Hi, I would like some advice, please, on whether my experience of early pregnancy and MC and the NHS handling of it is to be expected. I am seriously considering going private next time due to mixed messages, poor communication, lack of knowledge among docs.
Monday 21st: BFP. Excited but little nervous as I have CAH, which includes slightly higher MC risk.
Tuesday: Contacted GP, was made to tell receptionist why. Saw GP was asked if I would allow student to sit in, said no, not this time please. Told the very young GP I have had diarrhea for a week, have just returned from malarial area and have higher MC risk due to CAH. She didn't know about CAH and said she'd have to get her supervisor to call me back about the malaria angle (this never happened). She sent me for a urine sample and I found the male student standing right outside the room smiling at me. GP was unable to give me a due date because CAH causes irregular periods. She didn't know whether I was 4 weeks or 9 weeks and said there was no way to be sure yet. She said "Oh we could check your HCG levels over 48 hours, oh no actually that's just to rule out MC/ectopic." She found white blood cells in my urine and said that means traces of blood. She referred me to St Georges EPU and told me to "just enjoy."
Called the endocrine dept at UCLH, which manages my CAH. They were lovely and moved my existing apt forward.
Thursday afternoon: Started getting period type pains, ovulation type pains and migraine. Called GP, got an experienced doc. She told me to go to EPU walk-in for a scan, fill my bladder. Knows nothing about CAH mc risk.
Friday: EPU nurse tells me to empty my bladder. I told her I was told to fill it, she said "disregard what you've been told, this is how we do things here." Get transvaginal scan, nothing to see. Midwife writes PCOS on my notes, I correct her, it's CAH and mention MC risk. She knows nothing about it. I ask her a lot of questions, she interrupts me more than once and tells me to "let her lead the conversation." She answers my question, yes it would have implanted by now. Tells me I have PUL. She gets me to take a blood test, come back for another in 2 days then call in for results. Tells me pains are normal. Tells me to get stool sample for diarrhea, lectures me about the malaria risk.
Afternoon, separate midwife calls from EPU to arrange booking apt. Knows nothing about morning events.
Sunday: Start spotting. Tell doc at Acute Gynaecology which does the bloods for EPU at weekends. She tells me it's implantation bleeding. I ask isn't it a bit late for that, she says no. Tells me if there's something wrong there's nothing I can do anyway so just go home and relax.Start bleeding, now sure it's MC.
Monday: More bleeding. Call for results. Midwife who does scan has no idea who I am, asks for my dob three times. Then simply says "Your hormone level on Fri was low; 94, usually 2000 at that stage. Then it went down to 80 so very early MC. Take a test in 10 days to make sure negative." Nags me about getting a stool sample for the diarrhoea at another hosp, I tell her I'm a little too devastated to deal right now and I can't face another hosp. I ask if I have further increased MC risk now, she says no. I ask how long I should wait to try again, she said wait for a period. I say mine are irregular she says "oh just wait for neg test." I mention I have booking apt scheduled for Sat, she offers to cancel.
Call endocrine at UCLH, service manager is lovely to me asks if I have anyone at home, etc. (The only person who showed any concern). Boyfriend and mum out of turn but I tell her I've got support on the phone.
Two hours later another bouncy happy midwife calls to discuss booking apt, have to tell her about MC. She apologises and says she wasn't informed by her colleague.
Monday night: terrible pain and lots of bleeding. No one at any point told me how painful it is physically or gave me any advice on how to handle it.
Now: Decided to call in sick, still bleeding but pain subsided.
I know I'm upset and maybe lashing out a bit, but, apart from the lovely staff at UCLH, I can't help thinking they could all have handled this better.
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Is this a normal way to be treated by NHS when pregnant/miscarrying?
23 replies
PoppyJ1 · 29/11/2016 08:32
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