Tag Archives: miscarriage

Everything No One Tells You – Trying to Conceive after Miscarriage

“You Never completely Heal emotionally from a miscarriage. When you decide to move forward with more treatments, it will sometimes feel as though you are turning your back on the child you lost. You will torture yourself with imagined scenarios of siblings, of your lost child’s reaction to your decisions. You will inaudibly consult your child on decisions that you feel they need to be a part of. A miscarriage creates a scar on your heart- and there is no healing scars. You just learn to live with them. Do not be ashamed of them. Embrace them, and make them part of your life. You will be stronger for it.”

We started our Gonadotropin injections as soon as we were allowed too, having passed the injectable class. It required a daily injection in the abdomen, a trigger shot, an IUI (Intra-uterine insemination) and the usual blood work and ultrasounds. The schedule looked something like this-

myfertilitychoices.com
myfertilitychoices.com

New Cycle:

Day 2- Blood work/Ultrasound

Day 3 through 11 – Injections + 3xs Blood work

Day 12 – Ultrasound, Blood work and an injection

Day 13 – Blood work, Ultrasound, Trigger Shot

Day 14 – A physical break

Day 15 – Specimen Collation, IUI,  Blood work

Day 17 – Progesterone Inserts 1-2xs daily as the doctor checks blood work very 5-7 Days

http://whenrugonnahaveababy.blogspot.com/2012/05/crinone-8_19.html
http://whenrugonnahaveababy.blogspot.com/2012/05/crinone-8_19.html

A side note about progesterone Inserts; They are disgusting. Stop reading  and move to next paragraph if you are easily grossed out. The are a cream filled tampon you must insert to which gravity applies. Think about it. They are gross and required everyday after an IUI during an injectable cycle. Invest in some panty liners!

Now, the Prince and I had been through the general process 3 times before this cycle and used to do every step together. Things changed after the miscarriage. We became very determined and goal orientated. instead of taking it step by step.

I no longer walked to the dungeon of shame with him and instead, I sent him on the 1 hour drive alone to give a sample before 8 am, as required, while I waited back at home for the scheduled IUI the same afternoon. It became routine; no longer enjoyable.

http://newmyanmarpyi.blogspot.com/2014_03_01_archive.html
http://newmyanmarpyi.blogspot.com/2014_03_01_archive.html

To be completely honest, I think the miscarriage took more out of us emotionally then either of us were willing to admit. We still had faith in the process, but had lost hope it would work for us.

Getting a shot in my gut was a tough transition from simply swallowing pill. Even though I took the class, there was still the mental challenge of sticking myself with a needle, on purpose. I envisioned myself trying to fall onto it, or sticking my finger or my husband instead of my love-handle. I knew that the greater purpose for this was a baby and that helped when my husband did the shots, but it was so different when I had to do it myself.

To add a little pressure, all of these medications were scheduled and needed to be given within an hour of the same time which they were given the day previous.

I recall one time in particular; I was on work travel and it was the first time I had to give myself a shot alone. At dinner, I snuck a piece of ice into my cheek thinking I could numb my gut in the bathroom. When I finally arrived to my stall, the ice was gone and I was faced with sucking it up and sticking it to my gut, all alone, or quitting.

I am Not.  A. Quitter.

At the risk of being found, passed out on the floor of a public rest room, with a syringe in hand, I took a deep breath, grabbed as much skin on my abdomen as possible and shoved that need in, like a butter knife into a well-done sirloin. As my hands trembled, I pressed the back of the syringe into the front and injected the meds into wherever the tip of the needle had landed (I could only imagine).

Success.

The only obstacle now was to exit the bathroom stall with an expression that explained the fact that my feet were no where near the usual ‘sitting on the toilet’ position and my skin tone had gone from a nice fuchsia to a translucent cream.Feet bathroom stallI smiled at the first person in the long line that made eye-contact.

I watched the tiles pass my feet on the floor, to pass the rest.

Round 1 – Not pregnant.

Round 2 – Not pregnant.

Round 3 – and the last round our insurance would cover….. and something went wrong….

