Re: Questions about 2 ERPC's for same Miscarriage

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HSM

At Mon, 22 May 2000, Maxine wrote: >
>Hi, I am in the UK and had a ERPC for a "missed miscarriage" in my 12th
>week of pregnancy because the baby had died at around 9 weeks and I was
>at risk of infection. After I had the operation I passed a *really* big
>blood clot and was told that although I bled quite heavily during the
>procedure, everything went well and that I could go home after they had
>monitored my bleeding for a while.
>
>The nurses checked my urine for blood every time I went to the loo and
>seemed concerned that it was quite heavy, but let me go home the
>following day. The doctor also told me that he was sure everything had
>been removed because he saw the whole fetus etc. after the procedure
>was complete. I was told to expect to bleed for about 3 weeks after the
>operation and that there was nothing abnormal about passing the really
>big blood clot. In other words, everything went well.
>
>However, as I was still bleeding quite heavily 3 weeks after the
>procedure and passing fairly big blood clots I asked for a scan (I had
>to practically beg for one, it wasn't offered) and it confirmed that the
>D&C had not removed everything. I then had to go into hospital to have
>another ERPC all in the same month!! Again, I was assured that
>everything had been removed and this time was told that I should not
>have passed such a big clot the first time and that I had been
>misinformed about the length of time to expect bleeding to occur. I was
>told it should only be light bleeding and for only 3 days or so. This
>and various other conflicting information left me with the impression
>that something had gone wrong during the first procedure.
>
>Then, three days after the 2nd ERPC I had severe stomach pains for about
>2 hours (similar to contractions I would imagine) and the next day on
>waking I passed a largish piece of tissue and a blood clot - after
>tests,these were confirmed to be "retained products". So in other
>words, the 2nd D&C failed as well.
>
>I would like to know if it is fairly "common" for a D&C to fail twice. I
>would also like to know how big the baby was likely to be at 9 weeks
>because the piece of tissue that I passed after the 2nd ERPC was quite
>big and I can't believe it was still in there after 2 procedures!! It
>looked like a fetus shape as well which really upset me and I have never
>been told exactly what it was. The report says that that they were, and
>I quote from the histopathology report "two pieces of haemorrhagic
>tissue, each 3.5 cm across"
>
>One was definitely a blood clot, but the other was definitely not!! - it
>was solid tissue of some kind that had a cauliflower-like appearance.
>What could it have been??
>
>This happened 2 years ago and was my first pregnancy. I have now
>decided to try again, but am really worried about the chances of this
>all happening again. I know that miscarriage is fairly common, but I
>feel as though I have had three miscarriages in one because of the
>events I've described. The whole experience left me really traumatised
>and I would just some answers to the above questions because they have
>always been playing on my mind.
>
>Sorry this is so long.
>
>Thank you for your help,
>Kind regards,
>Maxine Evans.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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