In need of a miracle

We're really in need of one of those miracles we hear so much about.

After being on bed rest of the week, and noticing that my spotting had stopped and my symptoms were 'developing' (read every growing boobs, gas production off the charts, etc) we arrived at yesterday's scan with just a little optimism.

We waited an hour before being brought in, not to the scanning room but to the fetal monitoring section. When they asked how far along I was and I replied 8 and a half weeks, the midwife scurried off, only to return and tell me to wait outside again for the specialist.

After another hour (and overhearing a conversation about why I was here and how they were supposed to prepare the room for us - and the midwife in charge having plainly no idea what they were talking about) the specialist whizzed past and told me to come in to the room with him. Unfortunately, there was already someone in the bed. Who he promptly moved out and got ready for my scan.

The abdominal scan wasn't very clear (having been holding for more than 3 hours at this stage!) and so he wanted to do another internal. Then he couldn't find the probe, or the cover, so after yelling at someone and telling us that 'everything has gone to pot' as the two head midwives were away, he just put a rubber glove over the probe and went from there. Then remembered to tell me to go and empty my bladder. It was absolutely surreal and I just felt like it must be a dream. I mean, we knew they were bad, but not this bad, surely?!

Unfortunately things just got worse. He had such a hard time finding baby, and then when he did, he couldn't get a good view. Then he told us that he couldn't find a fetal heartbeat. He asked for my wrist as he was seeing something, but thought it was just my heartbeat. He said the two pulses matched. He then measured and said baby was measuring exactly the same as last week and that the low fluid must have caused too much distress.

We were then told to change and think about our options in the waiting room, surrounded by heavily pregnant women. As soon as we had the chance to speak privately both hubby and I said we were convinced he'd made a mistake. Sure, we're probably in denial, but he's made this mistake before and everything was so rushed and poorly organised it just didn't seem real.

We were taken back in to speak with one of the consulting gynecologists who had been told we wanted a d&c. I told her we said no such thing and that we wanted to wait and see what happened. That I had already carried and lost my other babies and I didn't want this one to be any different. She then had to go and find out what the hospital procedure was for a 'natural' miscarriage!

After yet more waiting, we were told we could come back in a week and they would check on me, make sure I wasn't showing any signs of infection and they'd ask me again if I wanted medical intervention. If in the meantime I started bleeding through more than four pads in an hour, or was in severe pain, I should report to the ED, otherwise, see you next week.

It still seems so unreal. I have an appointment with my GP today and I am asking for another scan, somewhere else, just to confirm. Then we'll see what happens next.

Happy Easter little ones

This Easter has brought so many mixed emotions.

We should have been celebrating a first birthday. We should have been celebrating a first Easter with three of our angels. It was also our first Easter without my grandfather.

Yet I spent most of the day focused on protecting the life of the little one I am carrying now. Part of me feels terribly guilty, but I also know that really, this little one is the only one I can still do something for. So for the first time in my life, I didn't go to church on Good Friday. I didn't go the the dawn service on Easter Sunday and I didn't have Easter lunch with my family. Instead, I stayed home, mostly on the bed, and nurtured the life inside me the best I know how.

People keep assuming I must be bored, but I'm lucky I guess in that I can always find something to occupy myself. My mornings are reading, I'm reading the second book of the Outlander series (again!) before the series begins in two weeks and I check all the news on my phone or tablet. Then I have been catching up on movies in the afternoon that I'd rather not subject hubby to! I have a nap, hubby's home and then the night flies by.

In between there are countless trips to the kitchen to refill my bottle and the resulting trips to the toilet, along with an increased appetite (yay!) and the resulting nausea.

My nerves are building as tomorrow's appointment draws closer. I really don't know what to expect. My spotting has all but stopped, but I don't know if that is a good thing. I'm just hoping that baby has a little more room to move and that everything is still going along.

Only tomorrow will tell.

Scans, heartbeats and bed rest

After our weekly scan on Tuesday, I am officially on bed rest. I've been told not to go to work and to spend at least 1.5 hours, 4 times a day in complete rest.