Everything No One Tells You – Our Baby Is Dying

So there I was, New Years Eve, and 2 hours from the start of 40 friends and family coming for a party and I was curled up on the cold, damp garage floor sobbing because of the news the Fertility Clinic just called with; our baby was dying.

Everything no one tells you:

  • although there is a high chance of conception with fertility assistance there is also a higher chance of miscarriage
  • every pregnancy conceived under ‘normal’ circumstances has a 31% chance of miscarriage (about.miscarriage.com)
  • each miscarriage you have increases your chances of future miscarriage
  • No One, not even your doctor can give you the actual reason you miscarry. They don’t really know

bad news phone call

I had to pull it together and muster the strength to get through the evening. I went into the house, freshened up and did exactly that. As friends and family shouted Happy New Year with smiles and laughter I faked a grin and tipped my glass (of water) to theirs.

I felt embarrassed. I felt ashamed. I felt as though God was taunting me with things I wanted but wasn’t ready to have. I wanted someone to blame and the only option seemed to be myself.

yolksac
www.ultrasound-photos.com

January 4th – in for more blood work. This afternoon phone call was different then all the others had been in the last 8 months; I didn’t want it to come. When, ultimately it did – the results were the same- our numbers were too low to sustain a pregnancy but not low enough to confirm a miscarriage.

This meant – that even though the Doctors said we were losing our baby, my body wasn’t ‘doing that correctly either.’ My body was hanging on to hope.  My body was continuing as if the pregnancy was ‘viable’ and all numbers were where they needed to be.  It was on this cold day in January that I decided to stop listening to the Doctors and start listening to my body.

I gained Hope. I gained Faith that my Child might be able to pull through. That maybe I could beat the odds. I even went as far as to talk to my son. Tell him to ‘Hang in there’ and ‘Don’t give up yet.’

Somewhere in my mind I knew he couldn’t hear me, but it made the pain more tolerable to think he could.

January 8th – More Blood work.

January 11th – Blood work and ultrasound for confirmation of pregnancy loss.

On the Evening of January 11th the spotting began; a sure sign that I was going to miscarry. The Doctors celebrated – I mourned.

blooddrawStill hope?

Spotting January 11th – 17th with no pain.

January 18th – more blood work and another ultrasound.

If you have not been tracking the time line I was about 8 weeks pregnant. I had developed an image, relationship, status for this pregnancy that the doctors said never existed.  They did photos of my empty uterus other than what they referred to as a Yolk Sac….as if the word ‘baby’ made them ill. After a second ultrasound with no visual change they told me I needed a DNC.

I refused.

The last thing a woman needs when she is mourning the loss of a baby is to be told she needs surgery to ‘get it out.’ That she needs to go through physical pain in order to heal the emotional.  That her body, yet again, isn’t doing what it should,  and it needs medical assistance to ‘move things along.’ To be told she needs to ‘get on with this and move forward.’

I refused.

After a lengthy and private conversation with the office’s Nurse Practitioner Staff the Doctor begrudgingly offered a secondary option; Misoprostol.

www.abortionpilldoctor.com
www.abortionpilldoctor.com

“Misoprostol is a medication used to start labor, induce abortions, prevent and treat stomach ulcers, and treat postpartum bleeding due to insufficient contraction of the uterus” (Drugs.com)

It can also be inserted vaginally for inducing abortions – which just happened to by my doctors recommended. Punishment I guess for refusing the DNC. I was to insert 4 tablets for 2 days in the evening. Nothing other than that was discussed, no side effects other than passing the ‘yolk sac’ and bleeding precautions.

I followed instructions for two days until in the middle of the night, day two, I woke to empty my bladder and felt some of the most horrifying pain I have ever felt in my life.  I was less than half way between my bed and the bathroom and it hit instantaneously. The pain was so furious I lost control of my entire body and fell to the hardwood floor. I couldn’t speak, I couldn’t catch my breath, I couldn’t muster the strength to make it all the way to the bathroom…so I stayed in the middle of the hallway shaking in pain. My husband was about 20 feet away from me and I couldn’t even call him for help.  It wasn’t until a few hours later that I woke, in a cold sweat, still in the hallway and in disbelief at what had happened. The pain was still present, but tolerable.

