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| debohnet |
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Posted: 7/28/2008 4:54 PM |
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Subject: doc does not know what is happening to me. How long can you wait to get a dnc? |
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New WomanSaver
Female Member
Age: 26
Total Posts: 3
Calgary
Canada
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I went for an ultrasound. they say there is no evidence of a fetus there is a sack however no baby and I need a dnc. I was 11 weeks into the "pregnancy" at that point and now am about 13 weeks yet all of the obgyns are too booked up and I can‘t go into an emergency room with my 16 month old daughter for an 8 hour wait. What do I do and how long is it safe for me to wait?
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| hopeless_dreamer |
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Posted: 7/31/2008 2:14 AM |
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Subject: doc does not know what is happening to me. How long can you wait to get a dnc? |
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WomanSaver MoFo
Male Member
Age: 24
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Los Angeles
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What you are describing (miscarriage with empty sac, termed an incomplete abortion) is a common phenomenon. Most cases of incomplete abortion resolve spontaneously within two months. The greatest complication risk is infection, so if there is high fever, heavy bleeding, or intense lower abdominal pain; emergency care should be sought. Otherwise, being aware and keeping an eye on things should be sufficient.
If the embryonic sac does not pass within two months, medical treatment is available. Misoprostol aids in evacuation of uterine contents in the vast majority of cases. Only in the case where medication does not help is the surgical avenue advised. Nowadays, vacuum aspiration is used far more commonly than the more antiquated dilation and cutterage (D&C) method because it is safer and equally as effective.
A two week incomplete abortion is nothing to fret over. More than likely it will pass naturally within the next several weeks.
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| debohnet |
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Posted: 7/31/2008 9:27 AM |
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Subject: doc does not know what is happening to me. How long can you wait to get a dnc? |
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New WomanSaver
Female Member
Age: 26
Total Posts: 3
Calgary
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I‘m sitting at about 14 weeks now. I‘ve known about it being what they said a possible molar pregnancy for 3 weeks now. You don‘t think my body would have done it‘s thing by now? wierdly enough, my girlfriend just went through the same thing and they rushed her into emerg. So should I go? The only thing I‘m worried about is what to do with my daughter.
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| Dr.WomanSaverM.D. |
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Posted: 8/4/2008 8:18 PM |
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Subject: doc does not know what is happening to me. How long can you wait to get a dnc? |
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WomanSaver MoFo
Female Member
Age: 100
Total Posts: 564
Doctor's Office
Costa Rica
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| debohnet wrote: | | I‘m sitting at about 14 weeks now. I‘ve known about it being what they said a possible molar pregnancy for 3 weeks now. You don‘t think my body would have done it‘s thing by now? wierdly enough, my girlfriend just went through the same thing and they rushed her into emerg. So should I go? The only thing I‘m worried about is what to do with my daughter. |
Hi debohnet.
If you have a molar pregnancy (aka hydatidiform mole or gestational trophoblastic disease), you‘ll need a suction D&C. Sometimes the tissue can pass by itself, and it looks like a "bunch of grapes". This is probably what happened to your friend, before she went to the ER. In your case, your doctor might have caught it by ultrasound. I suggest you schedule a D&C as soon as possible.
Molar pregnancy is NOT the same as a spontaneous abortion or miscarriage. A molar pregnancy is an abnormal growth of placental tissue with little or no fetal components.
After the D&C, your doctor will follow up by measuring the level of pregnancy hormones periodically to make sure they decrease gradually over time. Unfortunately, certain types of moles can be cancerous, and this is what your doctor is looking for by measuring the Beta-hCG levels (a pregnancy hormone produced by placental tissue), since cancerous growths of this type produce a very high level. Your doctor will also probably suggest being on birth control and not getting pregnant for about a year, so they can accurately measure your pregnancy hormone levels.
Please follow up with your doctor to schedule this procedure. Keep me posted on the outcome. Good luck.
Dr.WomanSaver
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| Dr.WomanSaverM.D. |
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Posted: 8/4/2008 8:30 PM |
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Subject: doc does not know what is happening to me. How long can you wait to get a dnc? |
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WomanSaver MoFo
Female Member
Age: 100
Total Posts: 564
Doctor's Office
Costa Rica
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| hopeless_dreamer wrote: |
What you are describing (miscarriage with empty sac, termed an incomplete abortion) is a common phenomenon. Most cases of incomplete abortion resolve spontaneously within two months. The greatest complication risk is infection, so if there is high fever, heavy bleeding, or intense lower abdominal pain; emergency care should be sought. Otherwise, being aware and keeping an eye on things should be sufficient.
If the embryonic sac does not pass within two months, medical treatment is available. Misoprostol aids in evacuation of uterine contents in the vast majority of cases. Only in the case where medication does not help is the surgical avenue advised. Nowadays, vacuum aspiration is used far more commonly than the more antiquated dilation and cutterage (D&C) method because it is safer and equally as effective.
A two week incomplete abortion is nothing to fret over. More than likely it will pass naturally within the next several weeks.
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Hi HD.
That was a good guess, based on the limited info provided, but let me help clear up some confusion...
To be termed an "abortion" of any kind, you have to have fetal tissue
present, in a pregnancy that is less than 20 weeks. It usually
presents as vaginal bleeding in early pregnancy.
There are different types of abortions, and you should think of it as a
continuum. You would really need more info before deciding on which
type it is.
This is the basic classification (from bad to worst), and treatment:
Threatened Abortion: bleeding, cervix is closed, and there is a
viable fetus detected on ultrasound. This means you can detect a fetal
heart beat. This is the mildest one because it is possible for some of
these pregnancies to continue successfully to term. Treatment is
conservative.
Missed Abortion: bleeding, cervix is closed, fetus is dead
-seen on U/S. In this one, the treatment can be either to await
complete spontaneous abortion or do a scheduled D&C.
Inevitable Abortion: bleeding, cervix is dilated, but NO POC
(products of conception have passed). Treatment is Emergency D&C
-hospitalization, analgesics, etc.
Incomplete Abortion: bleeding, cervix is dilated, some POC are passed, and some retained. Treatment is the same as inevitable abortion.
Complete Abortion: This is the last one. -bleeding, and so much
uterine cramping that ALL the POC are expelled, and the cervix closes
soon after. This can also be confirmed by U/S. In this case the
doctor may just want to observe the patient and do serial Beta-hCG
levels.
*Note that Inevitable and Incomplete are serious, and the uterus has
to be evacuated in a timely manner in order to prevent blood loss,
anemia and infection.
I hope this helps to better understand some of this stuff.
Dr.WomanSaver.
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