Initial OB Packet

Miscarriage   

First remember this is not your fault. Miscarriages are far more common than we realize and talk about. This loss is real and will be hard, but you are not alone. 

What Now: 

1. Breath, take time to process 

2. If you like you can choose to let the pregnancy pass on its own, most will due so within a month 

3. If you would like to help your body pass the pregnancy, we commonly use a medication called CYTOTEC. 

4. If a pregnancy is too far along or your pregnancy does not pass with the help of medication a surgical procedure maybe needed, call a D & C. 

What to expect next:

Weather you decide to wait on your body or encourage the passing of the pregnancy with medication you will experience painful cramping. This is your uterus contracting to aid in cervical dilation and allow the pregnancy to pass through. There will be vaginal bleeding like your period and may even be heavier than your normal period. You should expect to see blood clots and tissue. The amount of tissue noted will depend on how far along you were when the baby passed which maybe less than you are expected to be. 

Medications:

· Tylenol and Ibuprofen maybe taken together for pain management, Tylenol 1000 MG every 6 hours, Ibuprofen 600 MG every 6 hours  

· Zofran for nausea, 4 MG every 6-8 hours 

How to use the CYTOTEC?

Using the gloves and lubricant provided you will place all 4 tablets in the vagina together. You want to push them as far back in the vagina as you can reach. After the tablets are placed you want to lye down for 2 hours and allow the tablets time to dissolve and absorb. You may begin to experience cramping and bleeding during this time. 

Reportable symptoms:

1. Bleeding will likely be heavy, soaking a pad in lessthan 1 hour X 2 is too much bleeding and you should notify your provider or go to the ER.

2. Signs of infection: Fever, Chills, Body aches, Foul smell to discharge 

3. Pain uncontrolled by over-the-counter medications