She was told to take a medication that would pass the remaining tissue from her body but wasn't given any information on what to expect from it, both physically and emotionally.
No one in the ER acknowledged her loss, adds Shasky, who thought her doctor was very matter-of-fact about the whole thing—certainly not rude, but lacking compassion for what she was enduring. Anita Catlin, R. Sometimes the grieving process can cause a woman to feel shock, denial, and anger.
If grief is addressed, patients can avoid mental health issues, such as anxiety and depression, that are also commonly seen when women and families are unable to process these losses, says Catlin. If left untreated, these can lead to long-term mood disorders, future perinatal complications, and even thoughts of suicide or self-harm.
In fact, he says, nothing the woman could have done would have caused her to have a miscarriage, which is important to understand during a time of confusion and heartache. As a manager of research and design at Kaiser Permanente in Santa Rosa and Vallejo, California, Catlin has researched pregnancy and infant loss in different settings, including the ER, and is now working to change the way these cases are handled. Her latest research focuses on guidelines —now adopted by the Emergency Nurses Association—that staff can use to treat patients who view their miscarriage as a serious emotional loss.
Guidelines include sensitive triage of an emotional emergency, handling the products of conception in a dignified manner if the patient requests, and providing detailed discharge instructions so the patient knows what to expect when they go home. But it could also be that this was a tremendously desired or hard-fought for pregnancy, and the loss is devastating," explains Catlin. The latter patients would benefit from doctors addressing the emotional side of miscarriage.
Most people I know who've had a loss, it's a been a big deal. As a full spectrum doula, I'm happy that this article was written.
By Risa Kerslake. Save Pin FB More. Comments 1. On the other hand, being pregnant can also be overwhelming, confusing, and even frightening at times. However, there are certain situations when more immediate evaluation and treatment may be needed to ensure the health and safety of the mother and her unborn baby. Learn more about what signs and symptoms during pregnancy may indicate that you should seek emergency care at one of our convenient locations in Frisco or Fort Worth, TX.
One of the most common symptoms that lead women to seek emergency or urgent care during pregnancy is vaginal bleeding or spotting. While light bleeding or spotting during early pregnancy may be completely normal, women with ongoing, sudden, or heavy bleeding may be experiencing some form of pregnancy complication, including miscarriage.
The cervix neck of the uterus is gently opened and the remaining pregnancy tissue is removed so that the uterus is empty. Usually the doctor is not able to see a recognisable embryo. The actual procedure usually only takes five to ten minutes, but you will usually need to be in the hospital for around four to five hours.
Most of this time will be spent waiting and recovering. You may have to wait a day or two to have a curette and sometimes, while you are waiting, the pregnancy tissue will pass on its own.
If this happens and all of the tissue is passed you may not need to have a curette. If you have heavy bleeding with clots and crampy pain, it is likely that you are passing the pregnancy tissue. The bleeding, clots and pain will usually settle when most of the pregnancy tissue has been passed. Sometimes the bleeding will continue to be heavy and you may need further treatment. It is important to have your blood group checked.
This is unlikely to have caused your miscarriage and is more likely to affect future pregnancies. Women with a negative blood type usually need an Anti-D injection, which will stop the antibodies forming.
One of the most common concerns following a miscarriage is that it might happen again. However, if you have had one miscarriage the next pregnancy will usually be normal. If you do try for another pregnancy, try and avoid smoking, alcohol and excess caffeine as they increase the risk of miscarriage. It is recommended that all women take folic acid while trying to conceive, and continue until three months of pregnancy.
In your next pregnancy you are encouraged to see your GP and have an ultrasound at about seven weeks. If ultrasound is done too early in pregnancy the findings are often uncertain and cause unnecessary worry. Partners may react quite differently, just as people can respond differently to a continuing pregnancy. Feelings of loss may persist for some time and you may have mixed feelings about becoming pregnant again. Some friends and family may not understand the depth of emotion that can be attached to a pregnancy and may unreasonably expect for you to move on before you are ready.
Some couples decide that they want to try for a pregnancy straight away, while others need time to adjust to their loss.
If you feel anxious about a possible loss in future pregnancies, you may find it helpful to talk to someone about this. Women are encouraged to discuss their health needs with a health practitioner. If you have concerns about your health, you should seek advice from your health care provider or if you require urgent care you should go to the nearest Emergency Dept.
Bleeding in early pregnancy Miscarriage Treating miscarriage Ectopic pregnancy Hydatidiform mole Section menu. On this page: No treatment expectant management Treatment with medicine Surgical treatment curette Waiting for treatment After a miscarriage No treatment expectant management You can choose to wait and see what will happen. Things to know There are many reasons why some women prefer to wait and see.
It may feel more natural, it may help with the grieving process or it may give you more of a sense of control.
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