Understanding Missed Miscarriage Your Options And Support - Dr Lora Shahine

In this video, join me as I delve into the crucial topic of "Missed Miscarriage: Now What." We'll navigate through three main topics to help you make informed decisions during this challenging time.

First, we'll review the diagnosis of missed miscarriage, shedding light on what it means and how it affects you.

Next, we'll explore each option for resolution, weighing the pros and cons of:

• Expectant management, a wait-and-see approach.
• Medical management, understanding the benefits and drawbacks.
• Surgical management, when it might be the best choice.

Throughout the video, I'll provide valuable insights to help you determine which option may be the most suitable for your unique circumstances. Plus, I'll share essential questions to ask during this process.

As a bonus, I'll also introduce you to "Not Broken," my book available on Amazon, which provides further support.

Thank you for joining me in this important discussion. Remember, you're not alone in your journey, and together, we can navigate through the challenges of missed miscarriage.

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ABOUT : Lora Shahine, MD, is a double board certified reproductive endocrinologist and OBGYN currently practicing at Pacific NW Fertility in Seattle, WA. Originally from North Carolina, Dr. Shahine graduated with a Bachelor of Science in biology from Georgetown University in Washington, DC, and completed her training in medical school at Wake Forest University School of Medicine, residency in obstetrics and gynecology at the University of California at San Francisco, and fellowship in reproductive endocrinology and infertility at Stanford University.
As Clinical Assistant Professor at the University of Washington and Director of the Center of Recurrent Pregnancy Loss at Pacific NW Fertility, she is committed to providing excellence in patient care, teaching the next generation of women’s healthcare providers, and continuing research in the fields of fertility and recurrent miscarriage. She has published over 75 peer-reviewed research projects and is an active member of the American Society of Reproductive Medicine, Seattle Gynecology Society, and the Babyquest Fertility Grant organization. Dr. Shahine is an accomplished author including 'Planting the Seeds of Pregnancy: An Integrative Approach to Fertility Care' and best-selling book, 'Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.'
Whether through her research, books, lectures, or active social media presense Dr. Shahine is passionate about educating on reproductive health and supporting the feritlity community.

DISCLAIMER: The content contained herein is provided for informational and/or entertainment purposes only and not intended as a substitute for advice provided by a healthcare professional. Use the provided information at your own risk. If you have or suspect that you have a medical problem, please contact your health care provider

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Chapters
0:00 Intro
0:20 Welcome message
0:39 Video overview - 3 Main topics
1:23 #1 - Review the diagnosis of missed miscarriage
3:56 #2 - Review each option for resolution (pros and cons)
4:08 #1 - Expectant management
4:25 Pros of expectant management
4:42 Cons of expectant management
5:55 #2 - Medical management
11:37 Pros of medical management
12:17 Cons of medical management
13:18 #3 - Surgical management
13:39 Pros of surgical management
16:57 Cons of surgical management
18:09 #3 - Which option may be best in certain circumstances
18:52 Question to ask
12:19 Additional resources - Not Broken (My Amazon book)
23:27 Outro

[mphomphowza]

Thank you so much for kind words, I had missed miscarriage last week, it’s the hardest thing to go through 😢😢

[keithcuarteros]

I had a missed miscarriage 5 years ago, I was lucky enough that my Dr. let me pass the pregnancy naturally and did not force me to undergo a D&C. I was able to see/handle the embryo and that brought me closure as well 🥺

[shayballinger]

I had a silent miscarriage June 2023. The baby stopped growing at 12 weeks due to a cystic hygroma. I was going to do expectant management but I was concerned about baby decomposing so after several days I got medicine to help things along because I was hoping to see my baby boy. I was so blessed not to have bad cramping or significant bleeding and I had ordered a miscarriage kit to easily catch the baby and temporarily preserve him. I was blessed to do just that. My baby boy came out beautiful and whole. You could even see his little penis. God is so amazing and I know this baby's sweet soul is in the hands of my Savior. Women need to be aware that a D&C will not allow the baby to come out intact, or correct me if I'm wrong. I was so thankful to see my baby and take pictures and have some closure. Sadly, I did still require a D&C several weeks later after a follow-up ultrasound showed I was still retaining "product of conception". It was also a good experience, as far as no complications and I was asleep. My heart goes out to all you mamas who have to go through this.

[kimnicole]

I recently had a missed miscarriage and it was devastating. My husband and I was about 8 weeks when we found out. We had our ultrasound and found out that our baby stop growing at 6 weeks. We decided on getting the procedure done at the hospital. We’re now dealing with the grief.

[IFCoachKiran]

This is such good information thank you!❤

[zsaniB]

It would be nice to indicate how many weeks of waiting time is recommended in the case of expectant management before someone opts for medical or surgical intervention. Thank you for the video

[martac.]

after doing the embryo transfer, I did a blood test on day 11 and the result was 14mg betahcg. my doctor told me it was a weak result, indicating that the embryo implanted but we don't know if it was continuing its development. a few days later I repeated the test and the value had dropped. Is this considered an abortion? How long after can I try again? I still have 2 frozen embryos so 2 attempts. thank you for all your videos, for your sweetness and empathy. it makes us feel less alone and more understood in this difficult and long journey.

[lindsayfoster]

I had a missed MC in May. Found out at our 12 week after seeing the heartbeat at 8 weeks . I decided to take misoprostal. It’s crazy to essentially deliver the baby, and the placenta, in your bathroom 💔 overall my experience physically was okay.
My doctor was fantastic, I took the meds over the weekend and had questions for her throughout the weekend. She was available for every phone call and always called me back.

[BlessingEffiong-os]

Please ma I have a missed Miscarriage at 6 weeks so I took misoprostol and it's three days now am not bleeding

[phatfatgurl]

Hi Dr, opinion please. I had a transfer on 12/15. First beta 12/26-11, 12/28-24, 1/2-230, 1/9 3046. 1/9 u/s showed NOTHING in transvaginal u/s. No one can find it. So we're just monitoring hcg levels. I go tom for a retest. What would you do? I'm scared though feeling no pain. I don't want to wait till there is. I keep getting the wait response so drs don't do something drastic that isn't necessary.

[namsb]

Hi Doctor. I need opinion I am 36 yrs done hystroscopy 20 days ago. And today is 46days of my cycle but my period is not arrived yet. Today estradiol test done and level is 24pg/ml. Doctor told me ur estradiol level is in lower side so we can start IVF procedure means medicine injection for egg retrieval. So she told me their is no problem if period not arrived yet. We can start ivf procedure without a period start. Is this true. Please help me....

[vanterujyothi]

Hi doctor I have laproscopic myomectomy due to fibroid 2 years ago.after that I have one tube disconnected due to infection after that 3iui's are failed.and 1 ivf failed .After many all this I'm conceived naturally.but in 6 week 1 days heart beat of fetal pole is seen in scan after that suddenly heart beat stops and growth stops.i have missed abortion .before I'm convinced in scan reports they said that I have starting stage of adenomyosis with bulky uterus .please tell me if this adenomyosis and bulky uterus is cause of my miscarriage. Or what.please tell me .😔😔

[charlene]

Worst physical experience I’ve ever gone through DO THE DNC

[RotemMarciano]

How long is normal to wait for the bleeding to start naturally? Before worrying about possible infection TIA