My wife and I were expecting our first recently. At our first sonogram (12 weeks) they found major physical problems with the baby (without getting too graphic, an incomplete chest cavity and spine were the most obvious) and referred us to a specialist. The specialist confirmed the baby was “incompatible with life” and did not have a chance to live after birth. It probably wouldn’t make it that far. My wife was crushed.
Unfortunately the perinatologist (specialist) wouldn’t discuss options with us and kept referring us to a genetic counselor. I don’t know if this was a financial consideration (the genetic counselor is in the same office, but bills separately) or his personal feelings on the subject but it’s the first time we felt any judgement.
We didn’t feel like we needed genetic counseling at that point and after talking to her doctor again we scheduled a D&C.
Before hand she was told not to eat after midnight the night before. We were scheduled for 11:30, so I don’t know if it’s a 12 hour rule of thumb or you just don’t eat the day of. We were at a general surgery facility and after checking in we got a call from her doctor’s office saying the facility wouldn’t approve the procedure because the baby still had a heart beat. We were already checked in, my wife was already wearing the gown, we had a nurse there with us walking through everything. Everyone on the floor was unaware, and very nice, so they all scrambled trying to figure out what was going on while my wife laid in the bed and cried.
Eventually whoever disapproved got the information they needed and gave the ok. The doctors came in and apologized repeatedly and everyone we saw face to face was extremely professional and even warm. I guess it’s easier to be judgmental from afar. I only mention it so you know there are definitely those who judge regardless of the situation, facts, or logic.
We were there about 4 hours total, 45 minutes of that was actual procedure time, the rest was prep and recovery. She didn’t have a lot of pain during or later that day. They gave her something to calm her before and put her in twilight sedation during. She doesn’t remember anything for about a two hour period and was shaky most of the rest of the day. They recommended a diet of clear fluids for the rest of that day, but by dinner she was starving and wanted real food. The other recommendations I remember were that she could shower the next day but no baths/swimming for a week (or 3 days maybe?), “vaginal rest” for 2 weeks, use contraception until she’s had a period and she should be limited to light activity for the next few days.
The next 3–4 days she bled a lot (stock up on pads), passed a lot of clots and had more pain than immediately after. She had been given a prescription for pain killers (Darvocet I believe) and used that each day. She was able to get up and about but just felt some pain. Not dancing around, but not restricted to the bed or house either. I remember her being very tired.
6 days afterwards she was up and about all day for the first time and starting passing a lot of clots (a new pad every 2 hours or so). She said it was a very strange feeling. We called the doctor and they said it was fairly normal although it may happen earlier if you spend a lot of time on your feet soon after. This was just her first day back at work and she walks all day.
After that she had a little bit of a “down” feeling, probably because of her hormones and typical post-partum without the happiness of having the baby to offset it. We talked about it before and it was manageable but something to be aware of. Her breasts also hurt for 3–4 days, in theory from starting to make milk. She said it felt like a burning sensation. I would say she was truly “back to normal” that next week for the most part.
Going forward they said she should get her first period anywhere from 4–8 weeks afterwards and then be back on her normal schedule within 2 cycles.
If I was giving advice, I’d say stock up on pads, have a lot of support around you, don’t set anything in stone for those 4–5 days afterwards and discuss the hormonal changes with your boyfriend beforehand both so he’s aware and can keep an eye on you. Not so much because you’ll need it, but just because it’s hard to be objective when it’s your body.
I hope the information helps, I hope it goes well, and I hope you find nothing but support. Take care.