Miscarriage/Pregnancy Loss

early miscarriage question

i'm having my first miscarriage and am not really sure what to do. ?i started bleeding at 5 weeks exactly and am having what i would compare to heavy menstrual cramps... nothing too extreme, but uncomfortable. ?

i called this new doctors office i went 2 weeks ago for the flu, and they told me to go to the ER, which seemed extreme since nothing seems to abnormal... then i asked if i could speak to the nurse. ?she called back and told me to come in for an appt. this evening and they will look into whether or not i need to schedule an u/s.

?this all seemed like a lot of commotion, so i called my midwife and she told me that a 5 week miscarriage is usually pretty uncomplicated and that i can just keep an eye on the amt. of bleeding and will know if something isn't right and to folow up with her in a couple weeks if i think i shoudl come in.

?

So, these are both such total different opinions. ?i just don't know what to do. ?i don't want to be stupid and not take this seriously, but i don't want to feel stupid when they just say, "yep, its a miscarriage". ?

?

any thoughts??

Re: early miscarriage question

  • I am sorry you are going through this. It sucks joining this club. 

    Do you have an OB Gyn you can talk to?

    I got pregnant after over a year of fertility treatments so I was being watched very carefully as soon as I had the first postive test all the way through my miscarriage at 9 weeks.

    I know you want to make sure all of the tissue passes. I would think you would need to talk to an OB Gyn at some point.

    I wish I could be more helpful. My doctor's office is extremely available so I don't know how much (or how little) medical attention is actually needed.

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  • Well, I did IVF so I am not sure how helpful this will be as IVFers are very closely monitored from our very 1st beta.

    My 1st pegnancy was a loss at 5 1/2 weeks. My cramping was the worst pain I have ever felt. It was a very deep pain in my uterus and back and rectal area and it came in waves. (I would assume like a contraction comes in waves). No amt. of pain meds helped. I had relief the more I started to bleed and when I passed large clots.

    My Dr. monitored me until my HCG was at a zero. I am not sure what they do with a woman who gets pregnant on her own.......I wouldn't feel stupid to have an u/s though. Personally, I would want confirmation.

    Sorry for your loss.

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  •  I am so sorry for your loss. And although my situation is completely  different form mine this is what my Doc told me when I had some bleeding at 6 weeks.

    The stander answer and I qoute "If you are SOAKING not just using but SOAKING a pad in an hour or less then to worry and go to the ER."

    Other than that I would keep that evening appointment can't hurt to have them look and make sure you are ok.

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  • My first loss was a m/c at 5 weeks.  Basically it's just a waiting game.  I bled for 18 days and passed a lot of tissue, clots, and the sac, was suppose to go in after all that to have an u/s to make sure everything was gone, but I didn't (I do reccommend that you do though, I just didn't know any better at the time). 

    I don't know how you would know if everything was right or not though if you've never experienced before so your midwife really isn't being of much help.  If you feel something isn't right, go in, for your piece of mind. 

    Marie, wife to Ron, mom to DS
  • The only reason I went to the ER in the first place was to be sure I was M/Cing. Since you already know that's happening, I would suggest you wait at home and let this pass there. As hard as this experience is, it's even harder to go through while at the ER, and they can't really do anything for you, because they aren't qualified in this area. You should get a follow up with your OB, though, to make sure everything is going smoothly. If you have extreme pain that can't be controlled, or heavy, heavy bleeding, (like another poster said, if it's soaking a pad in an hour, continuously) I would go to the ER for that. Good luck, sweetie, and sorry for your loss.
  • I just miscarried on May 8 at 7 weeks.  I didn't see the doctor that day, just spoke to the nurse on the phone.  She said if I began flooding a pad an hour to go to the ER.  This was a Friday, she did make a follow up appointment with an NP on Monday and she did an internal exam. (Fun.)  I also had my HCG's checked every other day to see if the numbers fell.  I just went again on Thursday and I was at 9 so I have to go one more time.

    I would definitely make an appointment with your doctor just to check and make sure everything is progressing properly.

     Sorry for your loss.

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  • I would definitely make an appointment with on OBGYN to get things checked out.  If I were you, then I would certainly want an ultrasound to make sure that there is no tissue left in your uterus.  Have I missed something - how did you know that you miscarried without an ultrasound or something? 

    I am not an expert on any of this, but I just got back from a D&C after miscarrying at 12 weeks.  This was a lot more complicated than it would have been at 5, but there did 2 ultrasounds during my stay, and they want to monitor the HCG levels until they get to zero.  Be careful with that bleeding too - I started losing a lot of blood and if they wouldn't have done the D&C when they did, I might have needed a transfusion.

    I am very sorry for you loss - take care of yourself.

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  • I'm currently going through my 2nd early miscarriage. When I spoke to my doctor today, he didn't even want to see me. He asked me to come in for blood work, so that he can compare my hcg levels to what they were last week. Otherwise, he said that there is nothing I can do but wait and call him on Thursday. Depending on your hcg levels, an u/s may not be able to see anything. My dr. said that b/c my levels were so low last week, he wouldn't even be able to see a sac on the u/s until my levels were at least 1200. Hope this helps! Hang in there, and take care of yourself!
    BFP#1 1/27/09 :: Natural m/c 2/6/09 @ 6w
    BFP#2 5/11/09 :: Natural m/c 5/27/09 @ 5w5d
    BFP#3 7/24/09 :: Missed m/c, baby stopped growing at 6w4d :: natural m/c 8/28/09 @ 8w6d
    BFP #4 11/27/09 :: DD born 7/27/10
    BFP #5 2/29/12 :: DD born 11/6/12

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  • I'm actually going through the same time right now.  I'm miscarrying at 4 1/2 weeks but my levels never went past the 3 week mark.  So it's likely that the egg never burrowed in.  I actually started miscarrying the morning that I was already going in for an appointment to verify the faint positive lines on my preg. tests.

    Since I was already going in, my doctor took blood to test the HcG levels, sent me in for an ultra sound just to make sure it wasn't a tubal pregnancy and has kept "chasing" the levels to zero.  I'll be going in to give my last *hopefully* blood sample.  My doctor's main concerns was to make sure a) I was pregnant, b) the egg hadn't stayed in the tubes and c) that my levels were going down.  Once all of that was checked and rechecked, there was little more advice given other than to let things happen naturally.

    There were no real worries about miscarrying itself, other than to stay home from work if the cramping was bad or the bleeding was heavy.  I was told to simply expect a heavy to normal period with extra cramping.  And so far, that's pretty much right.

    And I hope you don't feel stupid if they said "yep, it's a miscarriage".  I felt better to know that it was what I thought and felt it was instead of just a late period and an imaginary pregnancy.  It would hurt the same no matter what.

    Lucas Arlo - 2/26/10, Cordelia Jane - 1/20/12 
    #3 is due 8/27/14

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