Our appointment this week was booked in correctly, for the first time, and we only waited about 10 minutes for the specialist. He still walked in and asked, 'Where are we up to?' I suppose this is normal, but how hard can it be to check your notes before you see a patient?

He had a little trouble finding baby and I was getting anxious, but then we saw that beautiful little flicker on the screen and I breathed a sigh of relief. He was able to measure the heart rate right away (166bpm) but found it difficult to get a good clear view of baby. Even still, he did a rough measurement (still not convinced of his accuracy) and said baby was measuring well. He didn't give us a number.

I mentioned that I was still spotting every day and he noted that there was a blood clot just below baby. He said this would either reabsorb or continue to bleed out and either was fine. That didn't worry him. What was worrying him was that my amniotic sac seemed to be all baby and all heart and very little fluid. This, he said, was not a good sign and although nothing can really be done at this early stage he ordered bed rest and increased fluid intake. Of course we checked Dr Google when we got home and this seems to be the only treatment for low amniotic fluid this early in pregnancy.

We actually had an ok week last week, but this has thrown everything into chaos again. I am now consumed with what the next scan will show and the helplessness of knowing that there is really very little we can do. The only glimmer of hope I am hanging on to is that his scanning technique is rubbish (as evidenced by our first horror scan), that he just couldn't get a good view of baby and that next week everything will be fine.

Once again, we wait.

Gender Prediction

I have posted before about gender prediction. I haven't really thought about it much this time around, what they say about just wanting a healthy baby regardless of gender is especially true for us.

However, the last couple of days I have been having really vivid dreams. They have all been different, and some not too pleasant, but in each of them our baby is a boy. And sometimes joined by a twin sister. But there is always a boy.

So I pulled out the gender prediction chart and it says boy. A variety of other quizzes, predictors and old wives tales also seem to point to boy (it's a bit too early for some of them though!).

Only time will tell. We're still planning on having the harmony test done at 10 weeks, I already have the referral form from my doctor. Still, it's a little bit of fun to think about the 'What if?'

Honestly!

The story of this early pregnancy seems to be spotting. During the 6th week, it was once every two or three days. During the last week, it's been once every day. I've called the early pregnancy clinic and seen my doctor and they all say the same thing. It's so little, and so light, that there's nothing to worry about. I'm not having any cramping, there's no blood coming through, so just wait and see.

I thought last week was hard with no tests in between the scans. This week has been almost impossible! I've even been having 'ovulation' pains, right on cue for my next AF... even though I'm pregnant. This has got me wondering (worrying) that I'll have some real bleeding around the time AF would normally be due and just the thought of that gets my heart racing.

---

Due to the spotting, the anxiety, headaches and insomnia my doctor has recommended rest except when working (and only then because I am behind a desk this year, not in class) between now and the holidays. I had to explain this to my principal, at the same time as actually telling him I was pregnant. This was tricky, as he's not the most understanding of our situation. For example, when he asked how far along I was, he then said, 'Oh. Most people wouldn't even know they're pregnant yet.' Really? Honestly? Some people, maybe. But most? Not notice that their period was 3 weeks late? If you say so.

It's really discouraging. He's not the first person who has said this to me. What is the point. Are you trying to say I shouldn't worry about losing my baby because some other person wouldn't even know they were expecting?

I'm also getting a lot of, 'Don't worry. Be positive. It's all in the mind. Good vibes only.' I know it is important to be positive, just for my own sanity, but what good is telling me this when I am trying to explain to you the impact of my anxiety? It sounds to me like you are basically saying if anything goes wrong it'll be my fault for not being positive enough. Bollocks.

I'm really lucky to be surrounded by a few very special people who check in on me every now and then and ASK how I am doing, without telling me what to think or feel. This is the support I need and appreciate the most.

We've got ourselves a fighter!

To get the best and most wonderful news out of the way first, our little baby is growing perfectly and we saw its tiny heartbeat for the first time. So amazing. Such a miracle.

