CARE Fertility Bulletin Board

Noggin · 11 Sep 2009

Sorry for depressing topic but would appreciate anyones advice.

Had a scan at 7 + 5 and sac only measuring 6 weeks and the slightest flicker which couldn't be identified as a heart beat or "maternal blood flow"

I've done the classic googling and I know in my heart it's looking hopeless. Because the embryo implanted so high up it was difficult to get a clear view from the scan so they're repeating again on thursday.

I work 3 and a half days a week and 2 of my colleagues are away for 10 days a week friday. I don't want to leave my remaining colleague by himself and have a 20month old son so trying to decide if a D&C is the most practical option or if we can face trying again stopping the pessaries and waiting to see what happens is a better option?

Thank you for any replies,

Love Noggin xx

Emu217 · 08 May 2011

Sorry to hear this. In my experience, the D&C is by far the best option. It is physically painless and over quickly. Take care of yourself.

L_ouise · 08 Jun 2011

Really sorry for you Noggin Sad

I watched a YouTube video of a UK women who had IVF and then a mc and she talked about her miscarriage and if i remember she wanted medical management but it turned out not to work for her so she ended up having a D&C anyway.

Sorry it's is second hand advice, here is the link. You might like to watch it just to see someone else that went through it recently:
http://www.youtube.com/user/Chelenic#p/u/9/fc3LDw500WM
http://www.youtube.com/user/Chelenic#p/u/8/t712M6jhdaY

JEP · 26 Jun 2011

Noggin

Am so sorry about your news. I know that your gut feeling is telling you one thing but I think you still need to have that scan in a week to know for 100% sure in your mind it is not viable.

I had the same debate last time. The consultant got my hopes up that when I stopped the pessaries etc it would just happen naturally & it would be like a period, but nothing happened at all after the first week. So I got into the EPAU clinic and spoke with the consultant there. I did read the royal colledge of obstetricians & gynaecologists guideline on management of early miscarriage and the consultant agreed due to our gestation a medical mc was safest to me medically - avoiding a GA and potential damage to the uterus. A lot of people recommended a DnC to get it done and dusted from a emotional and work related reasons, but having no child I just could not get my head around the thought if there was a complication of the surgery I may never be able to have children

So we chose medical, spent the whole day in hospital & had the maximum doses of treatment possible & it didn't work! Booked for a DnC but had to wait another week. And then mother nature decided to kick in and thankfully it all happened without needing it to be done.

So that is a summary of our rollercoaster. I'm glad it happened au naturale, but it did go on for what felt like weeks after that first scan. You may feel that getting it over & done wth would be best given your situation. I know your job is difficult & you have to take that into consideration but you should make the right choice based on you and your DH and Joshua, not them.

Big big big hugs and love,
JEP
X

Briony · 06 Apr 2001

Dear Noggin,

I'm so sorry that you're in this situation, just rubbish. I faced a similar situation 15 months ago, scan showed sac a week behind at first scan, grew but still behind on second scan and on the third one it had stopped growing. We never saw a h/b. Firstly I'd say there is a chance, albeit small, that things might just work out, so please stay on your meds in the meantime - at least til the next scan confirms what's what.

I've had lots of pelvic surgery and was keen to avoid anything else if I possibly could - my GP was very helpful in keeping an 'eye' on me and we came up with a plan between us. There are risks with having surgery, however small - but for some women they'd prefer it was 'done and dusted' as easily as possible and I can understand why. It took about 10 days for me to start bleeding (was on the edge of having to go down medically managed route) but the actual miscarriage was not too bad - it happened at night so didn't impact on my daughter (2yo) fortunately and DH was around. I was worried I wouldn't get any warning, but I actually had a couple of days' run-up which made me feel a bit more comfortable about it all.

As JEP says, its important to make the right choices for your family, work needs to take a back seat I think.

Good luck with everything, sending big hugs.

Love Briony

maryrose · 04 Apr 2006

Hi Noggin,

Sorry that you are going through this. Its horrid. As JEP says, there is still an outside chance though.

I have had 2 M/Cs without any medical management, apart from strong painkillers and a scan afterwards to make sure the products had all gone. That bit is important.