I slowly stood and made my way to the bathroom and then back into bed. I was too embarrassed to call my husband to help; I mean I wasn’t even woman enough to keep a baby safely growing within me so I didn’t feel like it was his responsibility to feel sorry for me.tear

I cried. I cried until my body ached and finally I fell back to sleep.

My baby died. I will carry that with me for the rest of my life with the wonder of what he looked like, whose eyes he would have had and whose sense of humor he would have inherited. I will never know.

There was only ONE thing that was said to me through the entire ordeal that felt helpful or supportive. My mother, who suffered miscarriage herself told me, “At least you know they will be there to greet you when you get to Heaven.”memory miscarriage

Something to look forward too. That is what I needed. Thanks Mom.

Everything No One Tells You – + At Last!

It was Christmas morning, Day 14 Post IUI and I was determined to deliver good news to myself and my husband on this day. I knew that I could get a false + if I took an at Home Pregnancy Test, especially because we took the HCG (trigger shot) injection, but after a trusty ‘google search,’ I decided it was worth the risk. It was 6:00am and although I had to squint, I finally saw that vertical line. I remember distinctly, placing my left hand over my dropped jaw and my eyes welled with tears as my stomach turned and heart skipped a beat.

It was positive.

I cannot explain to you the innate feeling you get when you want something or have wanted something for so long and it is finally right in front of you. The physiological reaction is inexplicable other than through emotional correlations such as happy, excited, terrified, nervous, shocked, scared, and in awe.

I had told my husband after we exchanged gifts that morning and he walked around all of Christmas Day checking on me more often than usual. His protective instincts kicked in immediately at the thought of being a father.

As with any fertility process we still needed to go for blood work on Day 16 post IUI and we did to confirm our already confirmed news. The blood test was also positive and we started to ‘settle down’ with the thought of becoming parents.

www.journal.frontiers.org

When receiving a positive pregnancy test via blood work they look at 2 specific numbers (among others of less importance). They look at Human Chorionic Gonadotropin (HCG = the pregnancy hormone) as well as the Progesterone level (helps build and support lining of the uterus in order to sustain pregnancy after embryo attachment).

According to www.AmericanPregnancy.org there are a few important factors to keep in mind in regards to HCG levels in early pregnancy:

Key things to remember about hCG levels

    • In 85% of normal pregnancies, the hCG level will double every 48 – 72 hours. As you get further along in pregnancy and the hCG level gets higher, the time it takes to double can increase to about every 96 hours. Caution must be used in making too much of hCG numbers. A normal pregnancy may have low hCG levels and result in a perfectly healthy baby. The results from an ultrasound after 5 -6 weeks gestation are much more accurate than using hCG numbers.
  • An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy.
  • The hCG hormone is measured in milli-international units per milliliter (mIU/ml).
  • A transvaginal ultrasound should be able to show at least a gestational sac once the hCG levels have reached between 1,000 – 2,000mIU/ml. Because levels can differentiate so much and conception dating can be wrong, a diagnosis should not be made by ultrasound findings until the hCG level has reached at least 2,000.
  • A single hCG reading is not enough information for most diagnoses. When there is a question regarding the health of the pregnancy, multiple testings of hCG done a couple of days apart give a more accurate assessment of the situation.
  • The hCG levels should not be used to date a pregnancy, since these numbers can vary so widely.
  • There are two common types of hCG tests. A qualitative hCG test detects if hCG is present in the blood. A quantitative hCG test (or beta hCG) measures the amount of hCG actually present in the blood.

Our first blood test revealed to have HCG levels within the normal range of 5 – 426 mIU/ml.We were roughly at 325 mIU/ml. It was December 27th.

tracesofreality.com

As usual, we needed to return for More blood work in 4 days to confirm everything was going and growing normally. We wanted to see our HCG levels grow right along side our Progesterone levels. We had been directed by the Doctor to continue our ‘progesterone inserts’ as a precautionary measure, as there is no specific research to support or to disprove their ability to aid the progression of a pregnancy.