Now to how we got there...

For the third week in a row the clinic messed up our appointment. This time they actually had us booked in (makes a change) but had us booked for the normal antenatal clinic, not the specialist early pregnancy clinic.

This meant not only sitting in a room full of hugely pregnant bellies not even knowing if our babe was still there (and lots of tears on my part due to the extreme anxiety of it all) but it also meant waiting three HOURS for an appointment that we should have waited no more than 30 minutes for.

When we were finally called in, the specialist asked what I was there for. I know they have so many patients to see, but considering that our last appointment with him lead to the week from hell it was a little hard to hear. I explained. He asked me how the week had been and I told him I'd had a little spotting on a couple of days and he just nodded his head as if confirming his diagnosis. I was shaking like a leaf by this stage. He then suggested we head over for the scan to 'confirm things' and go from there.

In the end we had to wait another 30 minutes or so and then the lovely midwife who we had seen two weeks ago came to see how we were doing. She asked us to fill her in on all that had happened and was very understanding. Then the specialist flew in, poked around with the probe causing quite a lot of pain, looked at the monitor and said 'fetal heart.' He turned the screen around and there for the first time we saw our little baby and the oh so tiny flicker of it's rapidly beating heart. I must have let out a terrible sound, I know I was sobbing like mad, because the midwife came running back in, then looked at the screen and grabbed my knee and said something encouraging. I have no idea, all I remember was squeezing hubby's hand so tight, and seeing the enormous grin on his face, before turning back to the screen. I didn't take my eyes off it again until the scan was done.

Baby was measuring 6 weeks 3 days (according to the single measurement he did, still not convinced it was 100% accurate) which is about 2 or 3 days behind where I thought we were, SO much better than the two WEEKS behind we were told last week. The tiny little heart registered 123bmp.

Now we wait for next week. In the meantime, I have baby's first photo to stare at in amazement.

Cravings, anxiety, and the seventh week

Cravings:
My appetite is all but gone, in part due to nausea and in part anxiety. I try to make myself eat at least 3 times a day and I have only stopped a meal to be sick once (yay!), but other than that the thought of eating actually make me feel even more sick. I run though the list in my head of what's available and fight the nausea that comes with each suggestion.

I'm finding it pretty hard to eat anything cold, so all my lovely salad veggies are going to waste. Toast is ok, usually just with butter and vegemite, but is a once a day thing for me. I could eat chicken nuggets all day, that is the closest thing I have to an actual food craving, so I just make sure not to buy them.

Other than that, I'm craving ice.I have read that this is considered a form of pica but I'm choosing not to think of it that way! I have always liked crunching on the occasional glass of ice, now I just do it more often. It's also said to point to iron deficiency, which is possible, but my last results were fine and the prenatal vitamin I have been taking for the last 2 years has the full daily dose.

If chicken nuggets and ice are as far as these cravings go, I'll be happy!

Anxiety:
I know this wont go away any time soon, and I am trying to find ways to deal with it. It probably doesn't help that I am off work this week with a bad pain in my upper back, meaning I have a bit of extra time on my hands!

Following our scan earlier this week I am finding it a little harder to keep at bay. I know that if things are not progressing as normal, blighted ovum is the most likely explanation. That's really difficult. How do I bond with a baby that might not be there? Especially when trying to bond with a baby I might lose is already hard enough?

I also had a little spotting following the internal ultrasound, which is normal, but still had me waiting for it to stop. I'm still running to the toilet to check for spotting or bleeding, but I am getting better at stretching out the times in between.

I still find it incredibly hard to even think about telling people I am pregnant. On the one hand, I don't want to be congratulated on a pregnancy that might not last. On the other, I want this baby to be acknowledged. We have only told immediate family, one very special friend, and (unfortunately) our bosses. I keep thinking to the next milestone, e.g. if I make it to the next scan then I might tell... Afterall, there are people who will need to know if something goes wrong, and I hate having to tell people that I have miscarried before they even know I am pregnant.

