Miscarriage in the Emergency Department

  • Sophia Görgens
    Reprint Address: Sophia Görgens, MD, 300 Community Drive, Department of Emergency Medicine, Manhasset, NY 11030
    Department of Emergency Medicine, Zucker-Northwell North Shore University Hospital and Long Island Jewish Medical Center, Manhasset, New York
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      They come to us so often we forget how much a woman can bleed, how pain can knife the body as a spasm of contractions comes too soon. They are ten weeks, fifteen, twenty and almost viable. We forget that grief does not know viable, that loss is not textbook learned, memorized— is experienced anew each time. Hope is a pulse we cannot palpate, the question in their eyes.Try to remain clinical, ask for symptoms, facts. When a woman tells us the careful count of soaked pads, we assume she's adding extra, desperate to impress us if only that would save the child. Her child. Not yet viable. I slide speculum in, expecting nothing. She leans forward, hunched into a knot of worry.
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