D and C

baila1 · August 2018

I went to the doctor today at 10 weeks and they couldn't find a heartbeat. This is my second miscarriage. Like last time, the doctor makes it sounds like the only option is a D and C. How come they don't present the natural way as even an alternative? Is there a reason they always insist on D and Cs? I worry if I have too many it'll effect future pregnancies.

dpjennifer · August 2018

My first MC I had a D&C with no other options. It was presented that way to me because it was a suspected molar PG so they had to test the fetal tissue. The others I was super early on and MC naturally. You really need to discuss this with your doctor. You may be having specific circumstances that are causing them to present a D&C as the best/only option each time. Or they may have learned from their patients that most prefer a D&C. I would discuss it with your OB-GYN and bring up natural MC as an option and see if it's an actual option for you.

holly321 · August 2018

It depends the circumstances with the miscarriage if a d&C is best. But unfortunately, some doctor's do push for d&C's for monetary reasons.
With my first loss, I was 14 weeks. My doctor did give me the option to try to naturally miscarry, but strongly suggested a d&c for several ressonr, such as blood loss, trauma, and not being aware of how soon my body would take to miscarry.

With my second loss, at 7 weeks, I had a fetal pole and sack neasurime 7 weeks, but no heartbeat, and 8 weeks, still no heartbeat, but everything was shrinking. He again, gave me the options for a d&c vs natural miscarriage, but this time pushed for a natural miscarriage. Reasons included that nothing would look like a baby, there was blood in my cervix, so it looked like the physical act of the miscarriage was starting, and it is generally better to not have an unnecessary d&c for your cervix. Unfortunately, mine was a molar pregnancy, and 2 weeks later I had not miscarried, and couldn't take the emotional aspects of carrying around my dead baby and becoming visibly pregnant any longer. ( Because it was an unknown molar at this time, I wasn't pushed for surgery and I was "showing" early because I was bigger than I should have been.) In the end, I had 2 d&C's.
Honestly, I am scared about having two d&C's last year and how that has affected my cervix. I bleed plenty with periods, so I am not concerned about asherman's syndrome. But I do worry if my cervix is weak.

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