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Not always but best to get an ultra sound to make sure nothing was left behind, as this can cause calcification of cells and may prevent you from being able to get pregnant again. Many miscarriages are quite normal, usually between first and second child. The body's way of practicing, or sometimes something wrong with the fetus. Sometimes it is just an empty sac, which of course your body will get rid of, even though your hormones will show you are pregnant. Good luck and good health
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