Miscarriage - surgical management experience

(75 Posts)
mumofthe21stcentury Fri 21-Jun-19 17:41:29

I have had a missed/delayed miscarriage and need to have a surgical management under general anaesthetic.

Has anyone had this procedure in the past couple of years. It is no longer D&C but it's MVA (a little auction vacuum).

If you can share your experience about how scary it is and your recovery I would really appreciate it.

Today is Friday and my procedure is on Monday 24 June 2019.

Thank you x

OP’s posts: |
Chanel05 Fri 21-Jun-19 17:50:46

Hello @mumofthe21stcentury I'm really sorry to hear of your loss. thanks

I had an erpc under general anaesthetic on 2nd May. I bled for 20 days after and had a negative hpt after 3 weeks. I ovulated 4 weeks later (though not everyone does) and my first af came 6 weeks after the procedure. I was not ready to return to work until 2 weeks after the procedure as my hormones were all over the place.

Chanel05 Fri 21-Jun-19 17:51:13

Sorry I bled for 10 days not 20 fortunately.

HerculesMulligan Fri 21-Jun-19 17:57:23

I'm very sorry, OP.

I've had two ERPCs under general anaesthetic. The most recent was about 18 months ago after a missed miscarriage at 10 weeks. It is a very short procedure, and I felt very comfortable and had very little bleeding afterwards - maybe three or four days of bleeding afterwards but nothing heavier than the last day of a period would be.

Although no-one would have one happily, I find it a less distressing way to deal with a miscarriage than medical management - it's easier for me to have someone else deal with the physically distressing stuff and then I can just recover.

Jessicarobyn18 Fri 21-Jun-19 18:02:26

Really sorry for your loss.
I had a surgical management procedure June 2018. was really nervous but the everyone in hospital put me at ease and was so nice.
I didn't bleed much after the procedure not what I expected. When I woke I was in alot pain but they were extremely helpful and made sure I was comfortable. Take your time when you leave the hospital and get plenty of rest. Your going through something mentally and physically draining. Hope you have lots of support at home to help you come through this difficult time.
I returned back to work after around a week and had my first af about 8 weeks after the procedure.

Sending lots of hugs your way flowers

Mammyofasuperbaby Fri 21-Jun-19 18:13:42

I'm sorry for your loss op flowers
I was actually going to post this exact question myself as my baby died at 9+6, 4 weeks ago but I'm showing no signs of miscarrying any time soon and surgery is really my only option.
I. Miscarried naturally 6 months ago but it just isn't happening this time

NavyBerry Fri 21-Jun-19 18:42:26

I'm very sorry for you! This is very sad! I had a miscarriage very recently. I was asked to take pills to start the bleeding and then the next day I had the MVA. I was counting minutes till the surgery tbh! It was a blessing for me! I cannot describe in words how awful I felt after the pills. So terrible! I won't wish it to an enemy. But the surgery took 30 min and an hour later I was discharged home. It was very easy. Such a relief! All the pain stopped immediately. The bleeding was like spotting for a couple of days. If you have a choice, go for the MVA.

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Fivebyfive2 Fri 21-Jun-19 18:48:12

Hi op, I'm really sorry you're going through this. I had a mmc in feb this year and had surgical management under anaesthetic in March. I can honestly say it was very straightforward, the hospital staff were lovely and I was home the same day. Light spotting and mild cramps for 2-3 days, like a light period for me. I got my af 4 weeks after. Xx

itsabongthing Fri 21-Jun-19 18:51:14

I had an Erpc under GA a few years ago.
Waiting for the scans and the day of the procedure was the worst bit for me, when it actually happened it was as positive an experience as it could have been. I don’t remember bleeding for too long.
I went on to get pregnant with dd within 3 months - not the first cycle afterwards as there’s something about letting the lining build up again, but the cycle after that.

MaryBoBary Fri 21-Jun-19 19:54:11

I did 12 months ago. I was terrified on the general anaesthetic but the nurses were so nice and held my hand while I went under. Next thing I woke up in recovery and had some nice warm air blown under the covers as I was a bit shivery. I think I had to have a wee and eat and drink something before I could go. Was probably there for about 4 hours all together. I bled lightly for about a week but took 4 weeks to get a negative pregnancy test. I felt a bit tender for a couple of days but wasn't painful and I didn't need pain relief at home.

mumofthe21stcentury Fri 21-Jun-19 20:23:05

Thank you all for your kind words and sharing your experience. I'm really nervous and hope that it will go well.

Thank you all again.

OP’s posts: |
Pinkmouse6 Fri 21-Jun-19 21:40:02

So sorry for your loss OP flowers.

