If you have any bleeding from the vagina or abdominal pain in pregnancy, you should consult a doctor.
The doctor will do an abdominal and an internal examination. If you are more than six weeks pregnant, an ultrasound may be used to determine if your baby is alive.
This will depend on your symptoms and the ultrasound examination of the fetus. If the bleeding is light and with no abdominal pain and the ultrasound examination confirms that the fetus is alive, your doctor may ask you to rest at home and return if your symptoms worsen.
An evacuation of the uterus is a procedure where the neck of the womb is opened up and the womb is emptied. This is done to reduce the chances of infection and to reduce the amount of bleeding from the vagina.
Normally, it is suggested that you wait for your first period and start trying from there. The exact timing will depend on when the couple is ready to start trying. Some couples will want to start trying straight away, while others need some time to get over their loss.
The fact that you have had one miscarriage does not mean that your next pregnancy will end in another miscarriage. Do not be discouraged by the miscarriage. You still have a very good chance of having a baby. If you have had three or more miscarriages, then your doctor may need to do some extra blood tests for you.
Leading a healthy lifestyle does help to improve your chances. This means you need to stop smoking, stop or at least reduce your alcohol intake, do regular exercise, eat a healthy diet, reduce stress and ensure that your weight is within the normal limits.
Taking folic acid when you have decide to start trying to conceive will help to reduce the baby's chances of having a spinal tube defect.