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Possible miscarriage after misdiagnosis and internal
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#1 GenWhy

Posted 18 October 2012 - 06:42 AM

This is probably going to be long please bear with me. I'm distraught at the moment so please no nasty comments.

I had a miscarriage Sep 1 possibly due to high blood sugar and low lying baby. I fell pregnant again straight away and was sent for a dating ultrasound 2 days ago. As soon as the sonographer looked at the screen she kept repeating things like oh no, this is bad, baby is in the wrong spot, this baby will need to be terminated etc. my DH and I were extremely upset and asked what was wrong. Firstly she told us I had a cervical pregnancy and that I needed to get a Dr referral for a termination as the baby would die when it grew as the sac would burst. Then when I went out of the room she told DH again it was a bad pregnancy. She repeatedly questioned me about my birthing history and asked how many abortions I had had. I told her none and she just kept asking. She didn't measure baby and turned the screen off so we couldn't see anything. We opted to wait for the report to take to our GP as we had seen a heart beat and couldn't believe it were true. The report showed baby was 6 weeks, heart beat 110bpm but a bold line at bottom stated although the baby was alive it wasn't a viable pregnancy as it had implanted in my caesarean scar and was an ectopic scar pregnancy. We questioned the sonographer as this was different to what she had originally said. She told us if I started bleeding I had to call an ambulance as I would rupture and bleed to death. This was early on in the morning and we were understandably distraught.

I tried to get into my GP but he had no appt so reception arranged for me to go in after 8pm. My Dr explained I'd need to terminate and sent through a referral to the maternity hospital. We arrived at the hospital at 10am as directed. A very long night of feeling overwhelmed and beside myself. Hugely panicked. The hospital were very nice but explained the procedure etc. before I was going in to surgery they said they needed to do an internal exam. I would usually say no as I'm worried about risk of bleeding etc. but since the baby was being terminated I agreed. The internal really hurt and I told the Dr it was painful. She had to use cotton buds to wipe all the mucous plug away to check my cervix etc. very painful. Then the consultant came in to do an internal to check the position ready for surgery.

Consultant was getting very funny and it looked like something was up. She called in the head sonographer and they kept checking and discussing things. After 25 mins with internal ultrasound in, she informs us the sonographer has messed up. No problems with the baby at all and not even near my scar. Of course we were extremely happy and were sent home where we told our immediate family. We were just so excited. Last night I started to bleed very heavily. Lots of bright red blood and clots. I've soaked 2 pads overnight but no cramps just lower back pain. Ive woken up this morning with a huge clot passing but couldn't check if it looked like the sac. I'm devastated and think I'm miscarrying. I think the internal may have caused it all because the sonographer misdiagnosed.

I am going in to the hospital today - unfortunately I have to sort my kids out first as DH has flown back to work as he thought all was ok now. I'm just so angey at the sonographer - I know it's not the hospital's fault since they were doing what they could with the info they had.

What can I do here? Should I make a complaint to the ultrasound place or somewhere else? It's so unfair and I'm angry she had us stressed out. Thanks for any advice.

#2 HollyOllyOxenfree

Posted 18 October 2012 - 06:59 AM

I'm so sorry OP sad.gif

I don't have any experience with this sort of situation, but I would definitely be complaining to the manager of the ultrasound place. If it were me I'd also be questioning why there wasn't a second ultrasound done at the hospital before an internal to be sure the original was correct, but as I said I haven't been in this position so I'm not sure what standard procedure would be.

Are you able to get records from the hospital confirming what they told you regarding no issues with the scar?

#3 Eirinn

Posted 18 October 2012 - 07:15 AM

I am so sorry you are going through this, OP. At the very least you should be complaining to the ultrasound place for giving you such a diagnosis with no internal ultrasound to confirm.

#4 JustBeige

Posted 18 October 2012 - 07:21 AM

I'm so sorry this has happened to you.  Yes absolutely complain to the ultrasound place. The sonographer was way out of line with all her comments.  She should have gone and gotten a doctor immediately to look at the pictures.  Hell they arent even supposed to tell you what sex your baby is.     If you do a NT scan they arent meant to say anything other that "yes we got a good shot of the area, we will let you know the results in a day or two"

Your GP is also, if not held accountable, then needs to be advised.  I guess they just read the letter, but it should be a warning to them to actually look at the pictures also.

Do you have any support people around you while your DH is away?

#5 Juju38

Posted 18 October 2012 - 07:39 AM

Oh I am so sorry this is happening to you.  You have been through so much.

I would most definitely complain to the ultrasound clinic and I would ask your doctor to complain also.  That sonographer was way out of line and should have left it to the doctor to describe what was found.

During my last pregnancy, at my growth scan, the sonograoher told me my baby was 'off the charts huge' and I would be lucky to get away with 'just a prolapse and a 3rd degree tear'.  I was utterly horrified and stressed beyond belief.  Both I and my OB complained to the clinic as it is up to doctors to diagnose and talk to their patients, not sonographers.  It took a lot of coaxing from my OB for me to attempt a vaginal birth after that, she completely depleted my confidence.

Take care of yourself.



#6 little lion

Posted 18 October 2012 - 07:47 AM

That's awful. I'm sorry you had such a terrible experience. I would definitely complain to the ultrasound place! I think it is sad the hospital didn't do another scan to double check but I guess they shouldn't expect the sonographer to have made such a grave error.

#7 adl

Posted 18 October 2012 - 07:50 AM

I am really very sorry that you are going through this,  I agree with PP but perhaps try and get to speak to the Head OB at the hospital,  ring and speak to the management that you need to see someone urgently after a treatment last night , explain what has happened.  

So at least you can find out what is happening now,

There will be an OB specialist on call at there hopefully and they can see you straight away and hopefully explain what is /or has happened.

#8 little lion

Posted 18 October 2012 - 08:12 AM

QUOTE (adl @ 18/10/2012, 07:50 AM) <{POST_SNAPBACK}>
I am really very sorry that you are going through this,  I agree with PP but perhaps try and get to speak to the Head OB at the hospital,  ring and speak to the management that you need to see someone urgently after a treatment last night , explain what has happened.  

So at least you can find out what is happening now,

There will be an OB specialist on call at there hopefully and they can see you straight away and hopefully explain what is /or has happened.


Yes I think this is a good first step. Look after yourself at this difficult time.

#9 esme weatherwax

Posted 18 October 2012 - 08:22 AM

I agree with pp that you should speak to ob to get a clear explanation on what has happened. I think you should absolutely complain about the sonographer - it is my understanding that they are not supposed to give any sort of diagnosis, just report the facts and give these to the doctors. I believe her comments and questions about abortion are highly inappropriate and unprofessional.

I am so sorry for your loss and the horrible situation that you have gone through.

#10 agnodice

Posted 18 October 2012 - 08:23 AM

QUOTE (JustBeige @ 18/10/2012, 08:21 AM) <{POST_SNAPBACK}>
Your GP is also, if not held accountable, then needs to be advised.  I guess they just read the letter, but it should be a warning to them to actually look at the pictures also.


So sorry about all this!

Unfortunately an ultrasound is different to X rays and CT scans etc. It's a real time test; the GP wouldn't have known what he or she was looking at if they ha looked at the pictures, so the technicians report is all they can go by. If a doctor is to interpret the ultrasound images, they have to be there while the ultrasound is done.

For what it's worth, if you are miscarrying, it is highly unlikely the internal caused it. And internal ultrasound is no riskier than sex.

What an internal CAN cause is bleeding from te cervix, and I hope this is all it is. This can be quite normal, and is in no way problematic for the continuation of the pregnancy.

This doesn't excuse the ultrasonographers behaviour. Of course people make mistakes, but it sounds like she was quite unprofessional as well in her communication with you. This is complaint-worthy.

#11 password1234

Posted 18 October 2012 - 08:47 AM

Just to repeat the above - internal ultrasounds and even pap smear are safe in pregnancy and DO NOT cause miscarriage. However they can cause bleeding from the cervix.
Ultrasound is a real time and slightly user dependant investigation and so occasionally 2 different people will give 2 different results as such they are usually very conservative.

I am really sorry you are going thru this.

#12 Lolpigs

Posted 18 October 2012 - 09:06 AM

Sounds like from the OP it was an internal exam not an internal ultrasound.

So sorry you are going through this OP. Please go to the hospital even if you have to take your children, you should have support and care during this time and definatley complain about the sonographer and to your GP for not looking at the scans before sending you off.



