The diagnosis usually based on clinical history& examination , and by ultrasound ( usually transvaginal one ) , which is used to differentiate miscarriage from other type of early pregnancy complication as ectopic pregnancy or molar pregnancy , also to know the type of miscarriage .There's no specific treatment and the essential task is to establish that the miscarriage is threatened and is not becoming inevitable .- Clinical surveillance including weekly ultrasound examination , and an evaluation of serum measurements of the beta subunit of hCG , progesterone and pregnancy associated placental protein A( PAPP-A) .