Have any of you done medical management at home?

[MindUtopia]

I'm having a missed mc. I'm 10 weeks tomorrow, but baby stopped developing at 5 weeks and I found out about the mmc at 8 weeks, so I've now been waiting nearly 2 weeks. I'm generally quite happy to wait out a natural miscarriage at home and really have no desire at all for medical intervention. My daughter was a home birth with no intervention or pain meds and I'm quite comfortable in my own home vs being in hospital. I figure if I can quite happily birth at home, I should surely be more comfortable having a mc naturally in my own home too. Obviously though as things move forward I do need to think about what I do if things don't seem to start on their own. I've been waiting nearly 2 weeks as it is, with only a tiny bit of spotting, and ultimately I do need to think about getting back to work in the near future. I travel several days a week for work, so on those days I'm about 3 hours from home. I've not been going to work while I wait it out because I can't risk being stuck 3 hours from home having a miscarriage and needing to rush home on a train while bleeding, not ideal, as you can imagine. But I also know this could still go on for a few more weeks and I'm wondering if I would come to the point when I just went for medical management to speed things up. I don't want a d&c so that's not on the table unless there was a medical emergency.

I've done lots of reading about medical management and it seems to be much more painful with more bleeding, on average, than a natural miscarriage and most of the stories I've read seem to have been in hospital. In my area, they do medical management at home though, with no option to be admitting unless there are complications. Have any of you done medical management at home? Those who have done it in hospital, would you have wanted to do it at home? I don't want to do it at all frankly and am still very happy to wait it out, but I'm trying to think ahead about my options just in case I'm still waiting in another week or two. It would be good to hear about your experiences.

 

[pinkpassion]

With my first mmc I was told d&c was best, with my second mmc (new dr) I was told medical management was best (if I wanted it out quickly) I opted for medical management and it was ok, it took a good 15 hours for things to start but once they started it was quick , I ended up with a d&c anyway a week later because the placenta hadn't come away and I developed a nasty infection. But overall I felt the medical management was fine!

I'm so sorry you are going through this!! Xx

 

[ds0910]

I have had 2 miscarriages, both at 5wks. I know you said you were 10wks but the baby stopped growing at 5. I would think if you could get the process started you shouldn't really have any problems miscarrying at home, or even going about your everyday activities or work (if you want to that is). I know your situation is a little different in a few ways, but with both of mine they were complete and 100% at home with no medical anything and I was able to go about everyday as normal physically. Pain was no worse than a moderate period, bleeding no more than a heavy period. I don't know if there are reasons that yours might be different? Hope that helps some. Very sorry for your loss.

 

[MindUtopia]

Thanks for all your input and sorry for your losses! Yes, the goal would be for it to be natural at home. Unfortunately, it's been 5 weeks since the miscarriage and nothing is starting, which is why I am considering medical management. I can't wait forever. I can certainly leave the house, but my office is 3 hours from home. I work from home part of the week anyway, which isn't a problem, but I'm nervous going to work because it's such a long trip: 15 minute drive to the station, 2 hours on the train and another 30 minutes from the station by bus to my office. I've had a few days of spotting, but that hasn't led to anything and it cleared up within an hour or so and then nothing more. So I suspect I could get some indication it was about to happen and then head home, but if the past is any indication, spotting doesn't mean anything. I don't want to be stuck three hours from home by myself and having to take the train back bleeding heavily if it all happens quickly. If there were any complications, I also don't want to be stuck in a strange hospital far from home by myself (we don't have any childcare except nursery which is 9-5, so there's no way my husband would be able to travel 3 hours each way to be with me and leave our daughter behind and I doubt they would let her on the ward).

So waiting it out at home has been the best option, particularly as I can carry on working to an extent. But we're nearing the end of what's reasonable and I'm getting tired of waiting. I need to be back to work after Easter as I have some deadlines the following week that can't be missed. So I've decided to wait it out until early next week and then opt for medical management at home if nothing has happen. That will be 6 weeks since the miscarriage. I know, like a normal healthy pregnancy, it's impossible to stay pregnant forever and it would happen naturally on its own eventually, but I may not have that long to wait. I think I'm nearing the point now when it's healthier for me to get it done than to carry on waiting and waiting. I really want to be able to have a nice Easter and put this all behind us so I can get on with things. I feel a bit like a ticking bomb waiting all this time and nothing happening.

Medical management isn't my first choice, but I think I'm resigned to it if it means it will be done with and I'll have the rest of the week to rest at home.

 

[pinkpassion]

I think it's perfectly reasonable for you to go ahead with medical management!! I agree with everything you've stated! I'm here for support or an ear to listen if you need it!! Xx