My 1st one was at 9.5wks [embryo had stopped after 6wks] and the 2nd, more recently was with an embryo that had just stopped, at about 8.5wks.
The 1st one was the worst really, as I did not know what to expect. It most certainly was not like a normal period. It was more like a mini labour and I have to say that I did find it really painful.
I worked fulltime then and what I did, was to tell them that I would carry on until it started and then I would take the time off whilst it cleared. As it so happened, the bit where the products came away was over a weekend.

2nd one was a bit easier to manage as I work for myself now. I didn't actually take any time off at all, I just worked through it all. In a way, this kept me sane!
I could not have done this though, without the painkillers that my consultant gave me. They were called Kapake and were a wonder drug. Did not need to take many of them, they were so effective as they have quite a high percentage of codeine which is a morphine derivative.

It was not at all pleasant, I have to tell you and I was constantly worried that the products would come away at an inconvenient moment.
I bled and had pains for several days and then 1 morning, I got up and yuk!, the placenta fell out of me, rolled up and quite dry. Very tidy and done with, but a bit shocking.

I went back for a scan the next day and my body had done the job effectively. Not for the faint hearted, but for me, preferable to surgery, even though that was our last go.

Hope it all happens painlessly and quickly for you, whichever option you choose.
Love Maryrose xxx

Noggin · 11 Sep 2009

Thank you so much for the replies.
Have spent most of the day in tears or trying not to burst into tears curled up on the sofa...
We'll wait for the scan on Thursday and go from there.
I'm so sorry for anyone who has gone through this.
Love noggin x

Konley · 21 May 2011

Hugs Noggin xx

fingersandtoescrossed · 09 Apr 2011

Noggin sorry u r going through this. I had an erpc in October after waiting for things to happen naturally. Unfortunately they didnt clear everything so i ended up in hospital 2 days later in agony.

What im trying to say is that i don't think anyone has the same experience so cant really advise what to do. U need to do what feels right for you!

Good luck for Thursday i truely hope u don't need any treatment at all

Xx

JEP · 26 Jun 2011

Noggin

Big big big hugs to you

Thinking of you lots
Xxx

Noggin · 11 Sep 2009

Morning ladies,

Feeling much better after a decent nights sleep.
Think I'll ask for ken dowell's opinion going on where the embryo implanted and if there's a good chance it will come away naturally.

Maryrose thank you for being so honest and I'll definitely be getting hold of those analgesics.

Briony I'm hoping the scan tomorrow's conclusive one way or the other and I'm so sorry for what you've been through..

Louise I wasn't able to open up the videos from my phone but I will try on the lap top.

F&T That's my worry of having to go back into hospital...

Konley how's the DR going? Hope AF arrives on time Smile

JEP hope the spotting's stopped (must be from the pessaries) and embryo's snuggling in to your small (cosy!) Uterus Smile

Had a good cry on my work colleagues shoulder I was fine until he came to find me! (I'm a dentist) and he and our practice manageress said forget about work and do what's right for me.
Going to Devon to stay with my parents tomorrow for a long weekend so looking forward to a break.

Love noggin x

JEP · 26 Jun 2011

Noggin

I'm so glad work have been supportive and are making sure you prioritise for yourself. A long weekend in Devon is just what you need to get some fresh air and rest. I know in your position DH and I did a long walk each day and were very quiet. Just didn't need to speak much and everything felt a bit dull and numb, but it did get better. At least after the scan tomorrow you will know one way or the other and then can see what advice you get from your consultant

Hugs in large quantities
Xxx

Melski · 07 Jan 2011

Noggin, I am so sorry to read this. Good luck for tomorrow and we'll all be praying it's a good result for you x

Sal67 · 11 Jan 2012

Will be thinking of you tomorrow, Noggin. Hope you're ok, whatever happens and whatever you choose to do.

Sal

fingersandtoescrossed · 09 Apr 2011

Noggin
I certainly wasn't expecting to have to! I didn't bleed at all after the procedure no pain or anything over the weekend and then on the Monday it was the worst pain I have ever felt and I couldn't walk. A&E was not a nice place to be during the whole thing either.

I hope tomorrow is positive. I have heard stories that have had good outcomes!

