1 /5 Nikki Doran: Instead of managing my first trimester miscarriage, the office sent me to the emergency room. This being my 4th loss, I knew what to expect and was aware that I needed rhogam to protect myself. After spending a couple thousand dollars and undergoing a traumatic trip to the ED, I can confidently say I have never felt so dismissed or tossed aside by a physician or physicians office. I wish I could give zero stars.