I went to the EPU at the Royal Free for a scan during my first (early) miscarriage. The nurse was very nice, the doctor who did the scan was very sensitive (and - let's not underestimate! - gentle with the TV ultrasound wand). They gave me leaflets on miscarriage, counselling etc. They also told me that on becoming pregnant again, I didn't need a referral, I could come straight back to the EPU for an early scan, if I wanted.
That night, my blood pressure dropped dramatically and when my husband called the out-of-hours GP, she too was very sensitive.
So far, so good.
My second miscarriage, at 8 weeks, I went to the local hospital, not realising that they only had a minor injuries unit, not an A&E (we had only just moved to the area). They found me a room while they got the on-call GP, but the nurse was a bit sniffy and asked me if my pregnancy had been confirmed by my doctor. I'm passing clots - and she's wondering if I'm a fantasist...??
The on-call GP was again very sensitive and called the on-call obs/gynae SHO at Watford General (because let's direct criticism, where criticism is due...). She was very off hand, interrogated me about how much pain I was really in and put the phone down on me. The on-call GP went out of the room to give her a b@ll@cking for being so unprofessional. She then agreed to see me.
When I arrived at Watford, said SHO proceeded to examine me and do something fairly excruciating to my cervix. This, I could take - but found it most insensitive when she went through the usual questions about risk factors (had I been smoking / drinking / having sex) in a manner that suggested she was looking for something to blame. She settled on the fact that I'd got pregnant straight after the previous miscarriage, allegedly making a second miscarriage more likely - and told me that because of this, they wouldn't even include this one in my tally of 'recurrent miscarriage'. This is of course rubbish.
She admitted me overnight. The night staff were very nice. Painkillers, toast, regular checks throughout the night - and I was lucky enough to have a room to myself. The day staff, however, were a different matter. I went to the nurses' station to borrow a pen and heard them talking about the 'inevitability' of my miscarriage (which the doctor hadn't confirmed at that point) and how they didn't know what I was doing there. They didn't realise I was a patient standing at the desk - presumably because I was wearing civvies and they don't recognise a patient out of their nightclothes.
The sonographer was very nice, very sensitive and gentle - but the scan was ultimately inconclusive.
I then had to wait hours to see another SHO before discharge - by which time I'd been nil by mouth for 14 hours - and with no drip - so if I wasn't feeling pants beforehand, I certainly was then. This SHO was fairly sniffy with me as well about the back-to-backness of my miscarriages - which made it impossible for her to calculate how far along I was. She couldn't believe I knew when I ovulated.
By my third miscarriage, I'd figured that the only benefit in going to the hospital was to clock up the numbers necessary before you're entitled to investigation on the NHS. Had a TV ultrasound at Hemel ante-natal clinic (hmm - because that's tactful...), performed by a woman who acted as though she was unblocking a drain. She also acted shocked and outraged when I initially took off my undergarments and said that wasn't necessary because she would do it abdominally 'IF my bladder was full'. When my bladder turned out to be only half full, she blamed me for not being able to see and reluctantly got the TV wand out. The fact that I was only 6-and-a-half weeks pregnant at this point presumably had NO impact on visibility...?? She still couldn't confirm anything - and so had to get someone else to have a look (who was much more gentle).
Both my mother and my grandmother had a number of miscarriages, a molar pregnancy, difficulty conceiving etc - so I never expected NOT to have problems, to be honest. I do accept that miscarriages happen, even to people without a medical problem, and I don't dwell on lost conceptions. However - I do think that the offhand and insensitive manner of some of the staff I've met is highly reprehensible - not to mention the fact that some of them were peddling untruths. I didn't particularly want counselling - but only one place (a properly established EPU) shoved a leaflet in my direction. A lot of the time, I've been made to feel that I'm wasting their time.
I'm now 38 weeks pregnant and taking anti-coagulants for the clotting disorder it transpires I have. Recently - I've found my miscarriages being used as emotional blackmail by a consultant who obviously wanted me to follow her plan for induction, without providing any evidence for why it was necessary. She also told me things that were blatantly suspect, if not completely untrue. And really - someone at her level should know better.
Ooops - that was a long one...