(Closed) Protocall after a MC?

posted 6 years ago in Babies
Post # 3
Member
643 posts
Busy bee
  • Wedding: April 2009

@PennyLainne:It all depends on the doc. If it is a natural miscarriage (especially later on in the 1st trimester), many docs will order follow ups to test your HGC to ensure it goes back down to zero, which will show that the entire fetus has left your body. Some docs will do these tests preventatively- just to be sure. 

You might want to call your doc and just ask what the ultra sound is for. The nurse/receptionist might not be able to tell you, but it can’t hurt to try.

I had a D&C (not natural) at 10 weeks, and my doc didn’t order any follow up blood tests- they assumed they got everything, and then checked me 10 days (I think?) post surgery. 

Post # 4
Member
20 posts
Newbee
  • Wedding: April 2011

If you had a miscarriage and did not have a D&C done (which by the way is a completely appropriate management..no need for D&C in a miscarriage that progresses on its on; and there are risks to D&Cs), it is very normal to follow  your HCG levels down to zero as well as get an ultrasound to make sure all of the fetus and placenta are out.  If not all the way out, they can cause bad infections. So your doctor is doing the normal and correct follow-up for a miscarriage.  They will also recheck your red blood cell count (also known as Hematocrit) if it was low before..it should recover on its on, in most cases.  I wouldn’t worry  unless your doc tells you that you  need to!! 🙂  Sorry about your miscarriage. Reply if you have any other ?s.

Post # 6
Member
1263 posts
Bumble bee
  • Wedding: September 2009

Not sure if protocol is different in US (I think you are in Canada?) but I had an early natural miscarriage and never had an u/s.  They did blood levels on day 1 and then on day 5 to confirm HCG levels were down to 0.  I would definitely call about your questions though!  They might be checking for an ectopic pregnancy, but it doesn’t sound like you have any symptoms of that at all so this is probably just routine.

Post # 7
Member
20 posts
Newbee
  • Wedding: April 2011

@PennyLainne:  Depending on how far along you were when you miscarried, what your HCG level was, and the fact that you had an empty uterus on the first ultrasound, they are most likely making sure you don’t have an ectopic pregnancy.  Vaginal bleeding in a woman who is around 6-8 weeks pregnant can be tricky, because that is the time when ectopics tend to become symptomatic.  Since they didn’t see a fetus on your initial ultrasound, it is very very likely that they are following your HCG level and ultrasound down to make sure it’s not an ectopic. Don’t worry- I doubt it is an ectopic (and if, by some off chance it is, and it’s at the point where it can’t be seen by ultrasound, it is VERY tiny and would be easy to take care of)- but they just have to be safe rather than sorry.  That is the protocol at our hospital when a 1st trimester pt comes in with vaginal bleeding- get bloodwork, get an ultrasound. If they are bleeding and no fetus is seen, it is most likely a miscarriage (or threatened miscarriage) but there is always a small chance it could be a very tiny ectopic pregnancy.  Thus, we always have these patients follow up for repeat ultrasounds and bloodwork (we actually do two repeat ultrasounds at our hospital in these patients, unless something is found on the first follow-up ultrasound). Your doctor is just being responsible to make sure that is not the case in you. 

 

This actually makes more sense to me now that you said that they didn’t see a fetus on your ultrasound.  I thought you meant you were further along, and they had seen you actively having a miscarriage on your first ultrasound.  I would definitely not worry- this is normal protocol for a 1st trimester patient with bleeding and no fetus seen in the uterus.   Hoping that everything works out fine for you!!

Post # 8
Member
5572 posts
Bee Keeper
  • Wedding: June 2011

I had a natural MC at 6w5d. I bled for 9 days. I had blood taken a few times. During the first week they took my blood on Monday (bleeding started on Sunday) and on Wednesday to confirm that my HCG levels were dropping and that I was in a process of active MC. Then the bleeding stopped the following Wednesday. I had blood taken Thursday and Saturday to make sure that my HCG level had gone back to less than 5. I only had 3rd day of bleeding. I had not actively miscarried at that time but the baby measured 2 weeks small and a heartbeat couldn’t be found. Since my levels went down like normal they didn’t do another U/S.

I think that in your case they just want to make sure that everything was shed naturally and that a D&C isn’t necessary to clean everything out.

Post # 10
Member
921 posts
Busy bee
  • Wedding: July 2011

I had blood taken for 2.5 weeks–my HCG levels took forever to fall to zero. I had a natural miscarriage with horrendous cramps and frighteningly little blood. Even still I actually never even saw a doctor, just a phlebotomist and got calls from a nurse.

 

I think @chastenet had an u/s after her miscarriage to see if her lining was properly building up again afterward.

@drbeebee:This makes a lot of sense to me.

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