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Miscarriage/pregnancy loss

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MVA - under local?

7 replies

anotherangel2 · 20/06/2018 12:48

Anyone had MVA under local? What was it really like? How was your recovery?

After two weeks of heavy bleeding with massive clots (size of small apples) I have had a rescan and everything is still there. I am sad and pissed of with the world.

OP posts:
CurlyTwirlyTwos · 24/06/2018 22:10

Hello, I’ve just come onto these boards as I had my mva under local on Friday (3 days ago now). I thought there might be some experiences on here, but there seem to be surprisingly few threads for mvas.

I’m feeling okay physically. I’ve had absolutely no bleeding since the day after the procedure and was wondering whether it was normal? Cramping has been extremely mild as well, and not noticeable at all today. You would never know I’ve been pregnant for nearly 11 weeks....

The day itself was okay - I won’t get into my personal story, but I was ready for it. It has been a failing pregnancy (but very much wanted) for over 3 weeks. I wanted a eprc under general anaesthetic but this couldn’t be done for another 10 days at my hospital but they offered me an mva under local instead.

The experience is pretty good, if you can say that from the position we find ourselves in. I got pessaries at 1.30pm to soften my cervix and took painskillers. Called into surgery at 2.45.
Nurse and doctor has already gone over the procedure and what to expect.

At first it was like going for a smear, they offered to put on the radio, which was a distraction. My DH was ordered to chat to distract me, although the nurse did a better job!

Like going for a smear at first (no probs) then the ‘work’ begins. Which I must say took my breath away. It does hurt a lot . The local anesthetic is mainly for your cervix I think, but not your uterus itself so you feel everything.

After the first ‘round’ I took the gas and air offered, and this was amazing! It took all the pain away - use it if it there!

The nurse took it away from me after a while! But for good reason I felt really sick afterwards!

The whole thing lasted 15 mins maybe, but did feel longer. I was woozy and dizzy for about 20 minutes afterwards too, but I was give plenty of time and wasn’t rushed to get back on my feet.

After a surgery drink and a wee, I was allowed to recover on a ward and go home. I was very anxious to do so. This was at about 4.30pm.

I had cramping on the day, but like I said - very little afterwards. It’s bizarre. I was told to expect a period like bleed for up to 2 weeks, but nothing and no pain at all apart from the procedure itself.

The hospital also offer what you would like for your baby afterwards which I thought was thoughtful.

I’m not sure if it helps you. I’ve known my pregnancy wasn’t going to be viable for a few weeks so maybe more pragmatic about my experience.

I’ve also had to take misoprostol for another medical miscarriage last year and would prefer take mva any day. I found the tablet route that very difficult - the bleeding and pain was endless, as well as having to deal with the sac and fetus yourself. I know some women prefer to be at home, but the mva you KNOW that everything is out properly, and you are being looked after.

I have to add that the nurse and doctor who cared for me were excellent. They were clear, transparent answered any questions and most importantly, kind. I felt that the experience could have been completely different in different hands. I’m very lucky (I’ve had a horrible experience in the same hospital). It’s a shame that it totally depends who is on shift when you are in.

Soooooo - I’m not sure if it helps, but that was my experience on Friday. Any questions or anything - feel free to pm me.

It’s a horrible time, but you will come out the other side.

Take care x

anotherangel2 · 25/06/2018 14:42

Thanks. I was due my MVA on Thursday, like you my pregnancy had been failing for over three weeks unfortunately I had more heavy bleeding on Wednesday and the scan on Thursday showed no sac but some blood near the cervix so MVA was nolonger suitabile. I removed some large piece of ‘tissue’ from myself last night. I am still in limbo as to if my miscarriage is complete.

OP posts:
CurlyTwirlyTwos · 25/06/2018 20:27

Aww, I’m sorry @anotherangel2. Call the EPAU directly and insist they give you a scan to double check and don’t take no for an answer!

On Friday when I was in, the sonographer cheerfully informed me that they had had 2 no-shows before me. This was after my pregnancy being dragged for weeks and weeks saying there was never any space and how busy they were!

The last thing you want is a possible infection, sadly you have to be very firm, bordering pushy (or your OH if possible, if you don’t have the energy). You need some closure after your the last few weeks, a scan confirming this will help you.

Hope you’ll be okay.

