Miscarriage Management Sadly, about 20% of pregnancies end with miscarriage. Sometimes, the pregnancy tissue will all come away naturally, but often there will still be some pregnancy tissue seen on scanning. When this happens, there are three ways to manage the situation;

  • 1. Conservative treatment: This means just waiting until the miscarriage happens naturally. The advantage is that you do not need to be admitted to hospital, the disadvantage is that it can take a long time to happen (between 4 and 10 weeks is not uncommon) for the whole process to be over and for normal periods to resume
  • 2. Medical evacuation: This means taking tablets and pessaries containing hormones to encourage the uterus to contract and the pregnancy tissue to disperse. This does need an admission to hospital but 80% of the time there is no need for an operation but for the other 20%, the following method may be required:
  • 3. Surgical evacuation: This means an operation to remove the pregnancy tissue from within the uterus. This procedure is undertaken in theatre under a general anaesthetic
If you are eligible for NHS treatment locally then we can refer you into the hospital system, or you can go back through your own GP or midwife. We have facilities to offer private treatment either through Spire Parkway or through Solihull/Heartlands Hospitals. The fixed cost for surgery to manage miscarriage (surgical evacuation) at Spire Parkway is approximately £1,300 which covers all fees and expenses. Minimal access surgery to manage ectopic pregnancy will cost approximately £2,000 including one overnight stay and follow-up examination. Private treatment is often covered by your medical insurance company, although some policies exclude pregnancy complications. It may be worth contacting your insurer before you come for the scan as some policies insist that you get prior approval before being seen, we will complete any insurance forms or send additional reports to your insurer free of charge.