(Closed) measuring small..miscarriage update… ER?

posted 6 years ago in Pregnancy
Post # 31
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1836 posts
Buzzing bee

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Westwood:  With the high deductibles and out-of-pocket maximums that most insurances have now, ER visit is far from free. Much more costly than appointment at the Obgyn’s office with a routine ultrasound. Few times when I was in horrendous pain, my first though before heading to ER was “how much will this cost us”. 

Post # 32
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1140 posts
Bumble bee
  • Wedding: October 2016

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peegee:  I’m not sure if this was blanket first trimester advice that they give ALL of their patients or if you may have had specific instructions due to risk profile or something, but if ANY of my doctors said this to me without a very specific reason, I’d fire them on the spot.  Emergency department visits are expensive (I have excellent insurance but I do have a deductible, and even if I’d met it, there’s still a $150 copay!).  Your outpatient physicians should be focused on caring for you, not pawning your care off an emergency department physician who is not your specialist.  

Post # 33
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1462 posts
Bumble bee
  • Wedding: September 2011

OP, I’m glad the ER treated you well. Fingers crossed for you.

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pickles325:  But it’s true…if you’re actually miscarrying there is nothing they can do. I miscarried and was in horrific pain and bleeding a lot and all the ER could do was offer me pain meds…which they didn’t even end up giving me. They didn’t take me seriously and they gave me an ultrasound but I had to follow up with my gyn anyway. If you need a D&C after a miscarriage they’re not going to do that in the ER.

Post # 34
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735 posts
Busy bee

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FuturemrsJJohnson:  if you measured less than 5 weeks a couple days ago adn you go to the ER all they’re going to do is order another ultrasound that isn’t going to show anything if you’re only 5 weeks now, your hcg levels are rising like they should and an ultrasound a couple days later wouldn’t show anything more than it did 2 days ago (im not actually sure when you had your other one from previous post!) But if they said Monday, it’s because by then should see something in there. You won’t see a fetal pole until 5 1/2-6 ish weeks. You can go to an ER if you want but you may or may not even get an actual answer because even if everything is okay, there won’t necessarily be a baby in there for them to see yet still. (Im an ultrasound tech) They make you wait X amount of time between ultrasounds for a reason unfortunately.

Post # 35
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30400 posts
Honey Beekeeper
  • Wedding: November 1999

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solnishko1186:  Normally I would agree with you, but the OP’s specific question was should I go to the ER?

Post # 36
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1157 posts
Bumble bee

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Whirlwind03:  

I got an official folder with documentation and helpful booklets, vouchers etc when I went to my midwife for the first time. On the outside of this huge plastic folder which is designed and printed by the UK NHS, it clearly says “call the EPAU (early pregnancy unit) if you have bleeding at ANY POINT during your pregnancy)”; I called them and they told me to go to A&E (the ER) immediately. That was the official advice of the NHS, who provide all healthcare for free, so they wouldn’t have told me that if they didn’t think it was important…

As it was, I waited half an hour to speak to a triage nurse who then booked me in for an Ultrasound at the EPAU the next day… They told me to come back straight away if anything got any worse. 

So I suppose maybe the advice varies? The NHS is big on prevention though, they like to catch possible complications (cysts, infections, ectopic pregnancies etc) as soon as possible so they can treat them before they are health-threatening because it’s cheaper that way in the long run. 

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