Less pain and bleeding with surgical management?

[sabtom]

So went for an 8 week scan a week ago only to be told no heartbeat and showing only 6w4d. Besides the utter sadness and constant crying I’ve done this past week we’re eager to try again as soon as possible, I’m 40 so time is not on my side. Although the guilt I feel about wanting this pregnancy loss to be over with quickly is heartbreaking, because it took so long for us to get that magical BFP, but that’s another story.

I go for the obligatory 2nd scan tomorrow to confirm the missed miscarriage and I guess make the decision about what Im going to do next. I don’t think my mental state will handle a natural miscarriage and the pain and blood scares the hell outta me, plus the chance of it potentially not completing for weeks. Also the thought of my baby being flushed away is not something I can handle. So I would rather it happened in hospital surrounded by professionals who will be able to help me through it.

I understand because of covid hospitals are not offering the surgical option under GA but I would prefer the local anaesthetic anyway. So my question is, for the women who have had the surgical procedure under local, how did it go and how was the recovery afterwards? Is the pain and bleeding less than having a natural miscarriage?

Hey:)

I've had all three options. Surgical was the easiest misscarriages for me personally. Really hope you are okay as can be 💞

I've had both a natural miscarriage and a surgical termination with conscious sedation. Essentially no pain and minimal bleeding with the surgical procedure, although I was given antibiotics against the risk of infection. It was slightly unpredictable though - I had a brief resurgence of bleeding several days after, but in general it was much lighter than a period.

Good luck.

Thank you @hello538 and @HauntedGoatFart, I think I definitely want to go for the surgical (awake) option, I hope they offer it to me today and before things start happening naturally.

I just wrote a thread about this here:
www.mumsnet.com/Talk/miscarriage/3920194-Missed-miscarriage-pros-and-cons-of-surgical-vs-medical-management

I had surgical management under local anaesthetic and I’m not going to lie, the procedure itself was pretty painful when they injected in the local anaesthetic and for the first 2-3 minutes. The rest was fine, just a little uncomfortable. But the nurses were amazing and so sympathetic. And I only had super light bleeding for 2-3 days and light cramps for one day. I’m hoping that it might mean I’m back to ovulating more quickly but I do know it can take anything from 2-10 weeks regardless of which method you have.

I also didn’t want to sit around for weeks waiting for it to happen naturally (mine was diagnosed at 8+5 and the gestational sac was still growing when I had it removed at 10 weeks so who knows how long it would have carried on for...). And I was worried medical management might be super painful and like the worst period ever. Definitely feel like I made the right choice despite the pain. You could even call the hospital and see if they can schedule the procedure for the same day as the second scan - mine managed to do this and it was so so good to get it over with. Plus don’t forget to ask for a sick note whichever method you go for - my hospital was happy to recommend up to two weeks off work. You don’t have to use it but it’s nice to have the option.

Thank you for your replies everyone.

So I had the scan this morning and it's definitely a missed miscarriage. The gestational sac had grown slightly but there was no longer a yolk or baby, apparently my body had absorbed it (?!). Anyway, I've opted for the MVA but they couldn't fit me today so it'll be first thing tomorrow. I just want this to be all over so I can move on now

for your loss

Thank you @bigbrotherlittlesister