is this miscarriage? if yes what to do next ?

went to o&g yest for light bleeding, was prescribed duphaston but after gg home the bleeding gets heavier. today bleeding still continues but with clots and suddenly got this super big clot came out. what to do next ? #pleasehelp #advicepls

is this miscarriage? if yes what to do next ?
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only can go o&g again to scan to confirm.