During a miscarriage, some women pass blood clots or grayish matter (fetal tissue) from the vagina.
If symptoms of a miscarriage occur without any fetal tissue passing from the vagina, an ultrasound may be done to determine whether the fetus is still alive.
If testing shows that the fetus has died but tissue has not passed from the vagina treatment may be needed to remove the fetal tissue from the uterus. This depends on how far along the pregnancy has developed.
WebMD Medical Reference from Healthwise