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Failed Cerclage
Hello Everyone,
I am very angry and I just wanted to vent. I am angry with myself for not knowing better and making better choices and also at the lack of sensitivity and support I feel I recieved from the medical staff/facility I chose. I read post here all the time and I know how supportive and understanding everyone here is. Sorry that my story is so long. In April I found out I was pregnant. Soon after I started bleeding. I visited the nearest emergency hospital where I was told it was normal and that sometimes it happens. The bleeding would stop and a couple of days later it would begin again. Finally in one of my many visits I was told I was having/had a miscarriage. The doctor said my HCG numbers were too high and that they should see something. She told me to go home and call my doctor to schedule a D & C. Two weeks I went for my scheduled D & C and much to my surprise I was told that I didn't miscarry and I was having twins. According to them the mistake was done becuz my GA age and LMP did not match; therefore the hospital thought I was farther along then I was. (Clinic is a branch of hospital where I went; the doctors rotate, etc. and all my information is in a central computer) Bleeding continued and I was never told why or given any explanations. Every time I went to hospital I was diagnosed with "threatened miscarriage" and sent home with the notion that I would fully miscarry soon. Time went by and nothing happened. The bleeding stopped at around 11 weeks. Finally after days of trying I got an appointment with a doctor that I thought would be my one and only and would give me some answers. She saw me that day and she had no idea about my situation (remember all the doctors are affiliated with same hospital and my records are in a main computer for all to access). I had to explain about the bleeding and finally she told me that it was probably the sex, but nothing else. Since the bleeding had stopped I didn't even ask any more questions. Now I see I should have. The doctor told me since I was having Mono- twins (sharing a placenta) that I needed to see a high risk doctor. Two weeks later I was at my appointment. Yet again this doctor had no idea of my situation or who referred me. (Still in the same association of doctors) I had to explain all over again my situation. She is the head doctor of labor in delivery in Einstein hospital so I felt good about seeing her. The Dr. told me that I would get an ultrasound every 2 weeks. Everything went well for the next couple of weeks but when I was 16 weeks I was told my cervix was open by technician. Some other doctor came to office and told me they needed to do cerclage in order to close the cervix. He told me that I would lose the babies if I didn't get it done. No further explanation was given. I went straight to hospital were I stood for 2 days. The only thing I was told was that I needed the cerclage in order to keep them in and that with out it I would have a miscarriage soon. When the cerclage was done they did an ultrasound (outside) and told it went well and to go home and bed rest for at least a month. I was not given any medication, except the one to relax uterus for 2 days. In a week I saw the head doctor again and much to my surprise she didn't even know I had the cerclage done!!! (she was the one who told the male doctor that I needed to get it done two weeks ago) She looked at my belly and heard the heart beats and told me everything was fine. I asked her if she was going to send me for ultrasound and she said "no" everything seems fine. So I went home and a week later I was scheduled for ultrasound. At 19 weeks, during the ultrasound I was informed that the cerclage was unsuccessful and that the bag was bulging through cerclage. According to yet another different doctor, there was nothing they could do now becuz the bag was/is too out; close to vagina. She told me to go home and pray for best. I am now on bed rest but last night I decided to visit another hospital. In this hospital I was told that my bag was not bulging out so much but they could not do a second/repair cerclage becuz of risk of infection/rupture. So now I sit at home hoping to get to 24 weeks. The dr. at the recent hospital told me I have an option to "terminate" or wait it out. She asked me how open was my cervix? If I was funneling? etc., etc and I couldn't even tell her. I feel like I am so uninformed and I have just been letting them drag me through situations without asking myself/them why or how? All the information I know is becuz I looked it up on line or asked other pregnant woman. At this point there is nothing any other dr. could do for me...I feel like I was not given all the info and all the tools to help me keep these babies (medication for cervix - shots).I have a difficult decision to make - do I try to save these babies by staying on bedrest and taking a leave from work or do I just terminate? The risk of getting a possible infection is scary to me and the idea of giving birth to only lose my babies is devestating. I don't know what to do...
