Brief Answer:
clinical symptoms followed by expulsion of contents

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Well there are different types, and so I shall provide you with a cumulative general process.

A miscarriage can result from different causes, but the most common one is a hormonal inadequacy; various hormones and enzymes are required in order to support pregnancy, and when they are lacking the first thing observed are symptoms like vaginal bleeding or even spotting (symptoms can also depend on the stage of pregnancy), abdominal cramps, etc.

Once symptoms are seen, the next thing that takes place is the expulsion of the contents of conception (whose presentation again depends on the age of the pregnancy). In early stages, all you will observe is bleeding, but in later stages parts of conception can also be seen.

Once the contents of conception are expelled the symptoms can last for a while longer, especially bleeding but will gradually subside. A miscarriage is considered complete once the contents are conception are expelled.

I hope I have explained things in a manner best understood by you, if I have not explained anything in particular or if you wish for me to address anything else, please write to me and I shall gladly do so.

Best wishes.

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