I had two in May 2017 and November 2017. I opted for medical management the first time because I was terrified of being PTS but I ended up haemorrhaging, the foetus completely retained basically and I went into shock and needed emergency surgery to save my life. All v.horrific so you have definitely chosen the right option. Had surgical second time and it was fine, no trauma or drama whatsoever. I had a sore throat for a while from the throat tube but that was it.

itsaimii Sat 22-Jun-19 07:07:51

HI,
Sorry for your loss. I had 2 EPRC last year and if I had to I would again. My first loss was at 10 weeks (a MMC) it very physically traumatic as the MC started naturally and I ended up in AandE. I had an emergency ERPC the next day. I had a couple of days off work and was back in work after the weekend. The second time I found out about the loss early and opted for the ERPC as I personally couldn't face a natural or managed loss being as difficult as my first expereince. The doctors agreed and got me in for day surgery a couple of days later. I ended up having and extra week off work but that was becuase I was very tired after and more emotionally upset and really struggled with my commute to work (I'm in london - standing on the tube for an hour was exhausting!) I still was well enough to work from home. But i recovered from both fairly quickly. I was lucky to have people come to stay with me for a couple of days after each one as it can be a bit sore moving around for a couple of days but for me it was managable and having experienced a difficult natural MC I would recommend EPRC. I hope all goes well on Monday. Look after yourself xx

mumofthe21stcentury Sat 22-Jun-19 07:17:50

@Chanel05 @Jessicarobyn18 @HerculesMulligan @Mammyofasuperbaby @NavyBerry @Fivebyfive2 @itsabongthing @MaryBoBary @Pinkmouse6 @itsaimii how long did you wait to try again? Is it true that you have to wait three months to try after ERPC?

Xx

OP’s posts: |
Chanel05 Sat 22-Jun-19 07:46:22

@mumofthe21stcentury my gynaecologist told me to wait 1 cycle for dating purposes. I didn't, I started trying straight after I stopped bleeding but didn't fall pregnant anyway.

99bb Sat 22-Jun-19 07:48:38

I had SMM after my first (missed) miscarriage. Although I had no idea at that time, I subsequently had numerous losses and found out there was a reason for it. I was terrified at the time, but afterwards (and definitely knowing what I know now) I was very glad I took the “easier” way and had them knock me out and reduce the amount of trauma for me

mumofthe21stcentury Sat 22-Jun-19 07:55:10

Thank you @Chanel05 for taking the time to reply. I hope you know how much it means to me. I've heard rumours that you have to wait 3 months to recover and try again after a surgical procedure. (I think if it's D&C but now ERPC and MVA have a faster recovery rate).

Thank you @99bb - did you have subsequent miscarriages because of SMM?

OP’s posts: |
Jessicarobyn18 Sat 22-Jun-19 08:17:22

I started trying straight away once I'd had my first af. I didn't get pregnant again until October 18 but I was under alot of stress from work and planning a wedding so think that contributed to the long wait between.

Getting pregnant again as the scariest feeling as I didn't want to go through it all again but just remember not every pregnancy is the same And many women go on to have healthy babies after a miscarriage.

Good luck for Monday you'll be fine, sending hugs and support your way 😘

jacquesjacques Sat 22-Jun-19 08:23:27

I am so sorry for your loss, it's a really shitty and scary thing to go through when you didn't know anything was wrong. Here's my story, I had a positive experience for the most part, and would choose this option again if I had to.

I had one in December. Baby died at around 6 weeks, I was 12 weeks when we found out.

The procedure itself was fine, I was given a private room (unfortunately on the labour ward, but it's a small hospital) and spoke to a nurse and an anaesthesiologist. The nurse then gave me a tablet to take (I think to soften my cervix) which caused me to bleed lightly, and was asked to walk down to surgery. Once there, I was given a gown and stockings to put on and my clothes were bagged up. I then waited a few minutes and was then sent into surgery.

The surgery itself went ok, the anaesthesia team were so sweet that they made me cry. The cannula was a bit painful but nothing too bad. I went to sleep really quickly and woke up in a recovery room with some other people who had had surgery. I then waited in there until they took me back up to my room on a gurney.

Once in the room I was asked to eat a sandwich, have a wee and have some water and I'd then be allowed to go home. Sadly, they forgot about me so DM went and bought me a sandwich herself and once I felt better (and got sick of listening to the woman next door giving birth!) I asked for the cannula to be removed and discharged myself.

Like a PP said, my throat was sore from the tubes for a day or two. I had some pain in the first day, just cramping, but not unmanageable. I bled for eight weeks which is at the extreme end of things, mostly light or period like, but a couple of times very heavy with large clots. I called the hospital a couple of times to check it was all normal and they weren't worried.

I was signed of for two weeks, but as it was just before Christmas, I asked to take another week off and then had the holidays.

It was harder emotionally than physically and my main source of anguish was being uninformed about what would happen to me afterwards. I now wish I'd asked this question beforehand!

For what it's worth, I waited until my period came back (10 weeks after surgery - but again I think this is extreme) and conceived next cycle. I was only told to wait one cycle to try again, even though it was my third consecutive miscarriage. I'm now 19+4.

I really hope it all goes ok OP, in my opinion you've chosen the best option as it's usually so much less traumatic. Good luck thanks

Jessicarobyn18 Sat 22-Jun-19 08:30:33

@mumofthe21stcentury I think the 3 month timeline comes from how long it can take for you cycle to return but if it does before I don't see a issue unless you've had problems

mumofthe21stcentury Sat 22-Jun-19 08:53:30

Hi @Jessicarobyn18 thank you for sharing your story with me. Interesting that you say that as I recently left a stressful job and I couldn't get pregnant for a whole year. My new job is the dream and I got pregnant the 1st month, although resulted in miscarriage. Thank you for your support I was very worried and scared about Monday but you have helped me calm down.

