Advertisement

Miscarriage in the Emergency Department

  • Sophia Görgens
    Correspondence
    Reprint Address: Sophia Görgens, MD, 300 Community Drive, Department of Emergency Medicine, Manhasset, NY 11030
    Affiliations
    Department of Emergency Medicine, Zucker-Northwell North Shore University Hospital and Long Island Jewish Medical Center, Manhasset, New York
    Search for articles by this author
      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.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect