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Not sure what to do
re D&C vs Natural


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#1 undermyfeet

Posted 22 April 2012 - 05:25 PM

Hi,

Just after opinions really.
Last week I had a scan, by my LMP I should have been 11weeks, but I had an earlier scan and the U/s person said I was two weeks behind so I think I should be about 9 weeks. I have a sac but it is empty, no fetal pole etc.
I started to spot on Thurs then today it is bright red but not really that heavy and a few tiny clots, I don't really have any cramping either.
I told the Dr last week that I would just wait and let it happen naturally (I did this last Oct when I M/C), she said that I could change my mind at anytime and have a D&C. Then I went into the hospital for an Anti-D injection and the Dr said the same thing, probably best to try and let it happen naturally but I can always change my mind.
So my question is this, now that I have started (and I know that it is different for everyone) could I just bleed like this for a week or will I pass clots soonish. Or should I see the Dr and book in for a D&C (which I assume will take a few days for them to fit me in and I can't really do it until Thurs anyway due to logistics), and then if I pass clots cancel it or will they do it just to make sure that all the product is out.
I probably just need to make an appointment with the Dr but thought I would ask here so I have something to think about.

Thanks, I know it is a bit rambly, hope someone can make sense of what I am trying to ask.

#2 Wishing2011

Posted 23 April 2012 - 10:13 AM

Hi OP not sure if I can help but when I had my MC it started just with brown blood. But I had an ultrasound and bub was still alive with its little heart beating away in there.. hheart.gif But then I started to get this black/dark brown stretchy stuff over the weekend (no actual bleeding though) then a few days later it turned into red stretchy stuff.. then I started bleeding. There was never any cramps during this time.. After a few days of light bleeding I started cramping and then a few days after that I passed the baby. I was only 7.5 weeks along so not sure if this makes much of a difference.

After I passed the baby (I passed two big clots like the size of my thumb and wider) I still bled for another 5 - 6 days. I was sent for a follow up ultrasound to make sure everything was gone and I was also told that if I bled for more than a 1 week after passing it to book in for a D&C.

Thinking of you right now, I know its hard and it isn't fair. Just know that you are not alone there are so many of us that have been through it too and we are all here if you need to talk.

Edited by Wishing2011, 23 April 2012 - 10:15 AM.


#3 Mishu

Posted 23 April 2012 - 10:32 AM

My first pregnancy resulted in a miscarriage at 11 weeks, spotting from 9 weeks. I had very similar situation to you. In my experience, I spotted continuously for 2 weeks, gradually getting heavier. The doctor told me to expect a normal period, maybe a little heavier. (TMI warning) it ended up being much more than just a normal period. I started getting a back ache, then cramps, then I lost the placenta (during this time the placenta had kept on growing). Very heavy bleeding (soaking a pad in 30-60 mins), losing large clots (the placenta - I passed a few clots, they were about the size of half my palm) and bad cramps & it was quite painful (I didn't have any panadol at home unfortunately). I was home alone at the time, and when I called the hospital they told me to come to Emergency, except I couldn't drive. The cramps had me pacing (don't know why) but once I lay down and tried to get some sleep, I'd say the bleeding eased after a few hours. Then light bleeding for a few days after.  I was totally unprepared for this and it was much worse than the doctor led me to expect. Had I known, I think I would have opted for a D&C. Though, it a weird way, it did give me some closure - the pain sorted of helped 'end' things in my mind.

Not saying that everyone's experience will be like this, and I know it is a bit TMI, but I was totally unprepared and I would hate for someone else to go through this like I did.

#4 chocolatecrackle

Posted 23 April 2012 - 12:14 PM

I had a D&C when I would have been 12 weeks. I had the lightest of brown spotting and then about 30 mins of moderate cramping.  I really didn't think it was anything, but decided to call anyway. I had a scan the next morning and there was no heartbeat, after a seeing a lovely heart pumping away just three weeks before.  According to the measurements, it had stopped growing at 9.5 weeks and I had had no sign of a miscarriage until 11.5 weeks.

My OB couldn't get me in for a D&C until four days after the spotting. I didn't have any more spotting or cramping after the first episode, and so I think that it wasn't going to happen naturally for me any time soon. My OB said that I was almost at the limit of when she would recommend letting things happen naturally - the further along you are, it seems the more difficult the process is.

Honestly, the D&C was fine, physically - I could have gone back to work that day. Emotionally, I was a wreck, but I think I would have been the same after a natural miscarriage. If I am unfortunate enough to have another miscarriage, I wouldn't hesitate in having a D&C.

I am so sorry you are going through this.

#5 ubermum

Posted 23 April 2012 - 12:27 PM

Make sure you know the pros and cons of both. Both ways are pretty safe, but both are unpleasant and sad. I've been there. Nobody can decide for you. If you do decide to go for a d+c, know that it is mostly safe, but like any procedure there is anaesthetic risks. There is also a very small risk of something called Asherman's syndrome. It is rare, but it happened to a girlfriend of mine and she had no idea it was a possible (but extremely rare) consequence of d+c sometimes.

Good luck op. Look after your mental health. Also, just know sometimes the full impact of this event may not be felt by you for a while. I thought I was fine afterwards, however many months later a bad case of depression hit.

#6 undermyfeet

Posted 28 April 2012 - 08:17 AM

Thankyou ladies for your replies, sorry it has taken me so long to get back.
I decided to just let things go and so how they went, I think that it is almost over now. It ended up being not too bad and just a heavy long period.
I think mentally that this one was easier to deal with becuase even though each time it is different I still had an idea what to expect.

Thanks.

