Dear Emily,
I am so sorry to hear of your ectopic pregnancy and losses. To experience one loss is difficult to deal with multiple losses is heartbreaking and my heart truly goes out to you.
Experiencing an ectopic pregnancy is a huge ordeal and you are in the early stages of recovery. Your body needs time to heal from your surgery which is in itself a gruelling task. You have also had to process the loss of your baby and been through an immense rollercoaster of emotions - all of this will take time to come to terms with.
You should take it very easily for about six weeks after surgery. Your body will be using its energies to heal internally. It is normal to feel physically and emotionally exhausted during this time and please do be kind to yourself. Recovery can take time and some days will be better than others, one day you maybe ok and the next you maybe in discomfort or more emotional. This is perfectly usual and the healing process will go back and forth in this way for however long you need. It is important to listen to your body’s signals and pain and feeling tired are your body’s signs to tell you to rest. We suggest keeping a healthy balanced diet, drinking lots of water and resting. Once your wounds have healed, very gentle exercise such as a short walk can help, but please do take this slowly.
It is not unusual for women to bleed after treatment for ectopic pregnancy. This first bleed after treatment is a response to falling hormone levels and involves shedding of the uterine lining and is not classed as a period. The length of the bleeding can vary from woman to woman and some women do report spotting and bleeding for up to around six weeks after an ectopic pregnancy.
While this is usually nothing to worry about, if you find that the bleeding increases so that you are soaking more than a pad in an hour or have offensive smelling discharge or body temperature of more than 37°C, please do get medical attention.
Surgery is an immense ordeal for the body to go through. In general, after about six weeks you should be able to return to most jobs from a physical point of view. However, if your role involves manual handling, we suggest that it would be sensible to have a phased approach, gently building up to the usual extent of activity. I would suggest avoiding a rapid return to strenuous activities as it is important to build up strength after recovery.
A few options may be available depending on the role: might there be an opportunity to work reduced hours, increasing them slowly over a few weeks? Perhaps there are certain tasks that you could take on which may entail a change from your usual role or a series of reduced tasks initially? I am not sure whether this is appropriate in your circumstances, but is there anything that you could action from home (which may be different from your usual role but still be of use)?
Many women experience pain after surgery and this can be the case weeks or months after the trauma. Pain is the body’s sign to rest and it is important to be guided by this and taking it easier if you experience discomfort.
In addition, it is worth bearing in mind that experiencing ectopic pregnancy is a very frightening experience and many women need to take time to help them deal with the psychological/emotional impact of the loss of their baby, being diagnosed with a life-threatening condition and undergoing major surgery. Please speak to your GP about having further time off work if required.
Above all be kind to yourself and allow time to grieve, to heal both physically and emotionally.
We will be here for you for as long as you need,
Sending much love and warm hugs,
Karen x
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
Ectopic pregnancy patient information suite: Highly Commended in the 2019 BMA Patient Information Awards
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