Hi @jacquesjacques thank you for sharing your story. I'm so happy for you that you're pregnant now and I truly wish you the best experience for your pregnancy!

Mumsnet can be a scary place as there are many trolls but I'm so lucky to have you amazing and supportive women commenting on this and helping me through it.

OP’s posts: |
Jessicarobyn18 Sat 22-Jun-19 09:04:16

@mumofthe21stcentury I honestly do believe that any stress definatly effects getting pregnant obviously everyone is different. I'm glad your now in a job you love, I hope they are being supportive and giving you the time you need to heal. Take as long as you need and dont let anyone rush you back that's the main thing.

This doesn't help everyone but there will be a reason the pregnancy couldn't continue. This was definatly NOT your fault and nothing could of stopped it. This helped me after a while as I did blame myself.

Beingnicetomyself Sat 22-Jun-19 09:10:21

OP, I'm really sorry for your loss, it's horrible. flowers

I found out last Friday at my first scan that my baby had died at 11 weeks. Had surgical management the next Wednesday (3 days ago) so it's all pretty fresh in my mind. My experience was this:

Went in at about 10. Bit of waiting then the nurse came to take a blood sample. I asked for another scan so I could see if baby otherwise looked "normal" they agreed but said you couldn't really tell much from the scan. More waiting then saw the sonographer who was lovely. I asked to see the screen and she talked me through everything she could see (all limbs there, two sides of the brain etc), she couldn't say anything about whether s/he might have had Downs etc but it was still kind of reassuring (even though I would have preferred for there to be an obvious reason for the miscarriage).

More waiting then taken over to the surgical ward at about 11.30. This was the worst bit tbh - it was general surgery and no partners/relatives were allowed in, so just sitting on my own wearing a hospital gown and nothing else for hours. I felt awful and had to be quite pushy for then to allow me to draw the curtains around my chair because there was no way I was going to sit there half dressed and crying in full view of a room full of strangers.

The anaesthetist came and explained the risks. She was really nice. Then the gynecologist came. I had been told by the nurses that the on call gynae was female but it was a man. He got my back up by drawing the curtain back at the same time as saying "knock knock" (what the fuck is the point of that?) also then saying he "understood" (no, you don't). Anyway, he made up for it because I explained that I had been expecting a female and he said that he would arrange it so that a female doctor did the surgery, and he did, so all is forgiven (they said that this wouldn't always be possible, but if they could facilitate it they could).

The nurse came and gave me the drug to dilate the cervix. She didn't actually know what the drug was, just that she had been asked to give it to me, and didn't tell me what would happen after taking it. It gave me stomach cramps and made me feel like I really wanted to poo (I think it dilates everything iyswim) but also I think it caused my "waters to break" - I went to the loo and there was a big rush of clear liquid. I was really upset and had to ask the nurses what was going on and if it was normal. They said it was.

Went to surgery at about 3.30 (had to walk through the corridors in just my hospital gown which wasn't hugely fun). They put a cannula in my hand (had a bit of trouble doing this as I was dehydrated for not eating or drinking all day) then put me to sleep.

Woke up on the recovery room maybe half an hour or an hour later. Then back to the ward I was in before. Felt a bit woozy but it wore off pretty quickly and they said I could go as soon as I'd had a wee. They let DP into the ward (with the curtains closed so as not to disturb other patients) while we were waiting to be discharged (which tbh made me wonder why he couldn't have been there before the op while I was really upset). Then left at about 6.

Since then I've had a bit of bleeding (period level bleeding for maybe 12 hours and then just really light) and passed a few clots. I haven't really had cramps after the first 24 hours but my cervix hurts. This type of pain wasn't mentioned in any of the leaflets or anything so I think I'll call the GP if it's still painful on Monday.

Sorry for the essay. Long story short is that in my very limited experience the physical stuff isn't too bad at all, but you can feel very vulnerable and not in control (especially if, like me, you hate hospitals with a passion). If you are able to have your partner with you then I would really recommend that.

SamRwl Sat 22-Jun-19 09:10:53

I was told yesterday I am being referred to EPU as they suspect missed miscarriage the news has come as quite a shock and was awful to find no heartbeat yesterday I'm a bit in limbo and don't really know what to think, Monday seems so long away, I had a private scan (7 weeks) I just wondered how long will I have to wait after being discharged at EPU tomorrow will they scan me and tell me to come back or will they want to speak through my options straight away ??
I'm very busy at work Tuesday and Wednesday I just don't know what to expect when I go on Monday ?xx

Beingnicetomyself Sat 22-Jun-19 09:45:53

Oh and one other thing OP - general anesthetic causes constipation - lactulose and senna both help.

SamRwl - I don't know I'm afraid but there was a thread on the miscarriage/pregnancy loss board about the number of scans that are needed to confirm a miscarriage.. maybe useful to ask there? flowers

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