after miscarriage · baby EL · grief and loss · Infertility · journal entry · missed miscarriage

I am having a miscarriage.

(Sensitive content to follow-also a rather long post)

I am having a miscarriage. Again.

This is so surreal and heartbreaking. And the minute we saw that heartbeat for the first time I knew that if this happened, it would be infinitely harder than before.

Miscarriage number one was a chemical pregnancy; no question now. Of course we still grieved…with any pregnancy loss it’s a loss of dreams and hopes and of knowing that this is a life you won’t get to know.

This one…we had a baby growing, we saw our little one with it’s precious heartbeat. And then it was gone. It is gone. I can’t even quite wrap my head around the depth of the grief right now. It’s easing just the slightest as the days pass; but I know on Friday when we have the D&C that the intensity will return.

——-

I keep replaying that office visit in my head. I was so nervous for days before that something had gone wrong; and that fear was present in the waiting room but mixed with the excitement and hope of getting to see that everything right on track just like everyone else was so confident about. And the first part of the visit was so normal; blood pressure, history…then into the exam room where the NP went over genetic screening options and breastfeeding, diet advice, and telling us that we could visit the hospital ahead of time to be able to see the maternity department.

Then she went in. I think I knew almost immediately; she could barely find it and when she did it was clear the sac was too small and the baby didn’t look like it was supposed to. I’d seen enough ultrasounds of babies at 8.5 weeks to know approximately what the shape should be. She mumbled something about ‘well, it’s definitely in the uterus,’ then a moment later said, “I’m not finding a heartbeat.” I think I still had a sliver of hope that maybe it was just the machine or her technique, but then she measured the baby. When I saw the 7w2d I knew it was over. 9 days behind and no heartbeat could only mean that the worst had happened.

I don’t remember much after that, just that the tears started and she talked for a while about what the next steps were (while I was still in the stirrups with a ultrasound wand inside me…); then she left us alone. I cried hard for a while and my husband just held me; when I was composed enough we went downstairs to have blood drawn and repeat ultrasounds in the radiology department. In this interval I texted my mom and my manager (to alert her I’d need some immediate time off); husband texted his parents as well.

Both of those ultrasounds were silent and cold and all the while I just cried silently; I couldn’t see the screen from my angle and ultrasound technicians aren’t supposed to comment about what they are seeing even if they know (so I didn’t expect it). My husband thought he knew when she was looking/listening for a heartbeat and even he could tell that there was nothing there.

I got dressed again and we went home. The NP called a few hours later to inform us that the results indeed showed that there was no heartbeat. She repeated our options, and advised we take the weekend to think about them. (or she simply told us that it would be okay to take some time after I said that I honestly had no idea how to proceed in that moment).

———

We spent the afternoon attempting to rest; telling additional family and a few close friends…all of this interspersed with quite a few breakdowns on my part. Deleting all the pregnancy apps on my phone brought a fresh round of tears; somehow it felt like I was erasing all evidence of this child but I also knew that I wouldn’t want to keep getting email notifications about ‘your baby today’ when it was no longer relevant.

We headed out later that evening to spend the weekend with my parents. Husband had an interview in their area the next day so he was already heading up; and he just seemed to know that I needed to be there. My mom has become the most amazing person in a crisis; she just seems to know when to listen, when to talk, when to distract, when to be present, when to excuse herself. Just being there (and away from the house) allowed the reality to sink in a little more gently.

Woke up Friday morning crying. Cuddled with my husband for a while and that helped, but this made me realize that mornings bring fresh reminders of this new and painful reality. Going to bed each night was hard too because then the distractions of the day faded and the emptiness sets back in.

Saturday night we got home; and there were flowers from an out of state friend and a care package from my sister-in-law (almost an exact copy of the things I left for her when she had her miscarriage). Husband had to run to his parent’s home for some medication, so I came up alone. Walking back inside to the emptiness of our home (for a season, anyway) in addition to seeing these thoughtful but unwanted gifts (I mean, I don’t *want* flowers and bath salts and tea…I want my baby to still be alive) brought a fresh round of tears. After sobbing on the floor in a fetal position for a while, I texted my sister and we talked until I calmed down a little bit.

Sunday morning we went to church; it was hard but good and definitely where we needed to be.

The rest of Sunday was just spent relaxing. Both of us dreading going back to work but also not wanting to just sit around at home all day not doing anything either; both of us completely drained and sad and confused. We both managed to get through our work days today; and now he’s at the gym so I’m making use of the time to attempt to get some of my thoughts and experiences down on “paper.”

