New here (and Q re: meds to speed up m/c)

themissizz · August 2009

Hi ladies. It totally sucks that I'm "meeting" you under these circumstances but I was referred to this board by a friend who has found a lot of help and comfort from you all.

I was diagnosed with a blighted ovum today. I knew something was wrong even though I didn't have too many outward symptoms of a problem. I went for an ultrasound and they could only find the sac which dated at about 5.5 weeks. I was 9w4d. I've been walking around in a zombie-like state all day. I feel like I'm in a nightmare that I can't wake up from.

My doctor gave me the option to m/c naturally, m/c with the assistance of meds, or d&c. Because I work in a building with only two bathroom stalls and 50+ women, I am not comfortable chancing the timing of a natural m/c so I chose the assisted m/c. I'm wondering what your experiences were after the second part (the vaginal suppositories). My doctor had me take mifepristone today and I will follow up with 4 misoprostol (taken vaginally) tomorrow. I'm nervous about the pain and cramping. Just hoping to get some reassuring stories about this process.

You are all such strong women and I appreciate any help and insight you can give me.

CapitolBaby · August 2009

I'm so sorry about your loss. I also had a Blighted Ovum. My baby had not developed past 6 weeks, and it was discovered at 10 weeks. I understand the pain and fear and loss involved. It was one of the worst experiences of my life.

My miscarriage was also induced with misoprostol. You'll see some women on this board who had negative experiences with misoprostol, but for me, it worked exactly the way it was supposed to. (Also, D&Cs can really futz with your period, so many women who have D&Cs take a few months before they get their periods.) A few hours after I took the misoprostol, I threw up and had diarrhea (sorry if TMI). After that, I had intense cramps (have your doctor prescribe a painkiller). It felt like what I imagine labor to feel like. I have to be honest, though.. I know this sounds crazy, but I felt like there was still something peaceful about me delivering my baby myself, versus having a doctor take my baby from me in an operating room. I passed a lot of clots and tissue for the entirety of that day, but the intense cramping lasted only a couple hours. (If I remember correctly, I'd get bad cramps about every 5 minutes). It was emotionally draining, but I'm so grateful that I didn't need the D&C. (also, with a D&C, you are advised to wait longer before TTC, so I wasn't a fan of that). After about 2 weeks, my HCG level was back at 0.

28 days exactly after I took the misoprostol, I got my period. On that cycle, I got pregnant again. Women are very fertile after miscarriages, so please let that give you some hope. It is rare for Blighted Ovums to occur more than once. So far, this pregnancy has been normal, and baby has developed fine. Some other friends of mine who also had miscarriages went on to get pregnant quickly with normal pregnancies.

Because of your miscarriage, you'll always have pregnancy anxiety - I don't think that will ever go away. Even when you get your next BFP, you're gut reaction will be fear. Just take each day as it comes, and find support wherever you can. I found a LOT of support on the miscarriage boards, and I'm always praying for all the girls on here. I try not to comment, just because of my ticker, but I'm definitely praying. You'll be ok.. it will get easier. Stay strong, and this weekend, try to go out to a favorite restaurant or something to get out of the house. Getting out was the only way for me to remember that life goes on.

Again, I'm soooo sorry for your loss. If you have any Qs, feel free to PM me.

KelleyBean · August 2009

First off I am so sorry for your loss. I know this is very difficult. I used the misoprostol last week when our baby's hb stopped at 8w1d. I inserted the pills vaginally at 10am. By 2pm I had a lot of cramping and it was painful but managable with zofran and tylenol 3. Something stronger would have made things much easier but I didn't know to ask my doc for perocet or vicodan b/c I wasn't sure what to expect. (TMI warning here) I passed the sac at 8pm. It didn't hurt and I knew that's what it was. After that I felt almost instant pain relief. I had bleeding with clotting for 3-4 days. It tapered down to regular period bleeding after that. Now I'm down to spotting and I have a follow up with my ob on Friday for an u/s and to check my levels.

All in all I would take misoprostol again if God forbid I had too. It was painful but managable and over in a day. Good luck and gentle thoughts to you.

themissizz · August 2009

Thanks ladies. I'm pretty thoroughly terrified and wondering if I should have my mom come over tomorrow through the ordeal (my husband has to work).

My doctor prescribed vicodin. When do you recommend it be taken? When the cramping first starts? I'll be taking the misoprostol at 11:30am tomorrow.

CapitolBaby · August 2009

In my opinion, if you're very close with your mom, then it wouldn't be a bad idea to have her there. I'm sorry if this is TMI, but it'll be a lot of blood, a lot of pads, and you'll be at the toilet a lot, so if you're close enough with her, and don't mind it, then go for it. For me personally, though - had my husband not been home, I don't know that I would have wanted my mom there because I'd imagine that it's an extremely heartbreaking thing to witness, you know? My mom probably would have worried herself sick.

