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Miscarriage/pregnancy loss

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MMC at 12 week scan - MVA experience

21 replies

Riggles78 · 14/01/2020 22:56

Hi everyone. I've recently had a missed miscarriage and thought I would share what happened to me for those looking for other people's experiences, either for reassurance or just another person's experience of what can happen.

I was booked in for my 12 week scan last Wednesday (when I should have been 12w+3) and the previous weekend I had started to experience a mix of red and brown spotting when I wiped, but when I rang the community midwives they said unless it got heavier and I was experiencing cramping then I shouldn't worry and to hang on to my appointment on the Wednesday, which I did.
Both myself and my partner were very nervous in the run up to the scan, it was my first pregnancy so neither of us really knew what to expect or what was normal or abnormal.

When we had the scan the sonographer double checked how far along I thought I was, and in my heart I knew at that moment that it wasn't good news. I could see on the screen that there was an embryo there, but it was nowhere near what a 12 week scan should be. I could see that she had an estimate on the screen of 7w+2 and she told me she was very sorry but there was no heartbeat and the baby had died some weeks earlier.

We were both pretty devastated, especially as I had been somewhat reassured having spoken to the midwives over the previous weekend. I had thought that if I was having a miscarriage it would all be much more dramatic and I would know it was happening, but that really wasn't the case.

I was taken up to the EPU and the lovely ward sister explained that I was experiencing a missed miscarriage and briefly explained what our options were and comforted us.

After having looked through the options, I decided to go for surgical management under local anaesthetic (an MVA) as it had obviously been several weeks since the baby had died and my body wasn't miscarrying naturally. There also seemed to be more potential risks and complications with medical management pessaries and at that point I really just wanted the physical side of it to be over as soon as possible, so they booked me in the for the following Monday.

Over the weekend I experienced a reasonable amount of bleeding and some fairly painful abdominal cramps, but nothing other than some small clots had passed so they went ahead with the MVA on Monday.
I had a reasonably good experience of the procedure, but I do have a relatively high pain threshold and managed to stay pretty calm throughout the whole thing. I was admitted, told to take some painkillers (co-codamol) at the time of admittance and had some pessaries inserted to help dilate the cervix. This part wasn't painful at all, they warned I may start to experience mild contractions, but I felt nothing.
After about 20 minutes the consultant and nurse came in and gave me the numbing gel on the cervix followed by the local anaesthetic injections. For me, this was actually the worst part as I'm really bad with needles and I felt a bit lightheaded at this as I could definitely feel both of the needles. But the nurse was lovely and pointed a fan over my face to make me feel better and reminded me I could have the gas and air if I wanted.

The actual procedure was very quick, over in a few minutes. It was extremely uncomfortable and I was aware of a pulling sensation inside of me, but I didn't need the gas and air and while very strange/uncomfortable it wasn't horrendously painful.
After the procedure they gave me a hot drink, a fresh pad and some wipes to clean myself up with and monitored me for about half an hour afterwards before allowing us to go home. I had some dull aching cramps for the rest of the day, but it wore off by the following morning.

Since Monday, the post-procedure bleeding has slowed to almost nothing today and I've not had any more abdominal pain or cramping so I've not needed any pain relief.

Obviously this is all just a description of the physical side of things, the mental side is completely different, but I thought an account of what I physically went through with this MMC and the MVA I had might be useful to other ladies who find themselves in a similar position Flowers

This was a planned pregnancy, and my first one, so we were very excited. We had made plans, told our family, friends and colleagues over the Christmas period so it was especially painful to have to contact everyone and tell them what had happened. I'm seeing my GP on Thursday to arrange a sick note, but I honestly have no idea when I will be ready to go back to work. I'm not sure if I'm ready to draw that kind of line underneath the experience. It was reassuring to read other people's experiences here, so I thought the least I could do was share my story for other people

OP posts:
JeffV · 15/01/2020 08:56

Thank you for sharing your story. You are incredibly brave. I'm currently going through a miscarriage that was our first after trying for quite some time. I understand what you mean by excitement and making plans. Be kind to yourself x

peanutfoldover · 15/01/2020 14:52

@Riggles78 hey there. We had our 12 week scan last weds too and sadly had the same news. Our baby had died at around 11 weeks. I’m having an ERCP tomorrow but under a general anaesthetic but the wait for a local anaesthetic was 2 weeks and frankly I just want this over! It’s been a hard week waiting. I’ve had absolutely no bleeding or cramping so it all feels a bit surreal.