——-

My primary thought is: “this is not fair.” We’ve already had one miscarriage, we’ve struggled to conceive for over a year, we’ve had to spend time and money and energy on some level of assistance….and then we finally get to rejoice in what seems to be a healthy pregnancy and we finally start to get excited about the future…and then it’s ripped away in a moment. Miscarriage by itself is hard enough; miscarriage after infertility is even worse.

I am sad. I feel empty, I feel like I (currently) have no purpose. I spent the last 5 weeks being so careful about what I put in my body and how I took care of myself…and now suddenly none of that matters and my womb is (essentially) empty again. I am confused…and hurting…and jealous (of those who haven’t had to experience any of this).

I believe that God is good, that he is sovereign, and that somehow all this is part of his plan; I take comfort in knowing that even in this he is faithful and we are not alone. But it doesn’t mean that I can even begin to understand why he chose this to be our path.

——-

In terms of our options, I have chosen to proceed with a D&C at the end of the week assuming the process has not already started (and given how far along I was I really don’t expect that natural process to begin for a least a few more weeks). I hate that I have to have a surgery to remove my baby from me; but I also know that I can’t take the emotional toll of waiting on a natural miscarriage with the knowledge that my baby is dead inside of me. Taking medications to induce the miscarriage at home was the other option; but that will mean that I still experience all the pain and bleeding and emotional trauma of being reminded of the loss every time I use the bathroom…and there’s a risk here of the process not completing and then we’d have to have a D&C anyway.

Our infertility doctor recommended that we get the baby’s DNA tested for chromosome issues; it is highly likely that there was a chromosomal abnormality that would have been incompatible with life and that is the reason for this. If so, then hopefully such a thing won’t happen again. If it’s not the baby, then she wants to do a workup on me to evaluate why my body can’t seem to sustain a pregnancy.

If we are able to know the baby’s gender, I want to know. I want to give this little one a name. It made me a mother, and by giving it a name I am acknowledging that gift and choose to thank God for the blessing that it was to have and nurture this child even for 5 short weeks. I hope we get to have a child (or several) living earth-side…but even if somehow that is not in God’s plan…I am a mother.

appointed time · baby EL · pregnancy

112

We had our first prenatal ultrasound yesterday.

Baby EL is measuring exactly at 6 weeks, 4 days (as it should be) and we got to see and hear the tiny heart beating at a rate of 112.

And there’s only one. (I’m secretly a little disappointed; I was kinda hoping for twins. I mean, I liked the idea of it…I guess the reality of carrying two and raising two for the price of one would have been a significant challenge. And I can’t be greedy; I’m over the moon that there’s even one; one with a steadily beating heart.

I know there’s still a lot of risks; I know there’s quite a few more weeks to go before it’s “safe,” but I also know that once that heart starts beating the risk drops dramatically. So I breathed a huge sigh of relief yesterday and have been just on cloud nine ever since. And it definitely feels a lot more real; even with a lack of any significant symptoms.

We’re having a baby!!

I guess I should probably change my blog tagline. I mean, this is still a journey of trusting. It’s just trusting for something different.  And while it’s still a journey of hope and fear, it’s hoping for new things and fearing new things. Interesting how those emotions don’t go away; they just change.

appointed time · iui · pregnancy

4 days later

I am still pregnant.

It is kinda surreal to write that. After infertility goes on long enough (granted, I know our journey has been short compared to many), it’s hard to imagine what it will feel like to finally get to say that.

My bloodwork on Friday (13 dpiui) showed an hcg level of 80. I repeated a first response test this morning and the test line was the same color as the control, so it seems as though levels are still rising. Each positive and darker test makes me feel a little more sure that at least this one has a chance.

I need to get a doctor to order a repeat hcg (and progesterone!); but it was Friday afternoon when the results posted so nothing has happened yet. I’ll call again in the morning; and probably also will try to contact my OBGYN to set up my first appointment.

I’m trying to take it one day at a time. Even if my levels increase, it doesn’t mean the embryo will continue to develop. Even if it develops, it doesn’t mean it will stick. Even if it sticks, it doesn’t mean something might not still go wrong. But I’m trying to not obsess over the ‘ifs’ and just enjoy the reality now that baby EL (who is the size of a ‘waterbear’) is inside of me.

(EL: first initials of the boy and girl names we’ve chosen.)