Because Misoprostol worked so well for Miscarriage #3 last year, I decided to go that route again for #4. There is something morbidly comforting about planning your miscarriage, making your little nesting spot for the next few hours, or day, with everything you may need.
The dosing/prescription was different this time. Actually, it was half of what I was prescribed last year. I don't know if the dosing was different because I am at a different practice, because this pregnancy ended earlier than the last one, or what. One CNM did say that there is not a standard protocol for administering misoprostol for missed miscarriage. The instructions were also different. I was instructed to take one dose of 800 mg of misoprostol versus 400 mg every 4 hours.
Saturday was a busy day. At 4:00 pm, I pushed 4 little pills of misoprostol against my cervix, said a little prayer, and lay down.
Saturday
4:00pm: take 800 mg misoprostol (vaginally).
6:15pm: spotting pink
7:30pm: crampy. take 200mg ibuprofen
8:30pm: take another 200mg ibuprofen
9:00pm: period-like bleeding. cramps intensify. use heating pad until ibuprofen kicks in.
10pm: nothing much is happening. go to bed.
Sunday
4:30am: got up to use the bathroom. passed some clots. no cramping.
7:00am: wake. very light bleeding, no cramping. worried that one dose of 800mg was not enough. instructions say to give it 24 hours. Wait.
10:00am: clean the house.
4:00pm: 24 hours since dose. No progress. Spotting.
Monday
7:00am: very light flow with small brown stringy clots.
9:00 am: Go for a brisk 2 mile walk to see if things pick up.
11:00am: Spotting. Call ob office. Pick up another dose.
2:30pm: take second dose of 800mg vaginally.
6:30pm: passed more small clots. No cramping yet.
7:00pm: Period-like bleeding. Passed a large clot and...the pills! Attempt to put. them. back.
7:30pm: Cramping and heavy bleeding. Take 400 mg ibuprofen.
8:30pm: Felt a gush. passed something LARGE, most likely the sac and tissue.
9:30pm: another gush and large clot or tissue.
10:00pm: last large clot.
10:45pm: take 400mg of ibuprofen for cramping. Period-like bleeding. Go to bed.
Overnight: woke up every few hours to change my pad. Moderate-heavy bleeding.
Tuesday
Heavy bleeding all day. Off and on crampy feeling, mild enough not to need any pain reliever. Feels like there might still be a clot on my cervix. Call OB's office to check in. They want to see me on Friday.
Wednesday
Heavy Bleeding continues. Felt more confident to leave the house today.
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So. 800mg of misoprostol was definitely not enough, but with a second dose, hopefully everything has passed. Passing the sac and tissue is always jarring and disturbing, and I always wish our medical providers would accurately describe to us what we will see, what the tissue will look like and even feel like, so it is not quite so shocking. Yes they tell us we will not be able to see the embryo/fetus, but they do not tell us what the sac will look like. Maybe they just do not know. Maybe it is up to us to describe it to each other.
But I won't here. In case you don't want to read it in bloody detail. But if you happen to come across this post in search of details and wanting to know what to expect beyond the description of "heavy bleeding with clots and possibly tissue," let me know, and I will.
You can also read about my first experience with misoprostol here. Or click on the miscarriage tab for a summary of them all.
1 comment:
I'm sorry you've had to go through this again. I do think it's important to share our experiences though, because so often the very surface description given by our providers are pretty inaccurate. When I had my very early miscarriage it was described to me as a "heavy period" Nope, not at all. VERY different. Much more "labor" than I ever felt before I had my boys via c-section. I was extreamly thankful for people like you who had documented their experiences, otherwise I would've panicked that something more was wrong.
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