In the meantime, I have 4 days to wait until our next scan. I am filled with so much dread at the thought, not only of seeing that baby hasn't grown, but at having to deal with that doctor again. I rang the hospital to ask if I could be seen by another doctor, apparently he's the only specialist there in this area. The clinic manager did say that she wants me to stop in after our appointment and if I am still not happy she is going to refer me to the Royal Women's, so that's something to think about.

Now, to distract myself on instagram for a while...

Something for the dads

One thing hubby comments on quite a lot is the way he gets ignored by doctors and nurses when we have our appointments.

Whether it's follow up testing after miscarriages, or an ultrasound to check on our baby, he's almost always overlooked and excluded from the conversation.

He asks me questions later about things he heard but didn't understand and I've encouraged him to ask questions if he has them, because he might think of something that I don't. But in general it's very true, one doctor doesn't even really acknowledge that he's even in the room.

I know every couple and situation is different, but in our experience, hubby is very involved in each pregnancy right from the beginning (this time it was even him asking me to POAS to check if I was pregnant!). How hard is it really to look at a man and ask, "Do you have any questions?"

It is important to me that hubby feels supported and as much a part of this pregnancy as I am. I don't know exactly how to do that, but I'm going to make a really conscious effort from now on. If the doctors won't ask him, I will, while we are still there.

He's also found that people are much less understanding of his feelings regarding our losses, and just expect him to 'get on with it.' Admittedly, he finds it easier to keep to his normal routine as it helps him to settle his mind, but that doesn't mean he isn't impacted. Even now, when people find out we have another baby on the way, the first questions he's asked are always about me.

When it comes to work, it's just the same. I have been told to take all the time I need for scans and appointments, and to let them know if I can't come in after a scan. Hubby on the other hand is being mucked around and made to feel like he is wasting people's time trying to find someone to cover for him so he can attend our scans. He didn't even dare try to come to the follow up GP appointment. He's asked to have regular cover, or to have his day off changed (with approval from his area manager) but his boss is trying to make him take sick leave - which he shouldn't have to when there are so many other choices!

I've bought him a special pregnancy book for dads, by dads, which I was going to give after the scan yesterday, but given how that went I think I'll hold off until the next one.

Another day on the rollercoaster

Today we had our first scan.

After confirming an intrauterine pregnancy (yay!) and a gestational sac, we were then told that the sac was only measuring 4w3d and that based on my dates (which were never discussed) was probably a missed miscarriage.

Devastated doesn't even begin to cover it. I was told to come back in a week if there had been no bleeding for another scan and to discuss 'options.' I had to practically beg the midwife for an hcg test. At least if the numbers were going down I would know what was coming. She agreed, and we left the hospital fearing that our little one was gone.

In the next few hours, waiting for her to call with the results, I learned some interesting things.

Firstly, the size of the gestational sac is supposed to be based on an average of three measurements from different angles. He only took one. It can also be affected by positioning of the uterus, etc. I know from previous scans that my uterus is tipped backwards. To get correct measurements with a tipped uterus can take some doing. My scan lasted only a matter of one or two minutes, so I can't say how thorough it was.

Secondly, 6.3mm is in the range for 5 weeks, not 4, which is still a little behind where I thought I was but could be attributed to late ovulation and implantation.

I was starting to have a little hope, but knew that it would rest on the hcg levels. My result came back at 3700 and the midwife was really happy. I can't tell you the relief, but also the anger that I felt for putting us through that this morning.

I know we are not out of the woods. My levels are doubling just less than the recommended time (but still going up!) and baby is measuring small... but still there! She has recommended me not to take another hcg test in the meantime as different labs can give different results and she doesn't want me worried for nothing.

So we wait another week on the rollercoaster and maybe next week will bring us more good news. We know that a blighted ovum is still a possibility, but we're choosing to hope that the next scan will show us our growing baby.

Fear, Anxiety and Pregnancy after Loss

After getting my latest blood work back on Thursday, I was ready to feel a little optimistic. Sure, the results weren't quite doubling in 48hrs (we were at about 60), but that's to be expected after a certain point.

