After a miscarriage, the uterus and cervix are temporarily more vulnerable to infection (uterine infection, also called endometritis). While most people recover without complications, infection can occur if tissue remains or bacteria enter the uterus.

Common Signs of Infection

• Fever above 38°C

• Chills or flu-like symptoms

• Persistent or worsening abdominal pain

• Foul-smelling vaginal discharge

• Heavy or irregular bleeding after it had slowed

If you experience any of these, seek medical care promptly.

When Infection Happens

Infections most often develop within the first two days after a miscarriage, especially if tissue remains or bacteria enter the uterus during or after management.

• Incomplete miscarriage (retained tissue)

• Misoprostol or natural management if tissue doesn’t pass completely

• D&C (rarely, from bacteria entering during the procedure)

How It’s Treated

• Broad-spectrum antibiotics are commonly prescribed.

• If tissue remains, a D&C may be needed to clear the uterus.

• Most mild infections resolve within 7-10 days of antibiotic treatment.

Preventing Infection

Untreated infection can progress to pelvic infection or sepsis, though rare.

• Avoid intercourse, tampons, or swimming until bleeding has stopped.

• Follow your provider’s aftercare instructions carefully.

• Go to follow-up appointments to confirm complete recovery.

• Avoid douching, which is a known risk factor for causing infections.

Emotional Side

Fear of infection can add to the distress of miscarriage. Many describe hyper-vigilance about every twinge:

“I couldn’t tell if I was still healing or if something was wrong.”
Remember — it’s okay to call your provider even if you’re unsure.

Post-miscarriage anxiety or fear of complications is normal, and mental health support may help. (e.g., counselling, miscarriage support groups).

Key Takeaways

• Infection after miscarriage is uncommon but serious.

• Watch for fever, worsening pain, or foul-smelling discharge.

• Early treatment with antibiotics is highly effective.

• Trust your instincts — if something feels off, get checked. Prompt medical review and ultrasound can confirm if the uterus has cleared and prevent infection.
  
  

✨ Sibyl helps you understand what’s normal, when to seek care, and how to calm the fear of “what if something’s wrong.” Sign up to test an early version of the app here: https://www.sibyl.care/signup

Sourceshttps://www.nhs.uk/conditions/miscarriage/what-happens/https://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes/syc-20354298