I took the painkiller about 2 hours after I took the misoprostol. I think my timing was about right. I think waiting until you feel the cramps is too late, because the cramping progresses pretty quickly.

Before I took the miso, I read every single story on this website. It helped immensely. I really felt mentally prepared after reading all these stories: https://tinyurl.com/nrow3d

I'll be online tomorrow - feel free to private message me if you need anything. I'll be thinking about u and praying for u.

KelleyBean · August 2009

I took advil when I took the miso and then alternated tylenol 3 and advil every 2 hours after that. I agree with the previous poster to take then pain meds before you think you need them. It goes from managable to painful pretty quickly. I had my husband here but honestly I just wanted to be left alone. It was a way for me to grieve the loss along with the pain. I was really scared to take the meds but I was prepared for the worst and it wasn't as bad as I thought it would be.

Kara5109 · August 2009

I just wanted to say that I am so sorry for your loss and that you have to join this board but that we are all glad that you are here! I had an eptopic and had to have surgery so I'm not much help for your questions.

travers081906 · August 2009

I am so very sorry for your loss, I know this is such a hard time. The women on this board are very helpful and nice.

On Friday we decided that it was best to do a D&C since my body was not rejecting the baby naturally, and plus b/c we really wanted to have the baby tested to know what went wrong. My DH already has a 50/50 chance of having kids since he had undescented testicle and when he was a baby he had to have it removed since it completely stopped working. And I have been pregnant 2 other times not going to term. I may not be of much help since I did go with the D&C.

If you are very close with your mom and you would like her there so you are not alone then I would def. have her there. Your already going through alot emotionally and for her to be there to support you physically would be a good idea. Luckily my DH called off work and was by my side the whole time, if he wasnt there I would have def. had my mom there with me. I would not want to go through it alone. I hope everything goes well for you. Also if you have any questions do not hesitate to call your Doctor!! And just remember... BREATH...

If you have any questions, concerns or just need to vent or a shoulder to cry on don't hesitate to post on this board or you can PM me. (((HUGS)))

priya&peter · August 2009

I also had misoprostal and just wanted to add my 2 cents. Just to start off with, it worked perfectly for me and I have no regrets. I hope it will work for you too. Different women experience it differently, but I was in serious pain. My ob adminstered the pills and put some water on them to activate them. She told me to take a perc and valium (for anxiety) right away when I got my prescription filled and she told me to get it filled right at the pharmacy downstairs from her office. Even still when the pain hit, it was intense. Plus it was very emotional. I made the mistake of not taking my second dose on time because I thought I was fine until the pain meds wore off, so please make sure you don't make the same mistake. I also found that taking a hot shower and using a heating pad really helped. Fortunately the most intense part only lasted 2-3 hours. After the whole thing was done, I really felt like I had some closure on the whole experience. GL tomorrow. I will be thinking of you.

grr_aargh · August 2009

I used misoprostal as well and had a good experience. I'm giving you the short version - feel free to ask for more detail.

3pm - inserted tabs (4 200mg tablets) with tampon to hold them in place. 5pm cramping started, took 2 advil. 7pm started bleeding/passing clots. Took percocet. 11:30 pm had serious cramping, took percocet again. Used rice sock as heating pad (this helped TREMENDOUSLY with the pain). Fell asleep around midnight. 3:30 woke to use bathroom and passed the gestational sac and another huge clot. Took percocet. Went back to sleep.

By the next day I was bleeding medium/heavy. I bled like that for 2 days, then went to light bleeding for another 5 or so days, then spotting off and on for another 9 days.

It was intense for me from about 10:45 to midnight (the perc wore off at the wrong time, I think), but overall it wasn't the harrowing experience I feared after reading stories on the internet. For me, it was the right decision. I would use it again if I had to and I'd definitely recommend it to others. I'm very sorry to hear about your loss. If you feel comfortable having your mom around, I'd recommend it. Even if it's just to hold your hand and bring you a cup of tea, that sort of support can be essential. Please feel free to PM or post or what have you. I'll make sure to check in throughout the day and see if I can provide any support.

priya&peter · August 2009

PS - I am so sorry for your loss. I should have said that first. (((HUGS)))

vkbaby09 · August 2009

I'm very sorry for your loss. Though I don't have any answers for you I want to welcome you to this board. It's helped me immensely.

pamiva1 · August 2009

I'm sorry you are in this situation.

