I did a quick Google search, and I’m guessing miso is the ulcer treatment misoprostol that you shouldn’t take during pregnancy. A d and c is a dilation and cutterage, an invasive surgical procedure that removes something from the uterus. In this instance the something was a nonviable pregnancy that went awry from possibly the medication (or other factors).
Admittedly i was also confused about miso, and immediately thought soup? I was extremely incorrect
I don’t think breakfast needs to be that immediate? The dish prepared here almost certainly took a minimum of 30, if not 45+ minutes to make, and there’s no indication it was immediately after waking. Breakfast can be a bit later.