I’m so sorry for all the losses endured by everyone who has posted.
I worked as a doctor in O&G for a while and so I can say what our hospital did, if that’s OK. Other hospitals in different places will do things differently, but I thought I could maybe offer some info, and perhaps some reassurance that things are done with respect and care.
If someone miscarries at home before 24 weeks of pregnancy, they can do whatever they wish.
The options:
Dispose as they would normally dispose of menstrual blood.
Take the remains to an undertaker to arrange burial or cremation.
Bring to hospital for examination only and arrange private burial or cremation themselves.
Bring to hospital to allow the hospital to arrange disposal with or without examination.
Late pregnancy losses after 24 weeks are classified as stillbirths and must have a Stillbirth Certificate issued by a doctor. Most women will deliver in a hospital. The hospital will arrange a burial or cremation in accordance with the parents’ wishes, alternatively the parents can arrange a private funeral and burial or cremation with their own undertaker.
The parents will decide whether or not they wish any kind of post mortem, and if so they can choose to limit it. They will also be asked whether they will allow any organs or tissues to be removed, and if so whether they wish these returned prior to the remains being released for burial/cremation or at a later date for separate disposal, either privately or by the hospital. The consent form for autopsy and disposal has a places for “if no foetus is identified” and “if a foetus is identified”, this allows people to decide exactly what they want done. The same form is used for ectopic pregnancies, miscarriages and terminations of pregnancy.
Often in first trimester miscarriages and D&Cs no foetus is seen, usually after 12 weeks or so foetal parts are seen at D&C and a foetus would be seen in a spontaneous miscarriage. Most women have to go through some form of labour and delivery after 12 weeks and an identifiable foetus will be delivered.
For parents who deliver an identifiable foetus (as opposed to a D&C), are offered the opportunity to see and hold the baby and to wash and dress it if they wish. The nursing staff will wash the baby, wrap it in a blanket, take hand and footprints, and if they are able to, they will cut a lock of hair. The baby is placed in a special tiny Moses’ basket and the hospital photographer will take a photo. The parents are able to have a naming ceremony or baptism if they wish.
The photo, foot and handprints and hair are placed in a special book for the parents to take home if they wish. If not, the hospital keeps the book in case they want it at some point in the future, no matter when that might be. Some people are only ready to look at photos years afterwards, but still want that option.
If the parents choose hospital disposal of the remains, the hospital arranges respectful burial, with a non-denominational service, once a month at an unmarked mass grave (at the “angels plot” of the local cemetary), where all the remains from the preceding month are interred together. Alternatively a similar mass cremation is arranged if the parents prefer this option. This is free of charge. There is an annual non-denominational service of Remembrance and Thanksgiving and all parents who have suffered such a loss are invited to attend.
I hope this is useful.