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Surgical management of miscarriage (ERPC)
Category: Women's Health & Childbirth · All women's health & childbirth
What it is
Surgical management of miscarriage (sometimes still called ERPC) is a short operation using gentle suction to empty the womb when a pregnancy has miscarried but tissue remains. It is one of three options — alongside waiting naturally and medication — and the choice is yours with your team's guidance.
Why it is done
It is offered after a confirmed miscarriage when you prefer the process to be completed promptly, when bleeding is heavy, when medical management has not completed, or when tissue needs to be sent for testing.
How to prepare
You will have an ultrasound confirming the miscarriage, blood tests and a group-and-save sample. The operation is usually under general anaesthetic (sometimes local/sedation) as a day case, so fasting applies. You will be given information and time to decide.
What happens during the procedure
Under anaesthetic, the cervix is gently opened and a suction device empties the womb. It takes about 10 to 15 minutes. Tissue may be sent for examination, and in some situations genetic testing is discussed.
Afterwards — recovery & results
You go home the same day. Bleeding settles over days up to about two weeks, with cramps easing sooner. You will be advised when to take a pregnancy test afterwards to confirm completion, and given bereavement support information and follow-up arrangements. Seek help for heavy bleeding, severe pain, fever or feeling unwell.
Risks & considerations
Risks include infection, bleeding sometimes needing transfusion or repeat procedure, a small risk of womb perforation, and rarely scarring inside the womb. Your team will discuss the options — surgery is usually the quickest route to completion but the decision is personal.
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Frequently asked questions
Do I have to choose surgery?
No. Expectant (waiting) and medical (tablets) management are alternatives with their own success rates and timelines. The early pregnancy team will explain each so you can choose.
When can we try again?
Physically, once bleeding has settled and a follow-up pregnancy test is negative; emotionally, whenever you feel ready. Many teams suggest waiting for one normal period to help dating, but it is not a medical requirement for most people.
Related procedures — Women's Health & Childbirth
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