Friday, August 17, 2012

where do I even start?

The last couple of days have been a whirlwind of revelations and sadness. If you're tired of hearing about my miscarriages and related troubles, you probably want to move on. I promise the posts for the rest of the month will turn to happier subjects.

On Tuesday, I got a positive pregnancy test. It was so faint that we really thought we were just seeing things, so we didn't tell anyone and quietly hoped. I did call my OB and got an appointment to come in for bloodwork the next day.

On Wednesday, I got more positive pregnancy tests, this time much more obvious. I had my blood drawn to test my HCG levels, then headed up to my first visit with maternal/fetal medicine. Dr. K was pretty awesome; she actually has the same OB/GYN as me, which was great. We went over everything my test results showed, which was more than I had originally thought.

I knew that I had one genetic marker for Factor V Leiden, a disorder that can cause blood clots. Dr. K was pretty sure this was why G only weighed 6.3 ounces at 38 weeks and why I got pre-eclampsia with him. She was amazed that I didn't get pre-e earlier. :( Another reason I'm so so thankful for my healthy toddler!

However, I discovered that I have two markers for MTHFR. I didn't hear which kind, but she said it was not the "worst type" but the "medium." Since MTHFR blocks the absorption of folic acid, this might have been what caused baby #2's base of the brain problems. We'll never know for sure, but there you go. I also have two markers for PAI 4G/4G, which she said wasn't a big deal except when combined with other factors.

So, awesome, right?

Anyway, we formed a game plan for my next successful pregnancy:
  • 4000 mcg extra folic acid
  • 40 ml of Lovenox in a daily injection
  • 500 mg extra calcium (once I start Lovenox)
  • 1 daily baby aspirin during pregnancy (and for the rest of my life)
  • Lovenox is started as soon as we get a heartbeat at 6-7 weeks. I would get bloodwork and an ultrasound done every month to check the baby and my red blood cell counts. At 32 weeks, the ultrasounds become bi-weekly.
  • Switch to Heparin before delivery so I could have an epidural if wanted or stay awake during a c-section.
  • Induction around 38 weeks. I would then switch over to blood thinner in the form of pills for the next 6 weeks.
Whew! A mouthful, right? But it's worth it, if it'll get us another baby... Wednesday was also baby #2's due date. I did break down in Dr K's office because there was a lot of talk about baby #2. Also, the office was the same one where we had our extensive ultrasound to diagnose baby #2's miscarriage. Stepping into that waiting room literally took my breath away (we had no idea), and I'm pretty sure the hubs cursed.

On Thursday, I had another positive pregnancy test, but it was fainter. I called my OB for my test results. The nurse called back to say that my blood HCG test had came back negative. In fact, my HCG was only 3. Of course, I was shocked. I thought maybe my tests were too faint and they weren't getting darker, but I thought maybe the baby was just a late implanter. Not so.

Later that day, I started having horrible backache and spotting.

Today, I'm still spotting. I took one pregnancy test this morning which was negative. I'm guessing I'll get my period eventually... or the miscarriage... or whatever you call it when it's a chemical pregnancy (which, by the way, is a nasty term for a very early miscarriage). Should I call it baby #4? I don't even know. Maybe my body just wasn't ready to be pregnant again two months after my last miscarriage? I don't know that either. All I know is that I'm tired of being on the shit side of life's percentages of chance. I want something to go right for once. I need it to go right.

Anyway, I'm gonna take a break from talking about all of this. We'll start trying again immediately, but of course it'll be about a month before we know if we're successful. All of this waiting definitely doesn't help.


  1. I was so excited when I was reading your game plan. I'm so sorry =( Try to look at the bright side - you know more about what may be causing the losses and a game plan for a future pregnancy. I know that's hard, though. I'll be thinking about you.

    1. I just need to get to the point where I can start the game plan! :) Can't wait to see your little one on the outside.


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