December 31 came quickly as we had company in town and were expecting about 40 people over that evening for a New Year’s Eve Party. I ran out of the house as early as possible as I didn’t want our family in town to question where I was headed. The last thing I needed was questions or gossip about a process no one knew we were going through.

iwishisaidthat.com

A side note – with every listening ear, comes a running mouth. If you decide to be open about your fertility process then understand that you WILL be questioned. Even when you specifically ask family members to reserve conversation about it with you and only with you – you will discover that ‘they had questions’ and as a result went to people uninvolved in your life and rambled about your fertility problems to have them answered. Do not be fooled by the label of ‘family’ or ‘friend’ as with many of those that fall into this class there is NO respect for your privacy OR your pain. (Yes – I learned this lesson the hard way and am slighted because of this experience).

I went in as planned and expected a call later that day.

The lasagna was in the oven and my husband not yet home from work when the phone rang. I took the cell phone and ran into the garage, avoiding our house guests who were in the kitchen and TV room.

“Hello?”

“Hi ShaunaBeth?”

“Yup”

“I am afraid your numbers have dropped significantly since last week.”

Silence. You know that feeling when you know someone delivers bad news but you haven’t yet wrapped your brain around what it was they said. Sweaty palms, heart pounding, knees weak, vision blurry…..

“What does that even mean?” I was stunned at this awkward conversation and beginning to get angry at the poor Nurse Practitioner on the other line as if she was at fault for this in any way.

“It is not good news.” Pause.  “We do not believe, at this time, that this is a viable pregnancy, due to where your levels have dropped too.” Pause. “We need you to come in for more blood work in 4 days.”

“Ok. Thank you.” I didn’t know what else to say….or what to do. So I hung up.

With my mind still racing and not knowing what to do, I called my mother who had struggled with fertility issues multiple times. When I relayed the news to her and she went momentarily silent and then started crying…..I knew all hope was gone.

Our baby was going to die. Before we get to meet her, see her or hear her heart beat she was going to die.

It was 3 hours before 40 guests showed up for New Years Eve and I had company upstairs that had no idea we were suffering from infertility or, at this point, miscarriage and I was more than overwhelmed. The level of emotional strain on my body was too much to handle all at once so I fell. I dropped onto the cold, damp, cement garage floor and I wept.

I wept for a time long enough for people to start wondering where I was. I wept till my stomach hurt and my eyes were puffy.

blog.walkercincinnati.com

I watched the snow fall through the garage door window while I caught my breath and wept even more.

No one prepares you for what I was feeling. No one tells you that there was a higher chance of miscarriage when you use fertility drugs. No one tells you how bad it would hurt when you have the best news of your life taken back. No one tells you how bad it would hurt. No one tells you that you carry that lost baby with you emotionally forever. No one tells you that you would start to despise those around you who are pregnant.

What do they say? Everything you don’t want to hear; The Baby wasn’t strong enough. There was something wrong so your body got rid of it. It wasn’t meant to be. It will happen again. At least you know you CAN get pregnant.

I had, in my womb, a baby. Everything in my heart was telling me to protect my child and everything in my blood stream was telling doctors she was going to die. All we could do was wait.

Sometimes the path you have laid out for yourself is not the path He has chosen for you.

What No One Tells You

We are starting a segment on this blog in the coming weeks called ‘Everything no one tells you.’

It will start with a segment on conception; the truth, insane as it may be, on what we do and do not truly know about the conception, growth and birth of a baby. It will then move into Everything No One Tells You about Pregnancy and Birth. We will laugh as fellow mothers, cry as friends in loss and rejoice in holding our children for the very first time.

It will walk you through a 7 year journey to parenthood. A mother’s first pregnancy loss as well as first successful pregnancy and birth. You will endure the physical and emotional struggle with her as she journals the events.

The Blog is going to cover what no one tells you about these events in life, both medical and emotional as well as open your eyes to the honest, and yet sometimes raw, truths about becoming a parent.

Please share with anyone you know who is struggling to get pregnant, or maybe a friend who just suffered a miscarriage because we will work our way through these events in laughter, tears and joy. Healing is on the horizon my friends!