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Just had "medical management" and it failed. Feeling crap and not sure what to expect.

(14 Posts)
neolara Wed 08-Oct-08 13:31:19

I spent the day in hospital yesterday having "medical management" but it didn't work. No bleeding, no cramps, nothing. I'm now booked in for an ERPC on Monday.

I'm not not sure which I'm more freaked out about - having a general anaesthetic or having the miscarriage happen naturally at home in the next few days. Because this is my fourth miscarriage the hospital have said they would test the foetus, but that means if it happens at home I have to try to (TMI alert) collect it all up to take back into hospital. The logistics of actually how I go about doing this is pretty horrible. I've previously had a medically managed miscarriage at 12 weeks where the blood loss and clots were quite frankly pretty horrifying. This is only 9 weeks but still I'm worried about how much blood there will be and what happens if it all kicks in when I'm out and about. I have a feeling it can all happen much quicker if you have had the tablets.

It's all a bit crap really. Was coping with it all ok until the treatment didn't work.

ExtraFancy Wed 08-Oct-08 13:38:52

I'm sorry for your loss neolara. I don't really have any advice to offer you (I had an ERPC after a failed medical management - I was in hospital for 3 days) but wanted to express my sympathies.

It seems harsh that they are making you wait until Monday for the ERPC - did they give you any advice about whether you would be able to go into hospital if it starts naturally, so you can have some pain relief etc. if you need/want it?


sausagemcgrah Wed 08-Oct-08 14:25:48

Hi Neolara. Sorry to hear what you're going through. I had a missed miscarriage at 12 and a bit weeks, and took the table as part of the medically managed approach last Thursday. The miscarriage started to happen at home on Friday, and was shocking in terms of blood loss and clots etc. The sac then got stuck and I ended up being admitted in an emergency situation (absolutely awful!). I know this isn't quite to do with what you're asking, but I just wanted to say if anything starts to happen at home having taken the tablets etc, go in straight away. DH and I sat around at home as the hospital had implied there was no need for me to go in, and left it nearly to late. It was also incredibly painful and I was unable to get any pain relief. I hope it all goes as well as can be for you.

TheBlonde Wed 08-Oct-08 14:37:02

Have you had an ERPC before?

neolara Wed 08-Oct-08 15:52:08

Thanks for your replies.

Sausagemcgrah - your experience sounds horrendus. I'm very sorry that you had to endure this. To be honest, what you have described is pretty much what I was worried about. The hospital have been very supportive and have said to go in if I feel there is too much blood loss or the pain is too bad.

I haven't had an ERPC before, or any other operation. I'm really not that keen on having a general anaesthetic - no real reason, other than being a scardy-cat. They only do ERPCs on Mondays, that's why I have to wait til then

largeginandbloodymary Wed 08-Oct-08 15:56:58

Dont worry about the general, it is a very light aneasthetic and you will be compus mentus within minutes.

I was home about 2 hours later. No pain and not too much bleeding.

I am so sorry.

TheBlonde Wed 08-Oct-08 16:00:02

Ah but they will no doubt do one sooner if you need one

I had a MMC a couple of months ago. I waited to mc naturally and bled a lot but it didn't stop. If you start to feel faint or are bleeding too much either go to A&E or call 999

I ended up having an ERPC in the end as my mc was incomplete. It really wasn't that bad, esp compared to the blood loss and clots etc

Jemima123 Wed 08-Oct-08 17:15:16

Medical mgmt failed for me too, although I did bleed a lot, clots etc, and ended up staying overnight. Am waiting for a scan on Fri to find out what's going on then poss ERPC. The waiting is worst, and although my bleeding has all but stopped I'm not keen on anything happening at home. Thinking of you all, wishing you well

neolara Wed 08-Oct-08 19:29:31

Can I ask how long it was before you all were up and about and fully functioning after your ERPCs? If I had the operation on Monday morning, do you think I would be fine to look after kids on Tuesday? The hospital keeps banging on about having someone with you for 24 hours after the op, but I'm not sure if that is generic advice they give to everyone who has an operation no matter how big or small.

TheBlonde Wed 08-Oct-08 22:22:29

It is generic advice and relates to the general anaesthetic (sp?)

I had the ERPC on the Monday and I had help with the kids until the weekend (but I had been in hosp for 5 days and had a few blood transfusions so I wasn't in a fab way)

How old are your kids? Can you get any help for the Tues?

Flibbertyjibbet Wed 08-Oct-08 22:43:13

I also had erps after a failed medical management - I bled heavily for 3 days but nothing 'came out' and the hosp wouldn't let me home cos of the bleeding.

If you start at home I would go into the hosp so they can monitor you and your loss (ugh those cardboard pans tmi) and give you pain relief if you need it.

The erpc was fine, you just wake up so suddenly when the anasthetic wears off, not like coming out of sleep. The worst bit for me was when they put the thing in the back of my hand.

I went home a couple of hours after coming back on the ward after erpc. I didn't have any other children at the time but yes I think I would have been ok to look after the two I've got now the next day, or do something. but because I'd been in hospital those 3 days I had a couple of days of lying on the sofa grieving for the lost baby.

If you have erpc you don't need to go back for a scan later on.

barbie1 Fri 10-Oct-08 20:48:43

neolara hi just read your post and just wanted to add the same thing happened with me, i had first course of med managment which didnt work and made me so ill that i had to stay in hospital for two days, and then i had a second course! still nothing, no blood, cramps anything! just the dodgy side effects of the tablets... i was sent home for the weekend and booked for the ercp the following monday, the wait was awful and i was of course devastated but i got through it and a month down the line in feeling stronger all the time, best of luck xxx

Habbibu Sat 11-Oct-08 12:15:38

Hi Neolara. So sorry for your loss. I had 2 ERPCs this spring (I had a molar pregnancy, so needed a second one). I was very nervous about the GA, but as we were going on holiday, didn't have much choice. But they were both just fine - the GA is very light - you're only under for about 20 mins or so, and I was well enough to fly to Italy on holiday on the Sat - I'd had the ERPC on the Thurs. Hope it all goes better for you from now on.

neolara Mon 13-Oct-08 19:25:12

Thank you all for taking the time to reply.

I had the ERPC today and all was quite straightforward in the end. Having spent the last week on edge waiting to miscarry naturally, I am feeling relieved that it has finally come to an end. It's a bit of a limbo state, knowing it's gone wrong and then just waiting for something to happen. I can now get on with feeling sad for a bit and then hopefully starting to feel better soon.

Hopefully it will work next time.

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