Sudden Heavy Bleeding after MTPT

8am
OMG ... It has been three weeks plus since my MTPT. The bleeding has reduced to spotting. Yesterday night I bled so much all of a sudden that the whole pad was soaked, staining the undies, sheets, protector and mattress! When I woke up to pee, the toilet bowl was a bloody mess. I coughed and out came a huge blood clot the side of a kiwi. I felt so dizzy that I had to lie down. Now I am thinking what I should do. Should I go A&E or wait for my scheduled appointment with Prof Biswas in the afternoon?

3pm
After my bloody show, I decided to observe. If I continued to bleed or have cramps, I will go to A&E. But thankfully, the bleeding subsided so I decided to wait for my appointment with Prof Biswas. I told Prof what happened and he was interested to see how my clot and pad looked like. When he knew I had taken a photo, he said,"show me show me..." After that, he told the nurse that he would have to scan me. We proceeded to another room for the scanning. Initially he said nothing was wrong. Then he commented,"wait wait, something is irregular here." He then told me the expected
Bad News - there were some placenta tissues remaining in my womb.

He decided to do day surgery for me the very next day and I would be his first case. This meant that I would have to report to NUH around 6plus am to prepare for surgery at 8.30am. Prof said that usually this complication would happen to 1 in 10 patients. I was not bitter anymore, just very numb. But when the nurse explained to me that I would need to insert the cytotec pill into my vagina at home myself to dilate the cervix, I became Xiao and started crying like a baby, "nurse nurse, my friend do before. The nurse inserted for them. They don't need to insert themselves. I scare cramps and no bed for me and ..." And then all the pent up frustrations manifested into choking sobs as I recalled how sensitive my body had reacted to the pill three weeks ago.  The nurse explained that the pill had to be inserted 3 hours before and therefore I have to insert at 5.30am and the day surgery ward hasn't opened yet. She also said patiently that all their day surgery patients have to insert themselves at home. I kept crying and chanting my "friend did it before and nurse insert for her" again. The nurse was patient and asked Prof again. U guess what Prof said???

Prof: Well, I am confident I can perform the surgery with or without the pill to dilate. If u have an issue with the pill, then don't take it. Don't worry...
Me: (stunned and speechless) I will insert the pill at home. Just emotional. :(

Once again, I chose Single room instead of open cubicle because it was around 160 bucks difference which was the price of a very high quality hotel buffet. It would give my parents and me maximum comfort. I thought the after care by the nurses would be better too. Although my hub wanted to take leave, I told him not to because it was really not so nice to keep taking urgent leave and also, he had an important meeting. So, he would be driving us there and then go to work. My parents would be with me instead. I also need to fast from food and drink from 12 midnight onwards. I took my last sip at midnight heh heh.

The next morning 4.30 am
I washed my hair and blew dried it because I was thinking of not washing it a few days after my surgery. I packed pads, undies (unnessary because they would still use their own) and a thick warm jacket. I fed my dog.

5.30am
Time to insert! I cut my nails and washed my hands with dettol hand wash. I unwrapped the foil and placed the pill on my middle finger. Alamak. It slipped and fell onto the bed. I picked it up gingerly and spread my legs open. I tried to conjure up some erotic images so that my vagina wouldn't not be so dry. But no mood. I decided to just do the deed. I inserted my finger and surprisingly it was easy. I reckoned it was due to the bleeding which had lubricated the area. I pushed it to the limits and it was more comfortable than nurses doing for me three weeks ago.

7.30am
By now, we had completed the paperwork and I was shown to my single room. It was very small, unlike my A1 ward previously. This was the size of a HDB room and very basic looking. Anyway, I am not on a holiday so better not hiam. Nurses and anaesthetist came in and explained tons of info. Wow, the anaesthetist is very young and pretty! Am I in some Korean medical drama? Thankfully, she managed to set the plug on her first try and it wasn't very painful at all.

8.50am
Prof came and we said hello. I told Prof that I did not feel any pain from the pill and if I had inserted wrongly. He commented with a grin, "who told you it would be painful?". Because it was Prof doing, I had no fear because he commanded a lot of respect and trust from patients. I was wheeled to the OT. It looked just like what was shown on Tv with the huge lights. There were a few people there. Something was inserted into my plug and someone covered my nose and mouth with a mask and told me that it was oxygen. Breathe in and out. I had a bit of nose block so I was even comtemplating if I should raise my hand to ask if I could breathe with my mouth instead. Before I could do that, I inhaled a medicated gas and the next moment was when the surgery was over and I could hear nurses calling me.

11.00am
When I opened my eyes, I saw a sign in front of me and I kind of guessed that the surgery was over. Amazingly, the feeling was great because it felt like I had just woken from a very good sleep. Perhaps I had been so sleep deprived for days....I was wheeled back to my single room where I slept for a while. I felt slight cramps.

