Tuesday, May 11, 2010

My Experience with Misoprostol (Cytotec)

This is graphic, so please don't read it if you're squeamish or young. It's really meant for women who are considering taking Misoprostol to induce labor for a missed miscarriage, which is what happened to me.

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My OB and RE wanted me to get another D & C but I just couldn't do it. Last time it was the right thing but this time I absolutely could not let anyone take my baby away from me to a lab to be disposed. I needed to see and hold my little one, tell her/him they are loved, and bury them on my own terms with prayers and a sense of a sacred ending. I also wanted to avoid any potential scarring of a second D & C.

I set up my room with candles, calming CD's, a heating pad, and plenty of disposable water proof sheets and Overnight pads in preparation for this. I do recommend those disposable water proof sheets (they can be found near the pads and Depends at the store). I waited until my husband was back from work and could be with me for the whole weekend in case anything went wrong and I needed to get to the hospital.

I prayed and then took four 200mg pills (800 mg) of Misoprostol vaginally at 1:30pm on Friday, hoping to miscarry that night. Preventively I took Advil and then later some Vicodin when some mild cramping started because I read it could get really intense. However, the cramping was light and I only started bleeding a few blood clots around 10:30pm after I took a walk to get things going. Then it stopped and nothing else happened. I slept the night and woke up to some bigger cramps and medium bleeding that again subsided in an hour. I realized the meds just weren't working and was stressed by this because I really wanted to avoid a D & C.

I had my husband get a second dose at the pharmacy and reinserted the same amount at 11am that morning (Saturday). NOTHING happened. I started to cry and get crazy by 7pm and decided to check my cervix. I felt in there and could feel all four of those pills completely intact, not having dissolved at all...no wonder they weren't working. I should have wet them first I guess, but instead I crushed them as much as I could with my fingers up inside me...very messy and unpleasant. I probably lost 1/2 a pill doing this.

However, by 7:30pm, the cramps started. I took Advil at 7:45pm. By 8pm the cramps were turning into contractions and I was bleeding and passing blood clots.

By 9:00pm the bleeding was out of control...I soaked through 6 HUGE overnight Always pads in an hour and was leaking all over the bed and my clothes with every contraction despite the pads. I took the Vicodin but it was too late. By 9:30pm I felt a very strong contraction, ran to the bathroom but pushed the gestational sac out on to my pad before I could make it to the toilet.

It was heart wrenching and amazing at the same time that I could clearly see our little 8 week baby in his/her amniotic sac floating inside the gestational sac/bag of waters....maybe just under an inch long. I cried and held him/her and placed everything in a container so that we could bury him/her.

After that I had one more large contraction and large blood clot came out and the cramps really susbisded. The heating pad was very helpful that night and I mostly felt relief that I had made it through the ordeal. I took a shower and cleaned up the bathroom because it honestly looked like a horror movie in there with all the blood. The Vicodin made me sleep and I went to bed. I passed some more clots at 4am with cramping and took more Vicodin.

Since then I've been bleeding with mild cramping but it was basically a short two hour labor once the meds worked. I have been extremely tired/fatigued since and crying a lot as I try to comprehend this tragic loss.

Tomorrow we hope to do the burial with flowers from the florist and a little black memory box I found. I personally would do the Misoprostol again with pain killers, but make sure they were dissolved/dissolving properly. This method is NOT for the faint hearted or those who are concerned about seeing a lot of blood...it is a VERY visceral experience.

I will go back for an ultrasound to see if everything passed...I am afraid of retained tissue which would mean a D & C, but hoping for the best.

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