#13 my serenity

Posted 18 October 2012 - 09:17 AM

I hope you are at hospital and being looked after. I'm so sorry you are going through this. Make sure you make a complaint

#14 GenWhy

Posted 18 October 2012 - 09:54 AM

I'm at the hospital 3 kids in tow because I couldn't get a babysitter. Stressed out hugely and have been waiting 2 hours so far. I had an internal where a speculum was inserted which I think was too big as it hurt so much going in and then the mucous in front of my cervix was scraped away. I really think that could have contributed to the bleeding. I'm still soaking through pads and passing big clots so I'm fairly certain it's a miscarriage. Just getting angrier at how terrible the sonigrapher was and the fact I've been stressed out for 2 days a d nights.

#15 Mrs.Owl

Posted 18 October 2012 - 10:01 AM

Op this is absolutely devasting and must be very emotionally exhausting. I can't offer words of advice as Ive never been in this posititon, but I am definatley thinking of you and your family.



#16 brangisnotaword

Posted 18 October 2012 - 10:06 AM

Sorry, GW.

#17 HotPotato

Posted 18 October 2012 - 10:06 AM

OP, do what you need to do today. I'm sorry you are having to go thru this, it does sound awful.

As soon as you are able - you need to make the following complaints:
1) to the CEO of the hospital
2) Health Care Complaints Commission (most important one)
3) the ultrasound practice
4) AMA
5) your GP. I personally wouldn't think they have done anything wrong but they might be able to support and advise you, also in regards to your recovery from this horrible episode.

Good luck.


#18 suline

Posted 18 October 2012 - 10:13 AM

I hope the bleeding is just damage from all the scraping done yesterday and it settles down. I hope its not a miscarriage. I will be thinking of you today x

#19 soontobegran

Posted 18 October 2012 - 10:21 AM

I was hoping there had been a mistake Gen Why and I would be absolutely furious that the sonographer and a GP attempted to diagnose a problem that should be left to a consultant and in fact even mentioned the possibility of such a rare complication to you.
Having said that a viable pregnancy should not be harmed by an internal so if sadly you are miscarrying it may well have been inevitable anyway.
Fingers crossed that the bleeding is from your cervix sad.gif

When you feel better and things are sorted then I would definitely be taking the matter further in any way you feel appropriate. It is such a terrible thing they have done.
Lots of luck

#20 wallofdodo

Posted 18 October 2012 - 10:26 AM

I am sorry this is happening, just awful for you.

I hope it all ends up well.

#21 podg

Posted 18 October 2012 - 10:31 AM

I believe neither stress nor the internal would have affected your risk of miscarriage. That said, the call made by the sonographer was incorrect and should be fed back.

I'm sorry for your awful experience.

#22 Alacritous~Andy

Posted 18 October 2012 - 10:49 AM

No advice, just my thoughts and sympathies.  I am so sorry you have been put through this.  How awful. sad.gif


#23 *mmmmmm*

Posted 18 October 2012 - 11:11 AM

.

Edited by *mmmmmm*, 27 August 2013 - 04:19 PM.


#24 Violet Devine

Posted 18 October 2012 - 11:17 AM

Wishing you all the best for you and your family. Hope you receive good news today.

#25 ~Jot~

Posted 18 October 2012 - 11:20 AM

QUOTE (JustBeige @ 18/10/2012, 05:21 AM) <{POST_SNAPBACK}>
I'm so sorry this has happened to you.  Yes absolutely complain to the ultrasound place. The sonographer was way out of line with all her comments.  She should have gone and gotten a doctor immediately to look at the pictures.  Hell they arent even supposed to tell you what sex your baby is.     If you do a NT scan they arent meant to say anything other that "yes we got a good shot of the area, we will let you know the results in a day or two"

Your GP is also, if not held accountable, then needs to be advised.  I guess they just read the letter, but it should be a warning to them to actually look at the pictures also.

Do you have any support people around you while your DH is away?

Couldn't say it better.

As soon as I saw the title I thought, oh please don't let this be GenWhy. I'm so sorry you're going through this. Just for the record, when I was 12 weeks with DD2 I started bleeding from my cervix. It was heavy with big clots, and continued like that for weeks.

Thinking of you. sad.gif

Edited by ~Jot~, 18 October 2012 - 11:20 AM.





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