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Cheryl Me (PCOS, Blocked Left Tube) DP (slightly abnormal) 4/19 - BFP (Home) All natural after losing weight! 5/5 - Scheduled ultrasound from 4/28 showed bigger sack, with two babies. Told I am 5 weeks and 6 days along. Due date December 30, 2009. 7/30 Told cerclage was unsuccessful and bag was past/bulging from cervix. Dr. said to go home and do bed rest and hope for best. 9/7 Gave birth to my beautiful twin girls. Both died after an hour. Jada Rose and Jania Faith Mommy loves you forever!!! Bless the LORD for he is full of mercy! Glory be to him!!! |
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Babycenter has a group of ladies who all deal with cervix disorders. You could probably get a lot of good info and advice from them. Best of luck. I am so sorry for your situation. I did read a blog recently of a woman who was carrying fraternal twins and at 16 weeks the girl twins water broke but amazingly even with ruptured membranes she carried them to 28 weeks and they are now doing very well. So there is some hope.
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Me- 25 PCOS & Endo Stage II, Lap 1/2007 Dh- 35 Fine 9/06-11/06- 3 Clomid w/ IUI BFN 9/07-1/08- 5 Follistim Cycles BFN 3/08-11/08 8 Natural Cycles w/ Metformin Cycle #9 BFP 1/10/08! 1/12- Beta #1 53 1/14- #2 138 1/31- 1 little bean with heartbeat 3/11- NT scan all good 4/10- 16w, looks like a BOY!!!! 4/22- 18w 4/29- Fetal echo - No VSD & heart looked good, thank you lord!!! 5/6- 20w, & baby 12oz 5/20- 22w, & baby 1lb 3oz 7/1- 28w, & baby 2lb 12oz 7//26- 31w5d preterm labor, baby 4lb 10 oz, bedrest and meds until 34 weeks 8/11 8/14- 34w, & baby 5lb 14oz 8/25- 36w, & baby 6lb 12oz, 1cm dilated 50% effaced 9/2- 37w, 1cm dilated, 70% effaced, -2 station 9/9- 38w 2cm, 90% effaced 9/15- 39w induction, our baby boy arrived weighing 8lb 2.5oz and 20inches long!!!! Thank you lord for our blessing please continue to protect our baby and keep him out of harms way
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hi. i am so very very sorry that you find yourself in this situation. i thought maybe you might want to contact "sidelines support network" - you can look up their info in google. they are a support organization for women on bedrest. they could be a good support for you, put you in touch with other women in your situation, and perhaps advise on how to locate a doctor and get a 2nd opinion while on bedrest.
it does sound like you have received very insensitive care. i had a similar (though not exact) situation and it is very very frustrating how cold the doctors can be and how uncoordinated our care is. i empathize and i'm so sorry. i hope this won't be too hard to hear - i delivered my baby due to preterm labor at 19w and 6 days. it was like a real birth, not like a miscarriage, even though she died immediately. i think if i had delivered her at 21 or 23, 24 weeks it would have been just as sad and painful as at ~20 weeks. looking back i wish for just a little more time with her. but that is just my experience. i would encourage you to find a new care provider. you want someone who will give you sensitive care at this time and help you as much as possible. and also someone who will be sensitive to your needs should the worst happen. most but not all hospital staff are trained to support you in the case of a loss - to let you hold and spend time with your babies no matter what. i would say that you want to be in a place that is going to give your babies a fighting chance and also help you honor and love and grieve them properly even you do not get the outcome you want. you will be in my prayers.
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-------- me: 37, endometrial polyps, ACA, possible septum/bicornuate dh: 46, fine dss: 10 10/26/08: married! 11/8/08: surprise !11/25/08: bleeding, early u/s, heartbeat 1/07/09: bleeding, u/s, heartbeat 1/14/09: threatened miscarriage, possible ic, modified bedrest 2/18/09: it's a girl! perfect 18w scan, ic resolved 2/27/09: ptl (placental infection) 2/28/09: goodbye angel, 19w6d ![]() 7/09: uterine polyps return, possible septum/bicornuate diagnosed 8/09: positive test for ACA syndrome 9/09: waiting to TTC
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You and your twins are in my prayers!!
