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Re: PREGNANCY: What's next - D&C
From: Sara (anonymous@obgyn.net)
Thu, 28 Feb 2008 14:55:00 -0600 (CST)
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.
>
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