D&C, natural or miso....?

MissErika16 · January 2014

My Dr scheduled me a D&C for Thursday but said I can change my mind if I want. I'm so terrified of a D&C for some reason. I'm afraid of all those little risk factors but the idea that I could wait and go natural or take the miso (don't know how to spell the rest) an have a 10% chance of still needing a D&C terrified me to. For those who chose D&C what was your experience like? Would you do it again? Baby is 6w2d in size.

Just wish I didn't have to think about this at all.

abb08 · January 2014

I have had two D&Cs. If money is not a factor, I would choose that, 100%. Before the 2nd D&C, I did try the miso. It was not the worst experience in the world, but it was pretty emotional, messy, and painful. And I found out a week later that it didn't work. Took another week to schedule the D&C. Really, the only reason I tried the miso over the surgery was that the Miso cost $12 and the surgery was $2000. The first time, the surgery was a little scary (just because I never had surgery before), but overall, it was quick and painless and the recovery was very quick. Afterwards, my dh and I bith agreed that we were happy to just have it over with and start to move on. Both times, my body had shown no signs of miscarrying, and I was still dealing with nausea (at 9 wks and 10 weeks, repectively), so I felt like waiting it out was not an option for me.

aschultz9 · January 2014

I would choose a D&C or waiting over Cytotec. I would absolutely do a D&C again. I had natural mc this time but I was already bleeding and it was progressing. Both the natural and the D&C were quick and easy. I work in an OB office and see Cytotec not work more than it does so that is my rationale for it. I am sorry you are here.

bsustar62 · January 2014

I have had a D&C and am in the process of going through a natural.
For me the D&C was a good experience in the sense that I had no complications and it made the whole process done, which at the time was all I wanted.
This time I was not as far along so I elected to wait it out. Physically the pain was not that bad but the uncertainty of whether it is all done or if I will have to end up going in for surgery are hard to take.
In the end I am glad I went the route I went with each different experience.
I guess that doesn't help you too much but I am sorry for you loss and hopefully which ever option you choose you will find peace and be able to heal quickly, physically at least.

gabbagal · January 2014

I'm so sorry for your loss and for having to face this difficult decision. Normally, choice is a good thing, but when both alternatives are negative it can be very stressful and overwhelming.

Like bsustar62, I have had a D&C and just recently went through a natural m/c, and both seemed the right route for different reasons. For the D&C, the baby was 9w1d and it was a missed m/c with no symptoms. I was also terrified of the procedure, but it was quick and I was put under so I remember nothing. I bled for about 2 weeks total, but the second week was lighter. I only had one day (3 days post procedure) where my abdominal pain got worse and I had a low-grade fever, but that only lasted a day. I only missed 2 days of work - day of and day after procedure.

The pros of the D&C are that you don't have to play the waiting game to see if and when your body will take care of things naturally, or worry that after waiting and suffering you find out you need a D&C anyway b/c everything didn't come out naturally which has happened to a couple of my friends (and women on this board). I had my u/s where they couldn't find a heartbeat, then the D&C was the next day. It made it a little easier to start the emotional healing to have that part over with.

It's such a personal choice, but I would have a D&C again, unless my body had already started the process naturally, and it was early enough like my recent m/c where the baby was barely 5 weeks, then I would let my body (hopefully) finish what it started. Good luck either way, and sorry this was so long!

Mejin215 · January 2014

I've had 2 D&C's due to Cytotec not working completely and I will definitely be going right for the D&C if I ever had to again. It's so much easier and you know it's done and your body is back to normal.

MissErika16 · January 2014

I'm terrified of the procedure. My Dr does it where you're awake but loopy. I trust him completely and I feel like he's really thinking of my emotional well being. I'm just so stinkin' scared that something's going g to happen and I can't try again. Irrational?

kboydbowman · January 2014

I opted to wait. The actual miscarriage happened for me 11 days after the MMC was diagnosed. I have not had my follow-up ultrasound yet but my levels have been dropping dramatically and I'm pretty positive based on the amount/kind of tissue passed and the bleeding since then (lighter than a period) that all of the tissue has passed.

Kalidawn523 · January 2014

MissErika16 said:
I'm terrified of the procedure. My Dr does it where you're awake but loopy. I trust him completely and I feel like he's really thinking of my emotional well being. I'm just so stinkin' scared that something's going g to happen and I can't try again. Irrational?

The conscious sedation shouldn't be bad. You might even feel like you were out and not remember what happened. I give my patients conscious sedation in the icu and often they don't remember. And also think about how often they do these procedures. My doc says at our hospital they do them every Monday and Thursday. That's a lot of procedures so in my mind it can't be that risky if they do them all the time. I also believe they use vacuum more now than anything so it's less likely to scar. Anyways, that would have been my choice if my body hadn't taken care of things on it's own before. Good luck, and let me know if you have more questions about the sedation. ❤️

MissErika16 · January 2014

Thank you. I do feel better when you put it that way. I mean if it's an option to take care of someone emotionally then I don't think Drs would recommend it. The risk must be minimal but they also must be talked about. I'm feeling better about it today. I'm scheduled for Thursday and he said I can cancel all the way up to the appt so I don't feel pressured. I just want to do what feels right and I have a tough time doing things that don't seem medically necessary but the idea that it is just over sound lovely in terms of just being able to move forward and not wonder when it's going to happen. Thanks again. Reading other people experiences really helps.

Kalidawn523 · January 2014

I'm glad. This is a tough road and the options are all aweful. There is no good choice but think about what would be best for you and your healing. Everyone is a little different. I hope you pick the option you are most comfortable with. And we will all be here for you through it.

dawnstar898 · January 2014

I had a D&C with my first MMC and will be having one again (on Thursday) for this one as well. Both times I was 10 weeks and the baby measure 6, never had any signs that I was going to miscarry on my own. The procedure itself was not bad, I was asleep and it only takes 15-20 minutes. My doc wrote me a script for ibuprofen, but I never filled it. I had to use a normal flow pad for about 1 week, then maybe a pantyliner for another week. My doc cleared us to TTC 2 weeks after and AF came 39 days after. My doc is confident that it doesn't decrease my future chances and I trust her. That's my story. Good luck and do what you feel is right for you. Sorry for your loss

morganle · January 2014

I wanted to wait after my MMC (12/17), but by that Thursday, I couldn't wait any longer...scheduled my D&C for 12/23. I have no idea when I would have naturally miscarriaged, but I'm glad I didn't wait or try the medicine. The only thing that I regret is that I have the world's lamest insurance and am usually a healthy person, so I've had to pay ridiculous amounts of money (3900$) for the procedure. Should I miscarry again (please, no!), I would have another D&C, even with the cost.

After the D&C, I bled for about a day, but I wore a panty-liner for about a week just in case. I had cramping for about a week, but not too badly. I also had to wait 2 weeks for sex and swimming (lol - random). I spent all of Christmas break (I'm a teacher) crying in bed, but it's been over a month now and life is getting a little easier.

I'm sorry for your loss. Good "luck" with your decision making.

morganle · January 2014

Oops. That signature is untrue. I don't know how to delete it...

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