Thank you for sharing your experience, I’m guessing mine tomorrow will be similar bar being unconscious! (Which is better for me to be honest as I have an embarrassingly low pain threshold!)

I actually came here today to see what I should wear tomorrow? Do they put you in a gown or just ask you to remove your bottom half?

Weird question I know but just wondering!

peanutfoldover · 15/01/2020 14:53

Oh.... another question. How long did you leave it before going back to work? My boss is insisting I have a week off but not sure I’ll need it?

Riggles78 · 15/01/2020 15:16

@JeffV Thanks for your kind words, sorry to hear you are going through a similar thing Flowers

@peanutfoldover It's a good question, I wasn't sure myself what was going to happen so it's good to be able to ask other people!
They just had me take off my bottom half and gave me a sheet to cover myself with, but from what they were saying if I was having the general then they would have given me a gown as I think an ERCP would have been in a proper operating theatre whereas this was in a smaller procedure room.
It's strange because it was the opposite for me, they couldn't give me an exact date for the ERCP but they could book me in fairly swiftly for an MVA which is why I went for it in the end. I'm not the best with medical procedures myself, but I think because I knew once it was done it would be over it helped me just get on with it.
I'm talking to my GP tomorrow morning as I've been off work since last Wednesday and my self cert runs out tomorrow, but I think I'm going to go back to work on Monday. Physically, I feel absolutely fine now, bleeding has lessened to a very light flow and I've not needed any further painkillers. Will see what the GP advises though, I cried down the phone when I rang the clinic yesterday to book the telephone consultation, so I'm really not sure how I'll get on next week.

OP posts:
peanutfoldover · 15/01/2020 15:44

Yes I think I would have definitely had the local if they could have done it sooner than the ERCP. I really just want it all over. But weirdly the GA was quicker. Although I know there’s staff shortage in my hospital, particularly in the EPAC team due to flu.

Ok, so I guess it makes no difference what I wear really!

Thank you for sharing. I think you should take as long as you need to recover emotionally.

Xxx

Riggles78 · 15/01/2020 16:05

@peanutfoldover Good luck tomorrow, I hope it all goes smoothly for you xxx

OP posts:
peanutfoldover · 15/01/2020 16:09

Thank you.

Good luck for the future. Hopefully we’ll bump into each other on the pregnancy boards one day if you want to try again. My husband definitely does and I think I do too.

Xxx

Essexgirlupnorth · 15/01/2020 16:44

The same happened to me last year. Started bleeding the day before my 12 week scan called EPU told me to go in if got heavier. Kept my scan appointment found baby had stopped growing at 7 weeks, took me up to EPU. Gave me medical management that night because I had a fever and they were worried I was going septic. Was glad to get it over. Hospital signed me off for a week then asked GP to sign me off for another.
Sadly looks like the same has happened again with my next pregnancy. Had some bleeding so EPH scanned me was 12 weeks by dates measuring 5-6 weeks. Going back on Friday but not looking good. Leaning towards having surgical this time as medical was painful but will see how it goes.
Take however much time off work you need. It is so hard and so cruel.

peanutfoldover · 15/01/2020 18:25

@Essexgirlupnorth I’m so sorry you’re having to go through this again.

I was completely unprepared for the feeling of heartbreak and guilt.

I can’t believe they make women go through 3 before investigating the cause. I really want to find out now. My local private hospital requires 3 consecutive miscarriages before investigating too.

My miscarriage happened at 11 weeks. I’m convinced something is wrong with my (39yr old) womb and the baby was fine until 11 weeks for a reason?? Perhaps because of poor blood supply due to a fibroid or something. And will that happen every time now?

Riggles78 · 15/01/2020 18:54

@peanutfoldover My OH and I are going to try again soon I think, while this has been awful, it's not put us off trying again. Although I'm sure we will both spend the first few months paranoid if I conceive again. I think that's the worst thing for me at the moment, knowing that this will now dictate how I feel throughout any future pregnancies. So I do hope we come across each other again on the pregnancy board!

@Essexgirlupnorth So sorry that you're having to go through this again. If it's any reassurance, if this happened to me again, I would choose the surgical route again as the painful part was pretty short-lived and I felt quite safe in the hospital environment.

