Threatened Miscarriage Update

I don’t have anything new to report, really.  Active bleeding has subsided.  I *think* my cervix is closed, but I’m not very experienced with self cervix checks, so perhaps I’m wrong.  The fact that my cervix was closed Sunday night during active bleeding and Tuesday morning before extreme bleeding and probably is closed today is a good sign, I hope.  Well, that’s all in how you look at it:

SCENARIO ONE – Miscarriage

If I should be miscarrying and my body is not actively expelling the fetal tissue, then this is not good.  My hcg levels can still rise with miscarriage in the near future.  The cervix staying closed means that doctors will be concerned that my body won’t reject the pregnancy on its own.  I am not considering a medical miscarriage at this time.  [Look at my previous posts on this miscarriage for the reasons miscarriage is expected.]

SCENARIO TWO – Subchorionic Hematoma

I myself am not convinced that I have a blighted ovum.  My body still thinks it is pregnant, and I have to hold onto hope.  Had the ultrasound technician at the hospital found a fetal pole, I would assume that I’m suffering from subchorionic hematoma, a scary event that may or may not result in terminated pregnancy.  And indeed I was diagnosed with threatened miscarriage and a subchorionic hematoma.  In my opinion, based on a lot of reading over the past few days, 5w4d might have been a bit early to even find the fetal pole or the fetus might have been hiding.  Until I see that ultrasound on Monday, I am staying hopeful that my pregnancy is still intact.

I regret that I need a follow-up ultrasound.  I’m not confident in the safety of ultrasound in pregnancy.  I had three ultrasounds in my first pregnancy – one at about 11 weeks because the CNM didn’t detect a heartbeat with the doppler and I was nervous; a “big” one in the 2nd trimester; one around 32 weeks to see if the low-lying placenta was going to be an issue in labor and delivery.  My daughter is fine.  But transvaginal ultrasound is more suspicious, in my opinion as the transducer is so much closer to the fetus.

Well, that’s enough for now.  I have a few more posts in the making . . .

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2 responses to “Threatened Miscarriage Update

  1. I’m still hopeful that this is not a miscarriage, Kimberly! I agree that 5w4d might have been too early to see the fetal pole. With my twins (conceived at a fertility clinic), we had u/s at 5wk, and we saw one fetal pole but NOT the other – just a sac, which we were warned might mean the second baby would miscarry. Two weeks later another u/s showed both babies developing normally. (We have pics of the 7w u/s on our website: http://www.freemanplace.com/babies/7weeks/ – but we didn’t put the 5w pics up for comparison.) So yes, stay hopeful! How far along will you be on Monday?

    I do understand your anxiety about ultrasound safety. It never occurred to me in my previous pregnancy, when we had at least 8 (!) u/s during the pregnancy, to wonder about the safety. This time around, I did have a transvag u/s at 9w because according to LMP I should have been 13w but there were no heart tones…. And that worries me, too. But I have to simply hope for the best. Honestly, my previous pregnancy was not especially reassuring, since while my son is absolutely fine and perfect, my daughter has some serious developmental problems which have not been diagnosed. So again… yes, it worries me. But you do what you feel you have to do, and oftentimes that carries some risks.

    Wishing you the very best! (((((HUGS)))))

    Labortrials responds:

    Thanks, Lori. I appreciate your optimism so much. I will definitely keep you in my thoughts now that I know you’re in limbo with your own pregnancy. Big hug right back atcha!

  2. I had a subchorionic hemorrhage with Fenimore and the prognosis was pretty grim according to the OB/Midwifery practice I was in (I had not yet chosen homebirth, hubby wasn’t on board yet). I switched to a practice that shared my belief in my ability to carry the baby to term and prayed a lot and went on bed rest for a bit to force myself to slow down and all was well! I would recommend no more cervical checks or internal ultrasounds. They can actually make things worse (you don’t want any sort of penetration and that includes exams!) and sometimes your cervix might take a while to close which only stresses you out more. The first practice would examine me and say, well, your cervix is still open a bit, and that would make me so nervous! My second practice never checked me. Relax rest, eat super-duper well, takes some herbs to support pregnancy, have a friend take care of your older child, and take care of you!

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