregnancies. Through compassionate support, personalised guidance, and evidence-based care, we can help you process your experience, identify any underlying factors, and plan your next steps with clarity and reassurance. I’m here to walk alongside you with empathy and expertise, helping you feel supported, informed, and empowered as you navigate recovery and move toward the possibility of a healthy pregnancy in the future.
“Understanding miscarriage helps you process your experience, care for yourself, and feel supported and empowered as you move forward on your journey toward healing and future pregnancy.”
Miscarriage Management
Compassionate guidance and medical expertise to support you safely
Miscarriage occurs in up to 1 in 4 pregnancies and is rarely caused by anything a woman did or did not do. Regardless of gestation, miscarriage is both a medical and emotional experience.
Diagnosis
Ultrasound confirmation of early pregnancy loss
Hormonal monitoring (β-hCG)
Exclusion of ectopic pregnancy or molar pregnancy
Discussion of options and patient preferences
Offering genetic testing of pregnancy tissue when indicated
Management Options
All options are safe and effective; the right choice depends on clinical factors and personal preference.
Expectant Management
Waiting for the miscarriage to pass naturally
Suitable for stable patients with early pregnancy losses
Success rate 80% depending on gestation
Medical Management
Misoprostol ± mifepristone protocols
Allows management at home with medical support
High success rate (85–95%) for early pregnancy losses
Surgical Management
Suction curettage performed under sedation or anaesthesia
Recommended for heavy bleeding, infection risk, patient preference, or failed medical management
Allows rapid resolution and collection of tissue for genetic analysis
Possible increased risk of intrauterine adhesions
Dr Rebecca Mackenzie-Proctor has access to surgical space if needing to undertake this procedure at short-notice.
Emotional Support
Miscarriage can trigger grief, anxiety, or fear about future pregnancies. I ensure you have:
Sensitive, clear communication
Follow-up review for physical and emotional recovery
Referral to counselling when needed
Preparation and strategy for next pregnancy
Miscarriage care is not simply about medical management—it is about feeling heard, supported, and empowered. Dr Rebecca Mackenzie-Proctor provides a safe space, clear explanations, and choices that respect your values and circumstances. Every patient receives a follow-up plan that supports their physical recovery and future fertility goals.
