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I had a missed miscarriage in 7 weeks

By July 10, 2010 - 11:46am
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I was 7 week pregnant and went to the ER since I have having brown mild bleeding/spotting with a tiny amount of clot since 3 days. Yesterday I had a u/s done and they could not detect a heart rate. At 6w3d my baby's heart was 105 bpm. I know that there are factors that cause miscarriage like lifestyle, genetic etc. I dont smoke, I dont drink, I dont have a history of miscarriages (this was my 1st pregnancy), my immediate relatives have not miscarried, and I have taken my pre-natal vitamins without fail. I dont really understand why I miscarried. Also the doctor told me that they couldnt detect fetal heart beat and my pregnancy hormone level was low. Does this mean for sure that I miscarried? I dont want to eat the pill to induce expulsion of fetus without knowing for sure. Also what is the best and most body-friendly method of miscarriage treatment- D and C, or naturally waiting or using pill to induce it.

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I'm so sorry for your experience. And you're welcome. You no doubt will be going through this emotionally for some time. Allow yourself to grieve as you need to. Your doctor's nurse could suggest a support group to visit if you would like to participate in one. I wish I had done that following my miscarriage. Take care of yourself in this tough time. My heart truly goes out to you and your family. Please do keep us posted on your followup. Big hugs,

July 12, 2010 - 9:44am

Thank you Alison and Christine for the kind reply and encouragement. Last night my bleeding got worse and so did the cramps and I had to go to the ER to make sure I didnt have excessive blood loss and I was there until 2:00 am. As soon as I got there, I had this terrible cramp and passed the fetus out after which my bleeding and cramping subsided. The doctors did 2 pelvic exams and an ultrasound and told me that most of the pregnancy tissue had passed. They do want me to make a follow up appointment in a week or so just to make sure there are no complications.
I will keep you posted as to what happens during followup. Thanks again.

July 12, 2010 - 8:49am

Hi Ramya,
Thank you for your brave posting, and for being here on EmpowHer. I went through a miscarriage with my first pregnancy also. I know how horrible and surreal an experience it is. Like Alison said, "a million different emotions...frustration...sadness...". I think she's got the advice covered, I agree with everything she's told you, but wanted to add that you are not alone. I think the statistic is 2 in 5 pregnancies end in miscarriage. I wrote an article about my own experience, and also one about a close friend's. You will notice that our experience and yours are all very different. You will handle it in your own way, and that's just what you have to do. But you will be OK in time. My miscarriage was 5 years ago, I got pregnant again after 4 months, and now I have two amazing boys aged 3 1/2 and 2. Please check back and let us know how you are. Here are links to the articles in case you want to read them:

July 12, 2010 - 8:36am

The patient information leaflet, provided by the manufacturer of Misoprostol (Pfizer), does say that the most common "Clinical Adverse Reaction" was abdominal pain and diarrhea, but this is for the dosage prescribed to individuals using this medication for the treatment of ulcers, and occurred in about 13% (average) of study participants. When this drug is given in early pregnancy, your dosage and adverse reactions may be different.

I would assume that you would experience some heavy bleeding with or without the drug, as your body completes the process of miscarriage. I would also expect some abdominal cramping with or without the drug (similar to menstrual cramping) for the same reason, with or without the drug.

I believe there is a time limit in which you can begin taking the drug, so that would be your biggest deciding factor. If you choose the expectant management process, and this is incomplete, then would you have the option of taking the drug, or would that no longer be an option for you, and you would need to go through with the more intrusive uterine aspiration. Again, we can not decide for you, and it depends on your comfort level, as well as your specific condition. Every woman's body reacts differently, but it is great to read what other women experienced. I just wanted to give you some questions that you might want answered to help you decide.

It sounds like you would like to go the "natural" route, and stay away from the uterine aspiration (if possible). The questions to ask your doctor:
1. Is there a time limit in which I can decide to take the Misoprostol?
2. If I take the Misoprostol, is there less of a chance of requiring the uterine aspiration?
3. If I choose the expectant management, is there more of a chance of requiring the uterine aspiration, or would I then be able to choose the Misoprostol?

Does this help you at all?

July 11, 2010 - 5:07pm

Sorry, the above comment is mine. I forgot to log in.

July 11, 2010 - 2:39pm

I am so sorry you had a miscarriage, I know there are a million different emotions going on right now, as well as frustration and saddness that the cause is unknown. How can we be perfectly healthy, live healthy lives, and still miscarry?

The most common reason of miscarriage in the first trimester: the cause cannot be identified. That is not much of a help, I realize. However, what may help is knowing that many of other women have miscarried, and the exact cause can not be identified, either. It helps to know that you did not do anything wrong.

Miscarriage can actually be a sign that our bodies are working correctly. The most common reason our bodies do not continue with a pregnancy is because there was a problem with the fetus, usually something wrong with the chromosomes during the first trimester.

Please consult with your doctor about what is the best method for the miscarriage to be complete. If your doctor gave you a pill, can you tell us what it is? What did your doctor tell you about taking the pill, versus other options? It depends on so many individual factors, but we are happy to talk about all of the options available, and then you and your doctor would need to discuss what option is right for you with your health history, the type of miscarriage you had, etc.

Please let us know how else we can help.

July 11, 2010 - 11:44am
EmpowHER Guest
Anonymous (reply to Alison Beaver)

Thanks for the reply. Today I am bleeding and it has dawned in me that I really am going through miscarriage. I am also having period like cramping. I spoke with my doctor and she said my options are either expectant management (waiting for miscarriage to happen naturally), or taking a pill called Misoprostol, or getting a uterine aspiration done. My doctor told me to definitely stay away from the office procedure for uterine aspiration where I basically watch everything that is going on (since I have not has much transvaginal procedures (eg pap smear) done on me.
I read up and it looks like the pill might induce heavy bleeding and pain (?). I am really not sure what to go for. The doctor is saying that its upto me to decide. Since I have started bleeding, does this mean that I should wait for nature to take its course? Thanks again for the advice.

July 11, 2010 - 2:38pm
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