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Re: PREGNANCY: What's next - D&C
From: anonymous@obgyn.net,
Fri, 29 Feb 2008 18:39:11 -0600 (CST)
The bleeding began to get a lot heavier today with old black blood.
Thank you for answering.
At Fri, 29 Feb 2008, William F. von Almen, II, MD, FACOG wrote:
>
>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.
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