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Re: Miscarriage question

From: Thomas (anonymous@obgyn.net)
Fri, 28 Aug 1998 20:46:34 -0500 (CDT)


Allisa

I'm sorry to hear of your bad news.

Yes some doctors do perform a D & C but as most women miscarry naturally, waiting can save an unecessary operation. It can also give women time to come to terms with the bad news. Most doctors try and judge it by the individual woman and if this is too stressful for you and you want a D & C, let your doctor know.

In these circumstances when there is a sac and no fetus, there can sometimes be the possibility that a woman is 6 weeks not 10 weeks pregnant. It all depends on the size of the sac on scan. If the sac is less than 2cm it may be that the dates are wrong and it is too early to see a fetus on scan. In this circumstance a doctor would repeat the scan in a week. I doubt this is the case with you as your doctor has told you that you have a miscarriage. I have given this information in case other women were reading.

When you have a sac and no fetus it is called a 'blighted ovum'. This is a bad name which is why doctors tend not to use it with women such as yourself. There has been a lot of research on this subject recently and it is now thought that these occur when 2 sperms fertilise one egg.

About 20% of pregnancies end in miscarriage. It therefore doesn't mean that anything is wrong with you. This is just natures way of sorting out normal and abnormal conceptions.

Best of luck

--
Dr Thomas Ind MB BS MD MRCOG
St George Hospital
Kogarah
Sydney
NSW 2217
AUSTRALIA



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