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Is this a miscarriage? *graphic* (updated w picture)

Is this a miscarriage? I was feeling pain in my tummy and then I thought it was just cramps and then I coughed and I felt something come out...is this a miscarriage? Please let me know ASAP! Im depressed and anxious. 

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    Hi sorry to see/hear this. Unfortunately to me it looks like a miscarriage but I’m no expert. How far along. 
    Try to get to your epu if you can. Fingers crossed for you. X
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