J.C. asks from Swampscott, MA on November 06, 2009
Misoprostol Vs. D&C
I just found out yesterday at my 8 week ultrasound that our baby had not progressed past 6 weeks and had no heartbeat - extremely sad and disappointing as I had finally seen the heartbeat 2 weeks earlier. The doctor gave us the options of: wait a week for nature to take its course, use Misoprostol to start the miscarriage or schedule a D&C. I'm really hoping this happens naturally, but I was wondering if anyone can offer their experiences with the drug or the D&C. I'm 40 and have a beautiful 2 1/2 yo boy and we would really love to add another baby to our family. I've read horror stories about both the drug and D&C experiences. My heart goes out to anyone who has experienced this loss, and I thank you for offering your thoughts.
2 moms found this helpful
L.S. answers from Boston on November 07, 2009
I am so sorry. A couple of years ago I had a very similar experience. I began spotting at about 6 weeks and it took until 9 weeks for the doctors to come to the conclusion that I was miscarrying. They gave me the 3 options, wait it out, D&C or misoprostol. They told me that it could still take several weeks for my body to complete my miscarriage and having already spent 3 weeks knowing that my pregnancy wasn't right, I realized that I couldn't live in the limbo any longer. I chose misoprostol. I waited a couple of days until I could take a whole day to myself. My husband helped me insert the tablets and then I camped out on the couch and gave myself permission to mourn and let things go. I had some cramping, not bad, and the bleeding started about 6 hours into it. You may think that this is gross, but when I passed the sac, I was able to save it and planted it under a lilac in my yard. Now every spring my lilac will bloom and I will remember that pregnancy without pain. My son was conceived 6 months after my miscarriage and just turned 6 months old. I am very glad that I chose the route that I did, but I know that it isn't for everyone. I wish you the best and hope that whatever you chose it is right for you. Again I am so sorry for your loss.
C.C. answers from Boston on November 08, 2009
First, I'm sorrry for your loss. I had a blighted ovum with my first pregnancy. The embryo stopped developing at 5 weeks, but we discovered it when I was supposed to be 9 weeks. I opted for a D&E rathern than waiting (since obviously nothing had happened in 4 weeks), and, to me, the thought of taking the medication and bleeding out at home was horrifying. I prefered to have a procdure done and not have to visually and physically deal with the loss. My D&E went really well.
Good luck with your decision. It's not an easy one, and I'm sorry that you have to make it.
R.B. answers from Boston on November 08, 2009
Seems you got a lot of good advise, and like the others, I am so sorry for your loss. My experience was that my placenta didn't release after having a natural birth and had to go in for a D&C. I don't remember any of it and was no in any pain afterwards. I would think that having a D&C would be the approach I would take, if in your situation. I think the emotional process of knowing you were going to, in essence, "birth" a baby with no heartbeat would be extremely hard. A D&C is fast and easy, and coming from someone who did natural birth I hope you can tell I'm not a "fast & easy" kind of person, but this would be something I would want to get past physically so that both the physical and emotional healing could begin and so could looking towards the future and the hope for another chance. Don't be hard on yourself and let others love and help you.
D.T. answers from Boston on November 10, 2009
I am very sorry to hear about your loss. I was in a similar situation 3 years ago (first pregnancy though) and once we had a follow up ultrasound to make sure the fetus wasn't viable I wanted to be able to move on as quickly as I could. I had a D&C and it went well. I got pregnant the next cycle I could try (I think it was 2.5 months after the D&C. That time I started to miscarry on my own. Had a D&C (didn't have a choice this time) but since there was a lot of clotting I needed a second D&C because they didn't get everything the first time. One of those two times I did have a lot of cramping after the procedure, but a little pain killer and a heating pad worked.
If you do have a D&C you can have tests done to see if a chromosomal abnormality was the cause (most likely). I had another miscarriage (very early, more of a chemical pregnancy) so we ended up going through IVF and have a gorgeous 19 month old daughter and just went through another cycle so we are hoping for number 2.
It is a loss, so mourn it however you feel appropriate. I didn't do much but cry, but I know some people do little memorials.
M.L. answers from Hartford on November 07, 2009
I am so sorry! I had a miscarrage 4 years ago. I still think about it! I did it naturally! Make sure someone is around the next couple of weeks. You do not want your little one there with you and you will want some emotional support. I was crushed. It is hard! If you want to talk, I will listen. Support is key. Hold on to your little one!
J.E. answers from Pittsfield on November 07, 2009
I ended up having some bleeding during my 11th week of my first pregnancy. I also had an ultrasound only to find that there was no heartbeat. I was completely devistated. They sent me home and told me to try to rest but there was nothing that they could really do. Within the next day or two the bleeding and cramping came. I was never offered the Misoprostol but I was told that I had to return to the dr's office for the next few days to test the hormone levels. If they were down then I would not have to have the D&C. I ended up "miscarrying" by myself and never had to do the D&C. I wish I could give you some advice on these proceedures but all I have is a similar story and lots of sympathy! About two months later I found out I was pregnant again and had a great pregnancy. I now have a healthy, beautiful 5 yr old daughter. I wish I could give you more answers. My thoughts are with you and your family.
S.G. answers from Boston on November 07, 2009
I'm so sorry for your loss!
I had a similar experience and I had a d&c. Emotionally, once I knew my baby had died, I wanted it over. I also thought my body might recover sooner if I took care of it right away.
I know this isn't easy, good luck to you.
M.W. answers from Boston on November 07, 2009
natural is the way to go, however you need to watch for signs that you may need to have a D&C. Excesive bleeding being one. Talk to your doctor about what to watch for.
Be hopeful!!! Ihad 1 miscarriage, then had our 1st. Then 4 miscarriges and then our 2nd. If you can carry a child once you can do it again (as my Dr keep telling me). I did go to center for reproductive care to get checked out and to help when I did get pregnant.
It will all be fine! Things like this happen for a reason