R.C.
No need to go to the ER unless your bleeding is causing you to soak (end to end of the pad) more than 1 pad per hour, or 1 pad and hour for 6 hours or more. If your pain is severe, by all means seek medical attention. If it is mild to moderate, you may take up to 800mg ibuprofen every 8 hours for a couple days. The ER is generally not helpful for miscarriage. Please call your Dr. for appointment Monday. It is possible to bleed very heavily and still have a viable pregnancy. Only lab work and ultrasound can differentiate a miscarriage from a viable pregnancy next week. I'm so very sorry for your discomfort and sadness. Please call a trusted family member or friend or lean on your husband during this difficult time. Nurse Midwife Mom