Exams and Tests
Study how a miscarriage is examined, how lab tests, pelvic exam and ultrasound can help in diagnosing a miscarriage.
Exams and Tests

Medical History
A woman is usually asked the following questions about her pregnancy:
• How far along is your pregnancy?
• When did you have your last normal menstruation?
• How many times have you been pregnant?
• How many living children do you have?
• How many miscarriages have you already experienced?
• Did you ever suffer from an ectopic pregnancy?
• Have you ever had an abortion? If the answer is “yes”, how many abortions did you have?
• Were you applying any method of birth control, when you got pregnant?
• Is this pregnancy a planned one?
• Do you plan to keep this pregnancy?
• Have you had any type of prenatal care?
• Have you had any problems urinating?
• Do you know your blood type?
• Have you already had an ultrasound, to confirm that the pregnancy is in the right place?
• Do you have any medical problems? If the answer is “yes”, what are they?
• Do you take any medications? If the answer is “yes”, what are they and how often do you take them?

Pelvic Exam
A pelvic examination is necessary to conduct to check a woman’s pelvic organs. It may either be conducted as part of a routine physical examination; as well in case if a woman has any pelvic problems. 
 In order to conduct the pelvic examination, a woman has to lie on her back and make her knees bend and place her feet in stirrups.

A woman may have a so-called speculum examination, when a device, which is made either from metal or from plastic is put into her vagina and opened there, making the walls of the vagina spread apart and letting the gynecologist or obstetrician look right at the mouth of the womb. In case if there is a lot of blood or clots present there, the doctor may have to remove them with the help of a clamp or gauze. As a rule this part of the examination is not painful, though, it is possible that a woman may feel embarrassed and uncomfortable.

It is possible that a woman may suffer from vaginal bleeding before, during and even after the miscarriage occurs. The gynecologist or obstetrician will assess the opening of the entrance to the womb, and taking the findings into consideration, will be able to inform a woman with more accuracy about which stage of miscarriage she may be experiencing.
The gynecologist or obstetrician may also examine the woman’s vagina by putting gloved fingers into it and feeling her abdominal cavity with the other hand. This way it is possible to feel whether the mouth of the uterus is open or closed, how big the uterus is and whether there any signs of possible infection or ectopic pregnancy. In case if a woman has already had miscarriage, then the size of her uterus may be smaller t hen expected for the fetus.



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