2pm
By now I managed to drink coffee, ate a tuna sandwich without vomiting. I also managed to urinate with only very slight pain. I also managed to update my blog while my parents went for their lunch. Waiting for the team doctor in examine me...

4pm
The team doctor came in around 4pm and told me I need two weeks of hospitalisation leave. I left the hospital at 6pm. :)

From my MTPT to this surgery, my experience with NUH was fantastic because the doctors and nurses were very patient, assuring, helpful. Prof felt like a protective father who would command respect in the hospital. An assuring and above all, caring team, helps a lot in such difficult times.



Comments

  1. How are you feeling now? Better already?

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  2. Are you having bad cramps? Please call for an earlier appt. They should be able to squeeze you in even though your appt not here yet. If you are having bad cramps and bleeding continuously go A&E.
    My friends who did d&c usually Dr will order HSG for them to check if everything is clear and inside is in order.

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    Replies
    1. Hi Jumbo, yeah I was also looking out for cramps or continued heavy bleeding to decide if I should go A&E. But the bleeding subsided so I waited for my appointment with Prof in the afternoon. I did not do a DnC previously. I did a MTPT something like induced labour so then, they already kept emphasising that there is no way they could check then if all remains had been purged out but they would check me again during the review. For my previous experiences, during the review, they would check the HCG levels which should be back to zero and scan to ensure everything is alright. I went to TCM to get herbs to help purge so all okay. This time, I was too distraught to go TCM to get herbs. Not sure if it is cos of that. But on hindsight, perhaps this is a blessing in disguise cos I finally have my womb cleaned up. Maybe it was very dirty all along?

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  3. Oh dear. Hope u r ok now. Take good care of yourself and hv plenty of rest ok?

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  4. How r u? Hope ur bleeding episode has ended and hv plenty of rest at hom.
    take care!!

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  5. Thank u! So touched to see four messages of well wishes! I am still lying on the hospital bed!

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  6. How are you now? Hope you are recovering well

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    Replies
    1. Hello Joanna, I am at home. I realised that cannot walk too much. if not, my womb would be painful. After lying down at home, the pain subsided.

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  7. I am so glad that u r ok! Phew! Cos u did not post for sometime after the bleeding. Take good care of yourself n get back to health soon. :)

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  8. UAP here... Glad you are feeling okie now. Rest well and recuperate. Take care. Hugs to you.

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  9. Thank you UAP! Actually how to recuperate? I am surrounded by modern family members. Thinking of crawling back to TSB to tiao... Not sure if assistant would give me an appointment.

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    Replies
    1. Maybe you can just call the assistant and try to explain to her your need for an appointment, hopefully she can squeeze you in. Sometimes people cancelled and maybe she can inform you. Did you try to order confinement catering? And can cook your own red dates longan tea too. Just try to do your best and recuperate.

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  10. Hope you go hock hwa and tell them U want herbal bath for confinement. Brew the bag in hot water and add warm water to bath with it. I know TSB said no need but no harm doing it. It can help circulation n maybe boost our body. As for food eat ginger stuff. U can cook stir fry pork with ginger and add Dom to it. Also brew longan red date drink add ginger to drink everyday.

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    Replies
    1. I don't know what is wrong with me. I feel so deflated that I do not feel like cooking for myself. I also feel bad calling my parents to buy ingredients. U know she just recovered from her cancer episode and my dad had aged ten years taking care of her. My sis is working. I do not want to bother my in laws if they did not offer. Yes, I know I can call my husband to go and buy ingredients. Okay, I shall perhaps do that.

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    2. Yeah I know some of the mini confinement things to do cos I went to forum based on my past experiences. Anyway, suddenly, it struck me why my elderly parents from both sides know less than me because they have nobody to ask and they too paisey to ask medical hall what to do? ... Because when my mom had cancer, I asked around those who unfortunately are cancer survivors what to eat and all the alternative therapies for healing. For miscarriages and termination, how to ask around?

      Anyway, because of your encouragement, I went to cook some ginger chicken and ginger red date soup. Heh Heh Heh.

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  11. I don't really believe in confinement but since everyone is doing it no harm follow just to feel better that indeed our body is recovering :-P
    Most impt is to rest more and eat healthy food. I am sure U will recover soon. Oh n do a detail scan....SIS or HSG to check inside and make sure all clear. V scan sometimes cannot detect.

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    Replies
    1. Hello jumbo, for my previous experiences, I didnt do meaning that I did not confine myself because I need to tabao my lunch during my leave. As a result, what my colleague warning came true, I fell sick easily and kept having fever that does not subside after that until I went to see tsb. So this time, I want to confine at least a week (meaning not go out at all) . Like my mil, she wants to come over during dinner time when the son is around but it is not dinner that I am having problems with... My parents are ever willing to come over but they don't really prepare confinement food plus they are very weak and tired so I try to reject their good intentions. Just airing my thoughts...

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    2. Hey Jumbo, I am not sure if u could be reached in this way! How r u? I have changed my blog addy to findingsophiec.blogspot.sg

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