KAY8815 · 02/07/2018 12:38

Hi everyone, I'm very sorry for your losses. I'm wondering if anyone has advice. I don't usually do stuff like this ( not very tech savvy) but i've just had the most terrible time over the last few weeks and these threads seem to help me a little. I'll give you the background- Myself and my husband planned to try for a baby for the first time after 10 years together, 3 years married, and we were suprised but happy that we became pregnant quickly. I have now been told i had a missed miscarriage. I had absolutely no bleeding or anything and all the symptoms of pregnancy up until my 12 week scan. It was a horrible shock when the screen showed what appeared to be an empty but growing womb. I had an internal scan and they found a small fetus in the lining with no heartbeat approx 6 weeks and 1 day. They asked us to wait 1 week to re-scan to check the dates which we did but already new they were correct. As my body was still showing no signs of miscarrying naturally i went for medical management with vaginal pessaries and tablets. Part of me wanted to see it and prove to myself that i was pregnant!!! It was like my body had tricked me and i had fully expected to see my baby at that scan. I ended up in A&E after 5 hours of heavy gushing blood and clots. They removed the pregnancy tissue there to stem the bleeding. I was admitted to the ward and re-scanned later. The scan showed there was still pregnancy tissue and the doc suggested we try more medical management oral pills which i took and went home. Lots of horrible bowel movements but nothing happened. I was told to wait 48 hours, still nothing. I had another scan where they found further 'vascularity' missed previously. I am told this means blood supply suggesting my body is still feeding pregnancy tissue. They agreed MVA was the next step. I had further vaginal pessaries to open the cervix back up and a cup of pain killers. I was told i would be given antibiotics up the back passage but never had that. The procedure was maybe 10 mins altogether as not much left to be removed from what i gather. They opened up my cervix with one of those plastic contraptions they use for smear tests. Uncomfortable but the doc was good at pre-warning what to expect. He gave me local anaesthetic injections in to my vagina which sting but it was ok. The tissue removal causes intense painful cramps but that part maybe took 2 minutes. I broke down afterwards. I was sent home. The bleeding is light and on and off. Its been 3 days. I went in again on Saturday as i have had some pain/cramps/soreness since. The worst was Saturday morning. It was a painful pressure and cramping when peeing. They took a urine sample, confirmed pregnancy test is still positive but to be expected for a few weeks, they ruled out a urine infection but said the pain is most likely infection from the procedure. Doc gave me a weeks antibiotics and sent me home. Im really worried about infection causing further issues as we want to try again as soon as possible and also prove to myself that i can have a child. I just want this whole thing to be over so we can move on. Its frustrating having to wait another 3 weeks to see if it is all gone. I still had some pain on one side this morning again and dull tight cramps in my cervix going to my bum, but the pain / soreness only seems to be in waking before i have been to the loo. I hope this goes soon. The nurses have been so good with me all the way through but i just dont understand why wait 3 weeks and do a test when the sonographers room is on the same ward? I don't know if there is a reason why not. Has anyone else experienced pains like this after MVA? Sorry for the long post x

KAY8815 · 02/07/2018 14:11

Apologies for the long message. I just figured out how to do my own thread so dont worry if you cant answer my question. The whole process is extremely traumatic but the actual MVA i personally would have had from the outset based on my experience had i known but everyone is different x x x

CurlyTwirlyTwos · 02/07/2018 16:18

Hey @KAY8815 - I’m sorry you’ve had a horrible experience. Didn’t want to read and run, but of course start a new thread as this one might get buried as it is older. Others may be able to help more!

If it helps - I also had pain in my cervix/uterus when my bladder got too full, or I needed to do a poo (hey, tmi but these are the practicalities)! It is now much better, and almost gone now 10 days later. I would describe it as ‘bruised’ maybe? They really have a good poke around! It sometimes is to one side.

My experience seemed to be more straightforward than yours. Although that feeling in the first scan when you are expecting to see your baby is horrendous. I went for a private scan (for reassurance) due to a previous miscarriage last year, it was very much wanted.

I’m not sure when to ttcing again, I’m so apprehensive and like you having these pains - does that been I’m not ready to carry another pregnancy so soon? I’m not sure, there wasn’t any guidance from the epau.

KAY8815 · 02/07/2018 16:35

@CurlyTwirlyTwos thanks for the reply. I have had 3 different opinions from a few different nurses on the TTC again part. The first said whenever you feel ready, second said after your next period shows up ( from what i gather should be approx 4-6 weeks but may take longer) the third opinion was to give it 3 months. -( random number generator???) I suppose if waiting for your next period it will be easier to date the pregnancy but other than that i guess its when you feel both physically and emotionally ready. I know it wont replace or repair what happened to me but im a terribly anxious person naturally and although i know my next pregnancy would be emotionally exhausting and full of worry i do feel its my way forward at the moment from this. If it happens again there's nothing i can do but at least i will know i guess.
All the best x x x

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