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
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Miscarriage - surgical management experience
74 replies
mumofthe21stcentury · 21/06/2019 17:41
OP posts:
Chanel05 ·
21/06/2019 17:50
Hello @mumofthe21stcentury I'm really sorry to hear of your loss. 
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.
Jessicarobyn18 ·
21/06/2019 18:02
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 
Mammyofasuperbaby ·
21/06/2019 18:13
I'm sorry for your loss op
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
Pinkmouse6 ·
21/06/2019 21:40
So sorry for your loss OP .
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.
jacquesjacques ·
22/06/2019 08:23
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
Beingnicetomyself ·
22/06/2019 09:10
OP, I'm really sorry for your loss, it's horrible.
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.
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Beingnicetomyself ·
22/06/2019 09:45
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?
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