An ultrasound scan will show if you have had a miscarriage. Sometimes you may bleed from near the placenta (afterbirth) but you don't miscarry and it will show this too. Sometimes you bleed and lose the baby but not all the placenta comes away which can be dangerous, causing bleeding and/or infection. the ultrasound scan can show all these things.
If your OB didn't find anything then that means that you either had a miscarriage or there wasn't anything there from the start. if nothing at all was there then probably no miscarriage unless you had a chemical pregnancy. I had a miscarriage and the ultrasound showed small empty sack, but no baby. It is interesting to note that two or three weeks later i had another ultrasound because of unexplained bleeding and i very much pregnant, everything that should be there was there. A lot of times when ultrasound shows just a sac a number of things can be the cause.It could be you're not as far gone as you thot or you're overweight with fat deposits around your mid or you have a tilted uterus. This is why a lot of OBs these days ask you to come back after a couple of days just to be sure. Check the website Misdiagnosed Miscarriage on the left; stories abound.
A miscarriage means you have definitely lost the baby, there is usually lots of cramping and clots. A threatened miscarriage means just that, you are still pregnant but may miscarry in the future. Any spotting while pregnant can be called a threatened miscarriage and many women go on to have healthy babies. If you still have signs of pregnancy like swollen and sore breasts it is probably just a threatened miscarriage. Most doctors will order an ultrasound scan to tell for sure. I should think that a blood test (Quantitative HCG) would be more reliable than ultrasound. Levels are decreased in the case of miscarriage, threatened &/incomplete abortion, & if the fetus is dead.
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