Then I woke up Saturday morning.

I still can't put my finger on exactly what it was, but I just didn't feel right. I tried to go about my morning routine, but I was getting more and more anxious. I was shaking madly by the time hubby woke up, he looked at me and assumed the worst and I had to tell him through almost hysterical tears that I was fine but just didn't feel right.

I thought it was just anxiety over reaching the same milestone that saw me in hospital for a previous miscarriage and that getting on with our day as planned would distract me. It didn't work. I kept having the feeling I was bleeding and ran to every public toilet I could find. Then, in the middle of Harvey Norman, I lost it completely when I started cramping.

We went to the car and called the number given to us by the midwife at the Fetal Maternal Assessment Clinic at the hospital where I'm having my scans. Call any time you have a question or a worry, she said. She forgot to mention the part about being closed on weekends. (Why is it that people think emergencies don't happen on weekends?)

We were put through to maternity who said they wouldn't see me before 20 weeks so I should go to emergency and a doctor would see me there.

So we did. We waited 2 hrs for a blood test and then a further hour for the results. I was beside myself the entire time and I can't even find the words to properly explain how loving, kind and patient hubby was even as his anxiety was climbing due to my condition and being in a hospital in the first place.

The results came back at 2278. The nurse was reassuring that the numbers were still rising and that over a certain level they are expected to double more slowly, with 92 hours being the low average. We are at about 88hrs, so on the low side. She then mentioned that other causes for low rising hcg are ectopic pregnancy or blighted ovum. Basically there is nothing more I will know until our scan on Tuesday.

Hang on little one.

Fifth time's the charm?

Yes, after almost 10 months of failure and heartbreak, I am pregnant again! That's one of the reasons it's been a little quiet on the blog lately, the other is everything that goes with buying and moving in to a new house (more on that another time).

I probably should have seen this one coming, but I really didn't. Everything had been going so well, I was enjoying our new little village and walking down to the shops or post office each day, then suddenly, I had zero energy. Even the thought of walking 5 minutes made me feel tired! I just put it down to being run down as I also had a bit of a stuffy nose and a cold sore. Why did I not see this as a huge red flag?! The last time I had a cold sore I was pregnant!

A few days later, the three ladies from school who all had their babies at the end of last year came to visit. It was pretty hard, but I said my hellos and went back to my office for a bit of a cry. I was texting hubby about it and he asked, "Have you checked yourself?" I realised that I was a couple of days late, but just thought it was the metformin messing me around again.

I couldn't get his words out of my head and when I got home, I tested and was greeted with that lovely sight above, Pregant 1-2! I have to be completely honest and say that my first reaction was one of absolute terror. I find it so hard to imagine having a healthy pregnancy and knowing that there is really not all that much I can do about it. I was a nervous ball of energy for the next 30 minutes it took hubby to get home and share the news.

One of the possibilities my specialist wanted to rule out was low progesterone, so I went and had a hcg and serum progesterone test. Then I had to wait for the results. Every pain or pressure felt a thousand times worse and I was sure it was cramps on their way, but so far nothing. No cramping, no spotting, just incredibly sore breasts and nipples, nausea all day and very little appetite.

My progesterone was 55, which I have been told is really high (then I worry about if there is such a thing as too high?) and my hcg at 5w4d was 937. That is the highest number I have ever seen, even though I know it is not particularly high.

Today, at 5w6d my hcg is 1530. Not quite doubled in 48 hrs (tracking more like 60) but once numbers are over 1200 apparently between 72 and 96 hours is normal and as long as they are going up it's good.

We have our first scan next week, at 6w4d. I still break out in a cold sweat thinking of not hearing a heartbeat, etc but trying to be positive. I also guess we'll find out a due date and if my dates are a little out due to late ovulation and I'm not quite as far along as I think.

If I can make it to the scan, it'll be the longest any of my babies has stayed with me. That IS something to look forward to.