Friday, February 13, 2009

Miscarriage, "let it pass" or D&C

I had a very busy life yesterday, so I'm late for my EMC report...
EMC means expectant mother care. I don't know if I mentioned it before.
One girl came Thursday she wanted an abortion because there is a problem with the baby. She actually probably lost the baby as she had heavy bleeding the Friday before, she went to the hospital and they asked her to come back after 2 weeks.
Since I've been more interested in contraception, abortion and all women-baby health topics I have been so surprised and chocked by all the miscarriages around me. I knew my aunt had one, then my other aunt. But I had no idea it was THIS common. Early miscarriages are most common. The rate of very early miscarriages (less than 6 weeks LMP) is very high : up to 25% in some studies (Wilcox AJ, Baird DD, Weinberg CR (1999). "Time of implantation of the conceptus and loss of pregnancy.". New England Journal of Medicine 340 (23): 1796–1799. doi:10.1056/NEJM199906103402304. PMID 10362823)
I was chocked that is it such a taboo still. I found out that some people name the baby, and it helps them grieve and mourn the loss.
Anyway this woman who came with a miscarriage didn't want an abortion to terminate the growth of the fetus. She needed the medical procedure of Dilation and Curettage.
Did she really need it? Of course if her fetus is dead it has to come out anyway. But D&C is an aggressive procedure, our policy (and obviously the one of the hospital too) is to wait about 10 days to 2 weeks, chances are the baby and placenta will be expelled naturally. Otherwise of course she should have the D&C.
Well I'm no doctor, just saying what I see.

I felt really sad for this girl. The most experience counselor took care of her so I don't have much more to say..

The second person I talked with was Martha. Martha looked so young, but she was 25, just my age! She came in with her boyfriend, who turned out to be her husband. She already had an abortion 7 years ago, and wanted one for the present pregnancy too. She was very sad and her story is complicated,she had been raped and she was depressed because of her first abortion and felt she didn't deserve to be a mom. That was really heart breaking. She waa saying : "if this was the right choice, why do I feel so bad about it?"
We talked with her and refered her to post abortion support groups. Yes those do exist. Which is pretty alarming. There are so many women with post abortion stress that there are support groups! If those women were isolated cases such groups would not exist.
Quite sad.

1 comment:

Laura said...

Heartbreaking to be sure.
The Rachel Project- one of the better known post abortion counseling groups- is a meaningful, spiritual opportunity for women to heal after the trauma.
I am, incidentally, pro-life- but I am a fervent believer in The Rachel Project.