GP Appointment After a Pregnancy Loss

Expert insights from Dr Samantha Goss, Women’s Health GP

GP Appointment After a Pregnancy Loss

Making your appointment work for you

Seeing your GP after a pregnancy loss can feel like a big step, especially if you’re not sure what to expect. This short guide is based on what general practitioners say can help you get the most from your visit.

Booking the appointment

If you haven’t already seen your GP, this is a good place to start. They can check in on how you’re going physically and emotionally, talk through any next steps, and help you work out what kind of support you might need.

You don’t need to explain everything when you call, but saying, “I’ve had a pregnancy loss and need to speak to the GP” is enough. That helps the clinic give you more time and make sure you’re booked in with someone who can support you properly. If your GP already knows what’s been happening, you might not need to say much at the start of the appointment. If they don’t, it’s okay to begin with, “I’ve had a pregnancy loss and I’m not sure what happens next.”

What the GP might ask

Your GP will likely ask:

  • When your symptoms or bleeding started
  • How much bleeding you’ve had (for example, how many pads you’ve changed)
  • What kind of pain you’re feeling, where it is, and whether it’s crampy or constant
  • If you’ve felt dizzy or faint
  • Whether you’ve had any scans so far
  • Whether you’ve already seen anyone about this (like a hospital or another clinic)

 

If they see you in person, they may check your blood pressure and gently feel your abdomen to check for tenderness.

What your GP is looking for

The first step is checking for anything that needs urgent care, such as heavy bleeding or signs of an ectopic pregnancy. If there is any concern, they’ll refer you to emergency care.

If a pregnancy loss has already happened or is in progress, your GP may talk through your options:

  • Expectant care: letting your body pass the pregnancy in its own time
  • Medical care: using medication to help your body pass the pregnancy
  • Surgical care: having a minor operation to help your body complete the pregnancy loss

They may also talk with you about what to expect in the days and weeks ahead and ask if you’d like any support. Some GPs also offer referrals for mental health care if that feels like something you’d find helpful.

If you're still uncertain

In some cases, a pregnancy loss isn’t confirmed at the first appointment. If your bleeding has just started, your GP may recommend:

  • A scan (which may take time to access)
  • Blood tests to check hormone levels (hCG), repeated over 48 hours

 

Waiting for answers can be hard. Your GP can talk you through what to expect during this time.

Questions you can ask

Everyone’s questions are different. These are just examples. Your GP can help you work through whatever you need to know.

Appointments like this can feel overwhelming, especially when you’re dealing with both physical and emotional stress. Writing your questions down beforehand can help, so you don’t walk away without the answers that matter to you.

  • What are my chances of another pregnancy loss?
  • Do I need any more tests or follow-up care?
  • How long will the bleeding last?
  • Will I need time off work or other supports?
  • When can I try for another pregnancy?

 

Your GP is there to support you through this loss and help you make sense of what comes next, at your pace.

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Need Immediate Help?

If you or someone you know is struggling during the postnatal period, it’s crucial to remember that immediate help is available. Here are steps and resources you can turn to:

In Urgent Situations:

  • Hospital Emergency: Visit your nearest hospital emergency department.
  • Ambulance: Dial triple zero (000) for immediate medical assistance.

Support Services:

  • Beyond Blue: Offers guidance for depression and anxiety. Call 1300 224 636.
  • Lifeline: Provides critical support and suicide prevention. Contact 131 114.
  • Women’s Domestic Crisis Service: For domestic violence support, call 1800 015 188.
  • WIRE (Women’s Information and Referral Exchange): For information and support, dial 1300 134 130.
  • PANDA (Perinatal Anxiety & Depression Australia): For perinatal anxiety and depression support, call 1300 726 306.
  • Parent Line: For parent support, reach out to 132 289.
  • Sands: Offers support for miscarriage, stillbirth, and newborn death issues. Contact 1300 072 637.

Remember, you are not alone, and reaching out for help is a step toward healing. Your well-being is important, and support is just a phone call away.