Here is the letter I have written:
I am writing to inform you of a major oversight that occurred in the OB/GYN clinic on Monday, November 19th at the **** Naval Hospital.
My appointment was at 1:30p.m. with ****. I told her that I was interested in switching my birth control from the mini-pill to the Mirena IUD; as I had spoken with another doctor at MCAS Cherry Point about both options. I told her that I was not good at remembering my pill at the same time every day and that I needed a more secure form of birth control. She talked to me a bit about the Mirena and sufficiently answered my questions. However, I emphasized to her that I wanted to “make sure” that I was not pregnant before insertion. She assured me that the urine test was sufficient even though I had told her my last period was October 15th and I have a 35 day cycle (not a 28-day). I realize now that because my menstrual cycle was not “late” that a urine pregnancy test is only 16% effective at this time (on or before the first day of your missed cycle).
I was not given the insert that comes with the Mirena (another oversight on Dr. ****'s part); however, I looked it up on the internet to find this:
The healthcare provider should determine that the patient is
not pregnant. The possibility of insertion of MIRENA in the
presence of an existing undetermined pregnancy is reduced if
insertion is performed within 7 days of the onset of a menstrual
Therefore, Dr. **** should have waited to insert the Mirena until the beginning 7 days of my cycle to “make sure” that I would not harm an already onset pregnancy, as the directions clearly state.
I found out Friday, November 23rd I am indeed pregnant through taking a home pregnancy test, as I was then “late” and had felt some pulling of the uterus that I had felt with my previous pregnancy. I could now lose my baby because Dr. **** did not properly follow the directions of Mirena to wait for insertion the “first 7 days of the onset of a menstrual period.”
I am concerned for the life of my baby, as well as for other women who trust Dr. **** to insert their Mirena IUD according to the directions provided by Mirena. I appreciate the hospital looking into this matter. I can be reached at ****.
What do you think?????? Thanks for the input.