OP posts:
Essexgirlupnorth · 15/01/2020 23:22

@peanutfoldover I'm 38 turn 39 in March EPU said they can refer me to the recurrent miscarriage clinic after 2 consecutive because of my age.
Still undecided about trying again. Have a 6 year old already and would love a sibling but been trying for over 3 years struggled to get pregnant and now 2 miscarriages. It just doesn't seem fair. They were very much like it is very common go away and try again last time even after all the time it took for me to get pregnant.

peanutfoldover · 16/01/2020 06:24

@Essexgirlupnorth that’s interesting that they will investigate sooner. I’ll ask them. Have the ERCP today. Can not wait for it to be done.

I have a 5 year old too. Absolutely no issues with her pregnancy or conception. Definitely gave me a false sense of security.

Essexgirlupnorth · 18/01/2020 22:32

Ended up going for medical again because I could have it today and couldn't fit me in for surgical till Wednesday next week.
Bleeding had got heavier over night so think it might have happened without the tablets anyway. Was much quicker and less painful this time and didn't have to stay in. Still having mild cramps and some bleeding but feel ok. Last time had a drip, IV antibiotics and was in hospital two nights which sounds like it was unusual.

peanutfoldover · 18/01/2020 22:36

I don’t blame you for not waiting. Hope you are able to sleep ok tonight. Take care xxx

Essexgirlupnorth · 19/01/2020 23:01

Had a glass of wine and slept ok. Been signed of by GP for another week so going to knit and binge watch grey's anatomy.
Have referred me to recurrent miscarriage clinic so will see what they say.

Riggles78 · 20/01/2020 13:51

@Essexgirlupnorth Glad you managed to get a referral and hope you enjoyed your wine!

I’m back signed off again myself, started bleeding really heavily this morning and scan at EPU showed I had retained products. Brilliant. Was supposed to be back at work today but have postponed it now too next Monday.
They’ve given me the miso tablets to take so hopefully it will all pass in the next day or so, just feels like a big set back when I thought I was getting past it.

OP posts:
Essexgirlupnorth · 22/01/2020 16:42

Oh no hope the tablets work.
Bleeding is easing off now signed off till next Wednesday.

disneyqueen91 · 23/01/2020 21:54

Did any of you want to let things happen naturally? I found out on Tuesday and I'm in a place of wanting to hold on as long as I can. I'm sure if it goes on to long I'll change my mind but I know I won't be able to step into the hospital atm. I've had surgery before and I'm the sort of person that would rather have an op than suffer but this time is different. We tried for 18 months for our baby and being pregnant for 12 weeks (died at 9 weeks) isn't long enough and I can't let go.

Riggles78 · 24/01/2020 09:45

@Essexgirlupnorth Luckily they worked same day, the nurses at the EPU were happy that I've passed enough tissue that it should be all good now. Did a HPT yesterday and it's only the faintest of lines now so I think it's all done now and feeling optimistic for the future now. Hope you are doing well after your procedure Smile

I'm so sorry for you loss @disneyqueen91 Flowers
I was measuring at 7w+2 on my scan when I was supposed to be 12w+3 so I really just wanted it to be over as my body wasn't doing it naturally. If I had hung on longer then maybe it would have done, but after the heartbreak of knowing that I had been carrying the baby for 5 weeks after it had died I couldn't face hanging around for an indefinite amount of time and potentially have to go the surgical route anyway.
I know what you mean about wanting to be pregnant longer, I literally can't wait for my AF to happen so that we can start trying again. I really feel at the moment like I won't be happy until I'm pregnant again.

OP posts:
Essexgirlupnorth · 24/01/2020 12:50

@Disneyqueen91 first time I didn't get a choice as had a temperature and the doctors were worried I was going septic.
This time I was 12 weeks by my dates and 6 weeks on the scan. Had to wait another week for another scan before they would do anything and after that I just wanted it over with. They said they would rescan me in 3 weeks if I wanted to wait and I didn't want it hanging over me for that long plus needed to go back to work at some point.
It is entirely up to you though and they said I could change my mind about what I wanted to do at any point. My first miscarriage we had been trying for 2 years so I know how you feel. I'm sorry for you loss.

disneyqueen91 · 24/01/2020 13:11

@Essexgirlupnorth I've very fortunate that I don't work. I think that's one of the things helping me. I'm sorry for your losses ❤️

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