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It depends on how far along you are...normally you pass the fetus on your own...like having a really heavy period. Some woman who know they have lost their pregnancy go for a DC (surgical procedure), which is where the doctor goes in and removes the fetus and tissue from the lost pregnancy - you are usually asleep when they do this and it is normally done in the OR. It's a really sad thing for a women to go through 
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Miscarriage
 
Miscarriage
When you have a miscarriage what do the doctors do? I mean do t hey take the baby out or what?