3rd missed miscarriage, would you complain about procedures not followed?(3 Posts)
Thanks for taking the time to read this, it might sound muddled but please let me know what you would do.
I had a healthy daughter then 2 mmc at 11 and 8 weeks then a healthy boy and am currently in the middle of mc 3. With my healthy pregnancies I get hyperemesis gravidarum, so when the symptoms didn't arrive and I started spotting at 6 weeks I knew something was wrong. I went to A+E last Monday at 8+1 and the triage nurse took details of my history and what was happening, she put a cannula in my arm and took bloods leaving the cannula there "just incase". I was called to the Dr who had not read my notes so I had to go over it all again. She felt my tummy, said she was sure everything was fine but I was to take my care more seriously (because my midwife is on holiday so I hadn't seen her yet, appointment on the 24th) Someone came in and said to the Dr, the pregnancy test you requested was positive. Then she told me I could go home or wait for hcg results. I chose to wait, they came back at 20886 consistent with 6 to 8 weeks. I was discharged with no follow up bloods no scan and no refferal to EPU, still with the cannula in my arm. I was to shocked I'd forgotten and had to go back to have it removed. I called EPU yesterday and they were shocked I had been offered no follow up and they got me in for a scan this morning at 11. Not good news. They saw sac and yolk but no foetus at 9+3 they're sure it's not viable but have to go through the motions. bleeding has stepped up a gear so I'm being rescanned next Wednesday. I was left feeling crazy for over a week and I'm thinking of contacting PALS because A+E didn't follow procedure. What would you do? And would it be worth it? thanks in advance.
I'm v sorry you are facing another miscarriage. Please come and join the recurrent miscarriage threads for some support in dealing with it. I would push to get some testing now although you might find that your successful pregnancy 'resets the count' wrt 3-in-a-row to qualify for testing.
I would complain about the cannula being left in place after discharge. I'm less sure about no follow up being advised - you had HCG bloods consistent with a healthy pregnancy at around your dates, it's not really A&E's responsibility to then follow it up. They could have communicated better that you needed to go to GP for follow up bloods or be referred or self-refer to EPU if you continued to have concerns but A&E is not set up to deal with miscarriage unless it actually is an emergency e.g. worryingly heavy bleeding or suspected ectopic out of hours.
Thanks for replying bakingtins I asked at the EPU and they said the A+E have a policy set out by EPU and they were supposed to refer me to them as you can't self refer. I didn't go to my GP because when I had concerns about my first mmc my Dr told me to "do a pregnancy test and use contraception so you don't have these worries" I suppose I just needed to vent. Thanks for pointing me towards the other thread, I may join you later, sorry you're there too
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