Early Pregnancy Assessment

A miscarriage is the loss of a pregnancy during the first 20 weeks. Miscarriages are surprisingly common and occur in about 15 percent of known pregnancies. Most miscarriages are the result of your body ending a pregnancy that would not have been able to survive till when the baby is born. Most women who have had a miscarriage go on to have successful pregnancies in the future. 

Miscarriage Management Expertise at Nebraska Medicine

Urgent appointments (within 48 hours) are available for pregnant (3 months & under) patients who are experiencing pain, bleeding, or have concerns of miscarriage. Appointments may include ultrasound, blood work, and doctor counsel.

If you need to refer yourself, a friend or a patient to the Olson Center for Women's Health Early Pregnancy Assessment Clinic (EPAC) right now, call 402.559.4500. Designed specifically for women, the Olson Center for Women's Health is dedicated to meeting all of your women's health needs, you’ll see top doctors who are leaders in medicine and specialists in your particular condition. 

Miscarriage Causes

  • The loss of a pregnancy can be very hard to accept. You may wonder why it happened or blame yourself. A miscarriage is no one’s fault, and you can’t prevent it. Reproductive Psychiatry at Nebraska Medicine can help during these difficult times. . 
  • Working, stress, exercising, having sex or having used birth control pills before getting pregnant does not cause miscarriage. Some women who have had a miscarriage believe that it was caused by a recent fall or hitting their stomach. In most cases, this is not true.
  • The majority of miscarriages are caused by a random event in which the embryo has an abnormal number of chromosomes. An embryo with an abnormal number of chromosomes often cannot grow or survive.

Signs and Symptoms

  • Bleeding and passing clots.
  • Cramping of the lower abdomen or a low backache.
  • Keep in mind that both of these can be normal in pregnancy and you should always notify your physician so that you can be closely monitored or further evaluation can be done.

Patient Guides


  • If you are diagnosed with a miscarriage and have not passed all of the pregnancy tissue this is called an incomplete miscarriage. There are several options to remove this tissue. Your doctor will go over the options and help you with this decision.
  • If your blood type is RH negative (O-, A-, B- or AB-) you may receive a shot of Rh immunoglobulin. During pregnancy it is possible for the mother’s blood to come into contact with the fetal blood cells. If a woman is Rh negative, and the fetus is Rh positive, the contact can cause the mother to make antibodies and this could cause problems in later pregnancies.

Follow up

  • Call if you having any of the following:
    • Heavy bleeding
    • Fever/chills
    • Severe pain
  • After a miscarriage, you may be advised not to put anything into your vagina including tampons or having sexual intercourse, usually for 2 weeks
  • You should see your physician in a few weeks for a follow up visit.
  • Coping with the loss of the pregnancy can cause feeling of sadness and grief. If you or your partner are having trouble handling the feelings that go along with this loss, call your physician or seek out a counselor.
  • Getting pregnant after a miscarriage: It may take time for your menstrual cycle to return to normal, typically 4-6 weeks. This period may be heavier than normal. Ovulation can occur within 2 weeks of your miscarriage so it is possible to become pregnant within the month. It is best to wait at least one normal period before attempting to become pregnant. Use a form of birth control during this time.


Accreditations and Awards

Nebraska Medicine is ranked among the nation’s best. Each year, U.S. News and World Report surveys the nation’s roughly 5,000 hospitals to come up with the year’s list of Best Hospitals. Just 3 percent of the hospitals analyzed for Best Hospitals earn national ranking in even one specialty. Nebraska Medicine has been recognized as the top-rated hospital in Nebraska for five consecutive years. We've also been ranked as a high-performing hospital in gynecology the 2012, 2014 and 2016 U.S. News & World Report Best Hospitals ranking.

Nebraska Medicine is honored to be named to the 2017 edition of “100 hospitals and health systems with great women’s health programs” by Becker’s Hospital Review. The hospitals included on the list support award-winning programs in women’s health, breast cancer diagnosis and treatment, gynecology and women’s heart care. Nebraska Medicine is the only health care system in Nebraska to be included on the list.

U.S. News & World Report Gynecology

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