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Miscarriage/pregnancy loss

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Please help! Any doctors? Do I need anti d urgently?

3 replies

Flowerandtrain · 07/09/2024 02:11

I was told on Monday that my baby had died at a meet your miracle scan after having a couple of days of pink/brown discharge.

Last night I went from having brown discharge to bleeding. Today the bleeding got so bad that I was soaking through a double layer of adult nappies in less than an hour. Eventually I couldn't get up off the floor and we called an ambulance. They couldn't send one in time and I was losing consciousness. They asked my husband if there was anyone else who could take me to a and e and he took me in the car. He had to carry me to the car and to a and e. I lost consciousness in the a and e waiting room very soon after arriving so they rushed me in to do whatever they needed to do - fluids etc I think.

I've been discharged BUT I am currently beside myself because I had to have anti d injection with DS but they told me I don't need it this time because I didn't have surgery and I'm under twelve weeks - I'm NOT under twelve weeks today - I'm 12+2 but they're saying I was under 12 weeks (11 +5) so extremely close at the scan on Monday when they said baby was dead. I told them they said baby was measuring 8+4 but I didn't remember to or think to tell them that the lady said she was struggling to get measurements accurately and I needed to empty my bladder. She was going to take measurements again but I was very upset and she had already said the baby had died so she called the hospital instead.

She said the hospital would need to scan me themselves to confirm and they wouldn't accept the private scan (to be clear it wasn't a private hospital, it was a meet your miracle place - I don't think I told the doctor that either!) We know the baby was alive at 9 weeks because I had a scan then (meet your miracle again). I realise there are reasons the baby could have been measuring smaller at the scan at nearly twelve weeks.

Online in the nhs leaflet re miscarriage it says that you don't need the anti d if under 12 weeks unless you had a heavy bleed. They said my bloods were OK so I didn't have a heavy bleed even though I had a bit of a fainted from blood loss. I don't think the doctor who made the decision knew how much I'd been bleeding. He didn't ask so I didn't say and he wasn't the first doctor I saw.

The doctor said something about having 72 hrs to have the injection and I could check with epu because they would know more, but they don't open till Monday and I think I told them wrong that the bleeding started today instead of last night.

Please please does anyone know what I can do? I called to ask as they said to call if I had any concerns or questions and they said they won't give it me as its not medically necessary but it seems to be to be right on the cusp(subjective maybe - I don't know and they're going solely off a scan they said they wanted to redo because it wasn't an NHS scan) and I couldn't get a straight answer as to what the consequences are if they are wrong. Please please does anyone know anything about this? I have no idea what to do. I'm very tired and it's been such a hard and scary day. At one point I didn't know if I would make it back to my son. It all got so scary and the ambulance couldn't get to me.

Maybe a doctor might see this and be able to explain. I am trying to understand the anti d thing but I'm not a doctor and it seems very confusing online with some contradictory info. I really really don't want to undermine anyone (I know I'm not a doctor so I don't know) but it seems such an important thing that I just need to be sure and understand and it was written in the nhs leaflet. I'll never stop worrying about it otherwise. I'm so scared and feel so helpless! Please if anyone can help, I'd be so grateful.

OP posts:
Flowerandtrain · 07/09/2024 02:13

Sorry to clarify I didn't have surgery but they removed tissue through a speculum.

Does this mean I'll miscarry any future pregnancy if I don't have it and I did actually need it? I really am trying to but don't understand and I couldn't get a straight answer on the phone. I appreciate they are so so busy and have so many ppl to help.

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CrunchySnow · 07/09/2024 02:54

Sorry for your loss. If I were you, I'd ring the hospital antenatal triage and ask to speak with the Obs/Gynae on call. Explain that you know you should be under the early pregnancy unit, but they are closed and you are concerned that you need Anti-D before they open again. They should be able to review your notes.

The pic attached is from here on the RCOG

www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/the-use-of-anti-d-immunoglobulin-for-rhesus-d-prophylaxis-green-top-guideline-no-22/

Please help! Any doctors? Do I need anti d urgently?
Flowerandtrain · 07/09/2024 09:54

Thank you so much. They said they would take the tissue they removed and investigate a molar pregnancy in case I needed any further medication so it's worrying they've decided not to give it before that. I don't know if it's already too late to have it or if there's a risk to them giving it just in case. I feel like I'm living in a nightmare.

Do you (or anyone) please understand what the consequences are if I do need it but don't get it in time/at all? I thought it meant you would miscarry any future babies with positive blood type but DH and I are trying to read into it and that only seems to be in very severe cases. Thank you so much again for your help. I will call them (I don't know if they will speak to me but I'll try) and I'll try a and e again to see if I can get a second opinion or if someone can explain it to me. My DH is positive blood type we think.

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