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Re: PREGNANCY: What's next - D&C
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Fri, 29 Feb 2008 17:47:52 -0600 (CST)
Sara
Nothing more to offer. You may want to suggest cytotec as another
option. It can often soften the cervix and let the clots out...Dr. von
Almen
At Thu, 28 Feb 2008, Sara wrote:
>
>I did two days of methergine. It didn't work. I have had cramps all
>week. I saw my ob and he said there are two things to do. 1) have a
>repeat d&c and still end up where I am now with a uterus full of clots
>and blood. or 2) watchful waiting. Meaning wait for the clots to break
>down and come out on their own. He said if I do the d&c it will start
>the process all over again. Including trying to conceive again. He
>knows that I am anxious to try again. I have been running a low grade
>fever. So he put me on Augmentin 500mg x3 x7 days to prevent infection.
>Today I called cause the stomach pain is much worse. Hurts to walk, at
>times is sharp and doubling over. So he added lortab to the motrin to
>cover the pain. He said the pain is coming from these clots that have
>not come out. Bleeding is still very little. How long does it take for
>these clots to break up? It's been a week since the D&C. Are the clots
>coming out because I am stressed about losing the baby (a friend
>suggested this). Thanks!
>
>At Wed, 27 Feb 2008, William F. von Almen, II, MD, FACOG wrote:
>>
>>Sara
>>
>>I always give my patients 3-4 days of methergin, 1 tab 3 x a day. I
>>can't remember having to repeat a d&c...Dr. von Almen
>>
>>At Mon, 25 Feb 2008, Sara wrote:
>>>
>>>I had a d&c on Friday for miscarrying at 13 1/2 weeks. Baby measured 13
>>>weeks. On Sunday, I started running a fever and had a lot of lower
>>>abdominal and back pain. I went to the er. They ran a lot of bloodwork
>>>and sent me for a US. The US came back as my uterus was filled with
>>>blood and debris or placental fragments. My ob was called and he said
>>>it was highly unlikely to be placental as he had done a thorough exam on
>>>Friday under anesthesia when he did the d&c. They said it was most
>>>likely blood and debris. They put me on .2mg of methergine. Said it
>>>would be painful like labor. That would get the rest of this out. It
>>>didn't work. I had pain and cramps but nothing has really come out and
>>>I am on the 4th dose. I have to call and schedule an appt for tomorrow
>>>this morning and will be talking with the nurse. But there is NO
>>>BLEEDING except when I wipe and it is very little. So now what. Will I
>>>have to take this med again? Will I have to do another d&c? This just
>>>stinks.
>>
>>--
>> Note: Opinions expressed here are for educational purposes
>> only and, as such, do not constitute a physician-patient
>> relationship. This information is not intended to supplant
>> the need for you to consult with your physician prior to
>> choosing therapeutic options and/or interventions.
>> ** Private emails cannot be entertained due to time
>> constraints; consequently, they will receive no response.
>>
>>William F. von Almen, II, MD, FACOG
>>Private Practice
>>New Orleans, La.
>>
--
Note: Opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
** Private emails cannot be entertained due to time
constraints; consequently, they will receive no response.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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