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Miscarriage/pregnancy loss

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Miscarriage - does pregnancy tissue include lining?

2 replies

sterlingb · 30/08/2021 10:28

Hi,
I had a miscarriage last night at around 11wks. I’m 38 and this is my second pregnancy (my first resulted in my lovely 2.5 year old daughter). I wasn’t completely shocked as our 8wk scan dates the pregnancy at almost 2wks behind and I was more than confident on my conception dates, so miscarriage has been in the back of my mind since then.

Two weeks later I started spotting a tiny bit of dark brown blood, which eventually turned to light red blood bleeding after 4 days. I felt like it was a 50/50 chance of not losing the pregnancy, as the bleeding wasn’t heavy, was only happening off and on, and I hadn’t had any cramping. However, 2 days later I woke up to some somewhat painful cramps and after about 30 minutes felt the contents of my uterus empty when I sat on the toilet. I felt a strange physical sense of relief, even though the cramping hadn’t been that painful. I guess our body’s are extremely sensitive and in-tune with these changes (for instance I had a strange feeling of anxiety and general “offness” the day I started spotting, but before the spotting started. I feel like this is when my body realised the pregnancy wasn’t viable and I had some sort of hormonal shift, pretty sure this was the last day I had any pregnancy symptoms as well (breast soreness).

I continue cramping for another few hours and and bleeding clots, some fairly large, but nothing so painful that a couple of ibuprofen couldn’t manage. Eventually, the cramping and bleeding tapered off and now I’m having minor spotting.

Now my question - sadly, that expectedly, my OBGYN confirmed the miscarriage this morning via ultrasound. I’m an expat living in Germany, and there is always a bit lost in translation. My main concern was if I needed further treatment to remove the pregnancy tissue, or if everything was out. When I asked this specifically, she said that no pregnancy tissue remained except the thick lining around my uterus, and she would recommend waiting for things to come out naturally. I’ll have a follow-up check in a week to check things.

Does anyone know what the “thick lining” would be? Is this the placenta? Does this normally take another round cramping/passing clots to come out or will it slowly come out over the course of daily bleeding? Just trying to manage my expectations.

OP posts:
Clymene · 30/08/2021 11:17

I'm sorry for your miscarriage. The thick lining is basically your uterus preparing for an embryo and shedding the lining is what your period is when you're not pregnant.

So it is pretty much a normal if heavier period. Basically, the worst of it is now over.

sterlingb · 30/08/2021 14:46

Ok, that makes sense. I thought she mentioned something about placental tissue, but then just talked about bleeding and to call if it gets too heavy, so that all makes sense now.
Good to know the worst of it is over.

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