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antonia_p on "Miscarried last night - I have questions"

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I miscarried last night at 11 weeks. I had a previous miscarriage around 8-9 weeks, but that was a different situation - I had poor betas and poor growth all along, then a D&C when the heart stopped. In this case things were looking good. I had u/s around 7 and 9 weeks and both looked fine. I started spotting about a week ago at 10 weeks and felt slightly less nauseous, though was still feeling nauseous. Then had heavy bleeding and cramping last night. Went to the ER and they confirmed it, there was no longer a sac. All the tissues went into the toilet so there is nothing to send for analysis. (I wasn't thinking too straight last night but now wish I had a way to get more answers.)

So here are some questions:

- since the spotting started and nausea lessened a week ago, do you think something went wrong at that time and it just resolved itself last night?

- at the same time, I was feeling super nauseous and vomited just hours before the m/c last night. Is that normal? I thought one only feels sick when HCG is steady or rising? I still feel a little nauseous now, though maybe because I feel a little dizzy from the blood loss.

- can stress and/or traveling cause a m/c? I went on a stressful trip this past weekend and trying not to feel like I did something harmful to end the pg. I went on the trip after I was spotting. It wasn't physically strenuous. But I am wondering if I should have put myself on bedrest instead.

- it seems like most of the tissue is out, will my doctor monitor my HCG to make sure I don't require a D&C? I have a followup doctor's appt tomorrow and wondering what to expect. Will they give me any other drugs to make sure everything comes out or is it just wait and see?

- for my one successful pg I was on Lovenox till maybe 10-12 weeks. My RE put me on it just to try something different since I'd had so many BFNs. My OB was not a believer in it because the only thing I had was MTHFR (the common kind). I am wondering whether I should have been on Lovenox this time. My OB tested my fasting homocysteine and it was normal.

Thanks, I appreciate any insights you have.

antonia_p


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