I too had a blighted ovum. I took the misoprostol when I was 11 weeks and measuring just under 7. My experience was very similar to the other posters, and if I had to make the decision all over I would choose the medicine again without hesitation. I also recommend you take Rx pain medicine a hour or so after your first dose. It really helped me manage the pain. I would also ask for a follow up ultrasound next week to confirm everything passed. I think misoprostol can be a really good alternative to a D&C. I hope it goes well for you.

themissizz · August 2009

I just took the dose of misoprostol at 10:15a and am waiting until 11:15a to take the pain meds. I'm so terrified of the pain, but my mom is going to come and stay with me for the day. I think that my m/c was probably beginning naturally today though. When I inserted the pills, there was a significant amount of blood on my hands. Just praying for a fast and easy m/c.

themissizz · August 2009

Bleeding and cramping started around 10:50a. I now definitely believe that I would have m/c'd naturally today because I can't believe that the meds would work that quickly. Took a Vicodin just now, wish I would have taken it earlier but I'd never imagined it would happen so quickly.

smileychic10986 · August 2009

I just wanted to say I am so sorry for your loss. You will be in my thoughts and prayers as you go through this today. I had my m/c about 5 weeks ago, but I am not much help since I opted for the d&c. These women have all helped me tremendously since my loss.

grr_aargh · August 2009

I'm glad to hear that things have started up for you. The vicodin should take about 20 minutes to get up and running, so you should have some relief by now.

A heating pad, hot water, or rice sock on your lower abdomen will really help with your cramping. Don't be afraid to lay around on the couch watching dumb tv all day either. I found that I really needed to be still and silent during both of my miscarriages.

If you have lower back pain, perhaps your mom could use some muscle rub or something on your lower back.

If you can eat and drink, do so as often as possible to keep up your strength. And again, I'm sorry. Thanks for the updates.

CapitolBaby · August 2009

crazystace - please do continue to keep us posted. I hope the vicodin works before the major cramps kick in. It definitely sounds like you had started miscarrying on your own before the meds. At least the meds might help ensure that everything is passed. I hope it's not too bad for you. Praying for you.

KelleyBean · August 2009

Crazystace mine had also started on its own when i inserted the miso. Hang in there...standing in a hot shower really helped me as well as thermacare wraps. I'll be thinking of you and checking in.....

themissizz · August 2009

Thank you so much for all the support ladies. The pain is getting a bit worse and I'm thinking that it may have been just a blood clot that I passed. I just passed a pretty massive chunk of bloody something-or-other. I've just filled my first pad (using the overnight ones). I'm going to take a hot shower.

grr_aargh · August 2009

Hope the shower helped a little. I'll keep checking in. I started passing quarter-sized clots about 4-5 hours after I took the meds, but passed the gestational sac almost 12 hours after everything started. I wonder if yours will be faster since you seemed to be starting already.

KelleyBean · August 2009

You'll know when you pass the sac. For me it was about 10 hours after I took the pills. The pain will stop almost instantly after it passes. Hang in there....I'll keep checking on you. hugs

themissizz · August 2009

I appreciate all the concern and information and thoughts!

I'm still in a lot of pain, it definitely got worse. I've never passed blood clots before but now know that I'm just passing large blood clots. I've taken two Vicodin and still feel every cramp.

It's painful but bearable and it numbs all the emotional pain.

themissizz · August 2009

Bleeding and cramping has slowed down a bit, which concerns me. Just hoping that I pass all of this.

CapitolBaby · August 2009

Don't be concerned by the slowdown... My sac had only developed to 6 weeks, and my major cramping pain lasted at most a couple hours. (that night, I did have one other contraction, which passed a clot). You'll contnue to pass blood and clots and possibly tissue through the next 24 hours. Try to stay on your feet - that should speed up the process. ALso, when you go to the bathroom, really try to push. I'm sorry to be so TMI.

themissizz · August 2009

That is so helpful, thank you! With me, nothing is TMI, so share away!

I've been moving a lot all day, doing some light house work and things. It definitely helped to move things along. I think I probably passed 6-8 blood clots. I passed something that didn't look quite like a blood clot but felt the same, so not sure if it was tissue or what. My sac is at 5.5 weeks so it shouldn't be very big at all. My doctor doesn't have a follow up appointment planned until September so I'm a bit concerned if it's not all passed.

KelleyBean · August 2009

I actually bled more after the sac passed than I did before. The clots also were more severe after the fact as well. Did your doc give you a second dose of the miso to take 48 hours later if this one didn't work?

CapitolBaby · August 2009

KelleyBean:
I actually bled more after the sac passed than I did before. The clots also were more severe after the fact as well. Did your doc give you a second dose of the miso to take 48 hours later if this one didn't work?

Actually - yeah, my doctor gave me a 2nd dose of the misoprostol to take on the 2nd day, to ensure that everything passed.. did your doc prescribe you a 2nd dose? When I took my 2nd dose, it did absolutely nothing for me - no cramps at all - so I knew that all of it had passed properly the first day.

KelleyBean · August 2009

My doc also prescribed a second dose but I didn't need to take it. I have my follow up on Friday but I'm pretty sure they'll say everything is gone.

themissizz · August 2009

My doctor didn't prescribe a second dose. I had a pretty easy afternoon but I am in a ton of pain this evening again. I don't know if it's because I didn't take as much Vicodin as I had been taking because I thought things had lightened up or if I'm just getting ready to pass the sac. I'm hoping it's the latter. The blood flow has drastically decreased and was only at a moderate period type bleeding by early evening.

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