Thinking of you at this tough time

xx

Ayla · 09 Aug 2011

Hi Noggin
I'm so sorry. I have never mc naturally but had an erpc at 7 weeks and physically it was very easy but I still needed a week off. Natural mc could be worse, I don't know.
You should not worry about work at all. They are only teeth and pts wouldn't hesitate to cancel you in the same situation. Either way you'll need a good week off, our job is too full on to do half hearted.
Sending hugs xxx

vip · 16 May 2007

Noggin,

i really hope thinngs turnaround for you and that you have some good news today, thinking of you.

Just to let you know I had a mmc recently and i opted for a natural m/c. I bled fairly soon afte stopping all meds and ad was heavier than normal with lots of clots so I thought that was it. However, I went for a scan month later to find the sac still there! I then chose to have the tablets to help and had to spend the whole day in hospital but still no sign of anything so I then got booked in for a D&C. Looking back, maybe I should have done that in the first place, just the inconvenience of spending time in hospital really ut in my case it would have been less time! Anyhow, I really hope you don't have to go down this route.

Thinking of you xx

Melski · 07 Jan 2011

Thinking of you today Noggin x

Noggin · 11 Sep 2009

Hiya Girls,
Had scan and as expected no change. Had already accepted it wasn't to be so stopping pessaries and waiting to see if miscarry naturally. Got another scan and repeat blood test in 2 weeks.

VIP who would have thought trying for a sibling could cause so much heartache?

Ayla unfortunately I still need to complete my kiddie UDA's so can't really take much time off. I might have to ask about your CGH Array experience at some point.

Currently in Devon staying with my parents Joshua's having a fab time chasing the cats, stroking the horses and even had a tractor ride!

Love Noggin x

fingersandtoescrossed · 09 Apr 2011

Im sorry to hear this noggin. Hope u have a good weekend xx

Ayla · 09 Aug 2011

UDAs- I'm 99% NHS and have never made target yet. Am 1500 short this year with 3 weeks to go! And tbh I don't care. The shortfall is due to time off after our loss, time off for IVF and 3 weeks off for first tri bleeding. Plus I now have SPD so can't work as long hours. We have had locums in so some of the shortfall will have been made up by them but no idea how much.
Any time you want to ask about array cgh I'm here.
Anyway I'm really sorry again that the scan was bad news. Take care
Xxxx

vip · 16 May 2007

Noggin - sorry it was bad news, thinking of you xx

Briony · 06 Apr 2001

Oh Love I'm really sorry, even when its what we expect its still hard to process Sad

Be kind to yourself, it sounds like you are in a rural paradise!

Love Briony

JEP · 26 Jun 2011

Noggin, I'm gutted for you.
I think you are right to see if it can happen au naturale first.
Have a lovely family long weekend away - sounds idyllic and great support for you all being with your folks.
Take some time
Thinking of you lots
X

Noggin · 11 Sep 2009

I thought I'd update this thread for any ladies going through this decision in the future and come across this in their search....

I went for a scan at Care on (10 weeks) on the thursday morning, no change so they contacted Bedford Hospital and I was seen by the consultant that afternoon to discuss options.

I was advised to try medical management as 97% effective and less chance of infection or risk of complications (be it small) of surgery. Took a tablet there then went back in on saturday morning.

They inserted pessaries, just over 3 hours later took 2 more tablets then 45mins later started to bleed. First warning was cramping period pain but it wasn't too bad but after half an hour I was given some codeine. It took 2 hours until I passed the sac (very numb bum sitting on the loo!) but when it started I had DH and DS with me. DS was keeping us entertained filling his mouth with water and splurting it out everywhere. DH was getting more and more cross and Joshua found it more entertaining! Definitely a welcome distraction form my position. It was all over after 2 hours and I was able to drive myself home. Well went to a friends for large glass of wine and roast chicken dinner Smile

I needed no extra painkillers and not much bleeding so all in all I'm glad I went this route (hoping I don't end up with an infection or complications now!)

I was very well looked after, had a room to myself and was even able to sit in the sunshine for a few hours an hour after the pessaries had been inserted. The gynae ward is the other end of the maternity ward but I was quite grateful it was very quiet and I didn't see one baby.

Love Noggin x