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ERPC vs conservative maagement

3 replies

napa · 29/03/2008 16:15

sorry for such a depressing subject but need some advice. had scan today, should be 10+2 but no FH seen and only measuring 8+6. Going back on monday for rescan to confirm but I have no doubt it is a mmc. I need to decide whether to have ERPC or wait and see. I am going on holiday in 2 weeks so part of me wants it sorted but I'm terrified of hospitals. Can anyone advise me of their experiences of either if its not too personal. Thanks

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ClairePO · 29/03/2008 16:22

Hi Napa sorry your scan did not go well

I decided against ERPC as I'm not good with hospitals either. I was 9 weeks when m/c confirmed after slight bleeding, the heavy bleeding didn't start for about a week after and took about 10 days. It was like a heavy period although you can't use tampons, the cramps were bad but nurofen helped.

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pinkpeony · 29/03/2008 18:40

Napa, sorry about your news. I discovered a MMC at an 8 week scan. I decided to go for an ERPC after consulting with 2 gynaes. Some women prefer to let nature take its course, and it is a personal decision in the end. I decided to go for an ERPC for several reasons. First, as I work and sometimes travel for work, I did not want to take the risk of heavy bleeding starting some time when I am either in the office or on a plane or train somewhere (also my colleagues did not know about the pg or mmc and I did not want them to know). Secondly, there is a risk that it takes a long time for your body to mc naturally, and there can be complications- or even if it does, some pregnancy tissue might remain, and you have to go and have an ERPC anyway. Also, for me - and this is just a personal feeling - I couldn't bear the thought of continuing to carry a dead fetus inside me, and having the procedure gave me closure - able to move on and start to TTC again. I went into the hospital at around 3pm, procedure was very quick (takes about 30 minutes), under general anesthesia so didn't feel a thing, and I went back home that night. Hospital did a scan to check that everything went ok. Also, because I did the ERPC, the hospital was able to test the fetus to find the reason for the MC - in my case, chromosomal (which just means random bad luck usually). I had some heavy bleeding for a few days afterwards - really heavy for 2-3 days, with cramps, and then light bleeding (like a fairly light period) for another week. So probably less bleeding and lighter than a natural MC. Same as Claire, can't use tampons for a while and no baths for about a week (only showers). But I had the ERPC on a Friday and was back at work on Monday - so neither the bleeding nor the cramps were that bad.
Good luck with your scan and with your decision.

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napa · 29/03/2008 19:52

thanks for the info. think i will probably lean towards an ERPC but drs didn't really want to discuss options until after confirmation scan on Monday. good to know its a day case as I was dreading being in hosp after

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