Mifegymiso case 37 year old, life threatening and involved or prolonged inpatient hospitalization

In 2017 a 37 year old woman suffered "life threatening and involved or prolonged inpatient hospitalization".

From her Adverse Reaction Report:

"Report received [date]. 37 year old woman with unknown medical history. Received Mifegymiso. Patient was 45 days gestation.

Patient presented for follow-up appointment with heavy bleeding and vasovagal (See below). Ultrasound scan detected retained product of conception in and around cervix that physician attempted to remove. An assessment of stat hemoglobin was ordered, then patient called at home to [be] given results at 130. A date for dilation and curettage was booked by clinic. Patient reported passed large clot size of an orange on way home and felt much better. 

On [date], nurse called in the morning and patient said bleeding was only spotting and she felt better and cancelled dilation and curettage.

On [date], patient reported being admitted to hospital with hemorrhage and loss of consciousness on date with low hemoglobin and iron. She underwent emergency dilation and curettage and blood transfusion."

Reactions:

"Loss of consciousness, Low hemoglobin, Low iron, Hemorrhage, Transfusion, D&C, Syncope vasovagal, Retained product of conception, Heavy bleeding"

Notice the use of Retained product of conception. A human being by any other name.

"Vasovagal syncope (vay-zoh-VAY-gul SING-kuh-pee) occurs when you faint because your body overreacts to certain triggers, such as the sight of blood or extreme emotional distress. It may also be called neurocardiogenic syncope.

The vasovagal syncope trigger causes your heart rate and blood pressure to drop suddenly. That leads to reduced blood flow to your brain, causing you to briefly lose consciousness."