#7 sparkl

Posted 30 April 2012 - 03:56 PM

Feeling for you, as I now believe that m/c is generally an awful thing to go through - it certainly was for me. It sounds like you made a decision which worked out for the best and as you said 'wasn't too bad', so (In light of a generally awful situation) I am glad for that.

I just wanted to add my experience from about 6 mths ago mainly for anyone who may be trawling for information, and may not even be a member, as I found that even just reading information on this forum (amongst others) was extremely useful to me when I was in the middle of a m/c. I looked up medical type sites too, but none that i found actually gave a description of what it was like to experience it.

I had a somewhat similar situation in that a scan at 8 weeks appeared to be 6 weeks from measurements, and had very feeble, barely perceptible heartbeat. I was not given sense at all of this being cause for alarm, or the possibility of the baby not being viable by either the U/s operator or my doctor. This was my first (unexpected) pregnancy and I had very little knowledge of what was normal, what to expect etc.

About a week after that scan I started to have spotting (various friends told me this was quite normal) which within 24hrs became cramping, which suddenly became quite severe, and (I am quite sure) I then passed the feotus (a small sac looking thing, maybe bit bigger than 50c piece, kind of purplish in colour). I was really upset by this (unexpectedly so, as I was really still getting over the shock of being pregnant) and just wanted to be by myself, and cried etc.

I thought that was that, and even going to my GP 2 days later, came away thinking it was done. However by the end of that day I had started to cramp - extremely painfully, getting worse and worse. (I've been through some tough sporting endurance events in the past - yet here I was curled up on the floor in agony) and then the bleeding started. Not just bleeding, but gushing, and big chunks of jelly-like dark red stuff - taking up most of my palm. This happened on and off for several hours, and was just awful. Eventually subsided and I crashed into bed - I was exhausted. Luckily I was at home, unfortunately I was by myself and my partner interstate on work. Very lonely feeling, and unpleasant and painful - also quite emotional.

Next day same thing happened at about the same time of day - more painful cramps, and more extensive bleeding. Spoke with my GP who said - hospital, and so in alot of pain I drove myself there. Triage were great and put me into a bed immediately, where not long later the doctor came - A young freckle faced guy that looked not a day over 17 with earing and flouro pink sneakers! Wow. I'm not in any way ageist, but honestly, that was tough to deal with. Saying he'd check with the consultant doctor about whether or not next course of action would be D&C, and it could be either him or the consultant that did it, off he went. Some 30 minutes later I'm still waiting for him to come back, have a really strong cramp coming on, am in a terrible emotional state, and am thinking there is no way I'm letting this kid do a D&C on me, and I basically stormed out, and said see ya later I'll take my chances.

Not very mature, but I think it is not a rational state of mind at such a time. Lots more bleeding that night, but it seemed to be lessening and speaking to my GP next day, she suggested if it was settling down I could wait a few more days and have another U/s to check whether D&C was still needed - it turned out it wasn't, all was clear.

I was terribly upset - grieving I guess - for weeks. My partner couldn't quite understand it, although he was very supportive, and to be honest either could I. I didn't think I'd even bonded with this bub, and I was devastated. It took me several months to get over it, and it still brings a pretty big lump to my throat and the threat of tears when I think about it.

There were very few people who knew I was pregnant, and the few friends I told about it were generally very off-handed - 'oh yeah I had 3 m/c before my first baby was born' type reaction. It may be a common thing, but I think it can still be very difficult situation to go through for some people.

Anyway, I feel for anyone who is going through it, or has recently been through it, and I just wanted to put my experience down on paper as I was so grateful at the time to be able to read about others experiences going through m/c.

Wishing good health to all, and I think (for me) it was important to keep looking forward, moving forward. Takes some time to accept what has happened, and it most probably happened for a reason, and look forward to what the future holds.

Also a big thank you to everyone else who has shared their stories, it really helped me. (and I think - like others have found - it often helps with healing to write it down too)

#8 undermyfeet

Posted 30 April 2012 - 07:19 PM

****MAYBE TOO MUCH INFO FOR SOME*****

Hi Sparkl, thanks for your reply.
I now have more to add as well.
I thought it was all going well ( i only have my last time to compare with and so I do) thought it was pretty much over and done with. I had been bleeding for a week with clots and it had died off but then come back a little.
Last night 4.30pm I was getting pains and cramping, bent over a few tears whilst trying to cook dinner, had to lie down etc. I got up to go to the toilet and gush, out quite a large clot (dark red liver looking) came out, and quite a bit of bright red blood. Then I got into the shower to try and ease the back ache. After I got out of the shower blood started to pour out of me, I filled a night time pad in about  minutes so gae up on that and went for a cloth nappy. DH took me to the hospital and we waited for 1.5hr and the bleeding eased so they said that I could go home. I thought that compared to last time the clot was large enough and that would be it.
I got up this morning and went to class. At about 12.00 I felt a gush and thought ok a bit more is coming out the Dr said that might happen, went back to class (only 2 of us in it rural) I started to get cramps again. not as bad as last night so that was ok. I drove home, and told DH it was about as good as yesterday. Got into the shower and clots started to come out again. A bit of blood, then I had an urge to push. I caught a mandarine size lump of tissue in the palm of my hand. It kind of looks like a small heart with a liver attached to it and its spongy.
I am happy that it is now finally over, I feel ok emotionally but next time I am going straight for a D&C the waiting and not knowing what to expect is too much for me.
I also find that miscarriage is a bit of a taboo subject unless you are the first to say hey this is what happened to me. I also think that health professionals are reluctant to say too much or tell you what to expect.

Thanks ladies for your replies
I hope this helps someone as well.


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