Here's what to consider for your househelp who experienced a miscarriage with heavy blood loss and ongoing fatigue:

1. Immediate Medical Attention

   • It is crucial she is urgently evaluated by a doctor to assess the severity of blood loss and her overall health status.

2. Assessment and Stabilization

   • A thorough physical examination and monitoring of vital signs are needed. Blood tests, especially to check hemoglobin levels, will help determine if she has anemia.

3. Treatment Options

   • If anemia is present, iron supplementation is important. Commonly used iron supplements available in India include brands like Feronia and Spancid.
   • Fluid replacement may be necessary if she is dehydrated. In cases of severe blood loss, a blood transfusion might be required.

4. Symptom Management and Support

   • Address her fatigue and weakness with proper nutrition, adequate rest, and ongoing medical follow-up.

5. Follow-up and Counseling

   • Regular follow-up visits are essential to monitor her recovery. Emotional support or counseling may also be beneficial during this time.

6. When to Seek Emergency Care

   • Immediate hospital care is needed if she experiences ongoing heavy bleeding, dizziness, chest pain, or shortness of breath.

7. Relevant Medical Specialties

   • She should consult a gynecologist for reproductive health management and possibly a general physician or hematologist for anemia and overall care.

Please encourage her to see a doctor promptly to ensure safe and effective treatment.