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Preparing for your appointment
By Mayo Clinic staffYou're likely to start by talking with your obstetrics care provider. He or she will instruct you on who you need to see and when. In some circumstances, you may be instructed to go to a hospital emergency room immediately. If you haven't yet seen an obstetrics doctor, make an appointment with one in the next 24 hours or go to an emergency room.
You'll likely need to see your doctor fairly quickly. Here's some information to help you get ready, and what to expect from your doctor.
What you can do
If there's time before you see your doctor:
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Write down key personal information, such as allergies, prior medical and surgical history and blood type, if you know it.
- Make a list of all medications, as well as any vitamins or supplements, that you're taking.
- Take a family member or friend along, if possible. Sometimes it can be difficult to soak up all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot. It may also be comforting to have someone close to you.
- Write down questions to ask your doctor.
Preparing a list of questions will help you make the most of your time with your doctor. For miscarriage, some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- Are there other possible causes for my symptoms or condition?
- What kinds of tests do I need?
- What is the best course of action?
- Are there any restrictions that I need to follow?
- What needs to be done now?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
- When was your last menstrual period?
- Were you planning this pregnancy, or was it a surprise?
- Were you using any contraceptive methods at the time you likely conceived?
- When did you first begin experiencing symptoms?
- Have your symptoms been continuous, or occasional?
- Compared with your heaviest days of menstrual flow, is your bleeding more, less or about the same?
- What chronic conditions, if any, do you have?
- Have you had a miscarriage before?
- Tulandi T, et al. Spontaneous abortion: Risk factors, etiology, clinical manifestations, and diagnostic evaluation. http://www.uptodate.com/home/index.html. Accessed Aug. 13, 2008.
- Tulandi T. Patient information: Miscarriage. http://www.uptodate.com/home/index.html. Accessed Aug. 13, 2008.
- Miscarriage. March of Dimes. http://www.marchofdimes.com/printableArticles/681_1192.asp?printable=true. Accessed Aug. 13, 2008.
- Early pregnancy loss: Miscarriage and molar pregnancy. American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp090.cfm. Accessed Aug. 14, 2008.
- Blighted ovum. American Pregnancy Association. http://www.americanpregnancy.org/pregnancycomplications/blightedovum.html. Accessed Aug. 14, 2008.
- Puscheck EE, et al. The impact of male factor on recurrent pregnancy loss. Current Opinions in Obstetrics and Gynecology. 2007;19(3):222-228.
- Tulandi T, et al. Spontaneous abortion: Management. http://www.uptodate.com/home/index.html. Accessed Aug. 13, 2008.
- Cytotec (prescribing information). New York, N.Y.: Pfizer; 2006.
- Cunningham, FG. First-trimester abortion. In: Schorge JO, et al. Williams Gynecology. 1st ed. New York, N.Y.: The McGraw Hill Companies; 2008. http://accessmedicine.com/resourceTOC.aspx?resourceID=514. Accessed Aug. 13, 2008.
- Misoprostol: Drugdex DrugPoint Summary. Micromedex Healthcare Series. http://www.micromedex.com/. Accessed Sept. 19, 2008.
- Sifakis S, et al. High-dose misoprostol used in outpatient management of first trimester spontaneous abortion, Archives of Gynecology and Obstetrics. 2005;272(3):183-186.
- Blum J, et al. Treatment of incomplete abortion and miscarriage with misoprostol. International Journal of Gynecology and Obstetrics. 2007;99(2)(suppl):S186-S189.
- Stephenson M, et al. Evaluation and management of recurrent early pregnancy loss. Clinical Obstetrics and Gynecology. 2007;50(1):132-45.
- Patient's fact sheet: Recurrent pregnancy loss. www.asrm.org/Patients/FactSheets/recurrent_preg_loss.pdf. Accessed Sept. 25, 2008.
