A missed abortion, also called a missed miscarriage, occurs when a fetus has died in the womb but the body does not expel the pregnancy tissue right away. Unlike other types of miscarriage, there are usually no immediate symptoms, such as bleeding or cramping, which can make the diagnosis unexpected and emotionally difficult. It’s often discovered during a routine ultrasound when no fetal heartbeat is detected. Missed abortions typically occur in the first trimester, but can happen later as well. Prompt medical evaluation and compassionate support are essential for your physical and emotional recovery.
A missed abortion is usually not caused by anything the mother did. Most occur due to natural, uncontrollable factors, including:
Chromosomal abnormalities in the fetus
Poor placental development
Hormonal imbalances
Maternal health conditions, such as thyroid disorders or diabetes
Advanced maternal age
Previous miscarriage history
Often, the exact cause is never identified, but healthcare providers will offer guidance and monitor for any recurring patterns in future pregnancies.
The defining feature of a missed abortion is the absence of symptoms. Many women continue to feel pregnant because hormone levels may remain elevated for some time. However, possible subtle signs include:
Because symptoms are minimal or absent, regular prenatal care and ultrasound monitoring are vital for early detection.
A missed abortion is usually diagnosed during a prenatal ultrasound that shows:
Your provider may also monitor hCG hormone levels with blood tests to confirm that pregnancy hormone levels are no longer rising as expected.
If a missed abortion is confirmed, there are a few options to manage the loss:
Expectant management – Allowing the body to pass the pregnancy tissue naturally over time
Medication – Using prescribed drugs like misoprostol to help the uterus expel tissue
Surgical removal – A dilation and curettage (D&C) procedure to clear the uterus
The choice depends on your health, emotional readiness, and how far along the pregnancy was. Your provider will help guide the safest option for you.
A missed abortion is a heartbreaking and often shocking experience, but it is not your fault. At Advanced Women’s Care, we provide both the medical support and emotional care you need during this time. Our compassionate team will help you navigate the next steps, offer counseling resources, and support you in planning future pregnancies with confidence and hope.
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