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Claudia Me - 38: everything normal DH - 41: low motility (BREAKING GOOD NEWS: 12/30/08 Morphology is NORMAL... from 5% to 16%) TTC for 3 years 2 IUI: BFN 1 IVF/ICSI/ZIFT: June 08 Lost my angel at 8 weeks (8/24/07) October 08: genetic and auto-inumne testing NORMAL July 09: IVF + ICSI # 2 7/3: Start stims 7/13: 18 follicles (average 22x20), E2= 10,160 TRIGGER 7/15: ER 14 eggs, 14 mature, 14 fertilized 7/18: ET 3 great looking embryos 7/30: Beta #1 - 181 8/1: Beta #2 - 404 8/5: Beta #3 - 2,104 8/14: u/s, 1 gorgeous with a strong hb, 6w 9/29: u/s, 12w6d, amazing baby moving around! Praying for a miracle! Make a pregnancy ticker
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Oh God, your story brought tears to my eyes. It's so unfair some of the things we go through while trying to have our much wanted children. I'm surprised that you were not put on hospital bedrest at this point. I don't know what the procedure is for incompetent cervix but I thought that if your sac was bulging into the vagina, that they usually try to stand you on your head to see if goes back in...not literally, but on a special table. I don't see why you couldn't also be put on IV antibiotics at home as a preventative measure. To be honest, I don't think you are getting adequate care. You need a doctor willing to fight for you and your babies, to take every measure needed to try and keep them in as long as possible. I know how hard it is to anticipate the possibility that your child(ren) may not live, my son died at six days old following heart surgery. I had dreaded the thought for the remaining seventeen weeks of my pregnancy after learning of his condition at my level two ultrasound. Although at this point it is premature to suggest that all hope is lost, it is something to consider should you decide to not terminate and something happens anyways. I did not know that I could have bathed my son, had him in my room overnight, didn't know I could undress him to look at all his little parts and I didn't take enough pictures. You need some guidance, why the hospital did not let you talk to their social worker is beyond me. Of course you don't know what to expect when your care is being juggled around the way it is and nobody is explaining the what ifs to you. In my opinion, based on what I went through...I was given the option to terminate my pregnancy when Calvin's heart defect was discovered and I did not. Although I knew his problem was complex, I had to give him every possible chance I could at life. After trying so hard to have our family, I would not voluntarily end his life at risk to his twin sister who was healthy. It broke my heart in two when he died, but I am so grateful for my six days with him that if given the option to do it over again knowing the outcome, I would not change a thing. There is hope until you either go into preterm labour or your membranes rupture. I will pray for you to come to a decision that you are at peace with and will continue to pray for your babies...Hugging you.
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Me:37/ Antiphospholipid Antibody Syndrome DH: 29/Perfect TTC: Oct/2003 Oct. 10 2003 M/C Oct. 31 Feb 4 2004 M/C Feb 28 August 28 2004 M/C Sept. 17 Jan. 11 2005 March 5 Heartbeat!!! May 19 20 weeks... August 23 2005...36 weeks Placental abruption/emergency c-section...Thank you God!!! Baby got out safely!!! It's a girl!!! Daughter Lorelei is born... March 28 2007 ![]() May 24 no heartbeat D&C May 29 Pathology indicates Turner Syndrome February 28 2008 start Clomid April 4 April 10 BHCG 8600 May 11 U/S....TWINS!!! May 30 Nuchal Translucency..so far so good. July 15 Fetal Anatomy U/S Twin A- A girl/ healthy!!! Twin B-A boy w/congenital heart defect Nov. 10 2008...ruptured membranes, Georgia Leigh 7lbs 10 oz and Calvin Zachary 6lbs 14 oz are born!!! Nov. 16 2008...Calvin passes away due to complications from open heart surgery...God rest my angel. |
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Hi Cheryl
I am so sorry that you are going through this. Did you visit the monoamniotic website?. I was pregnant with momo twins in January and they helped a lot! I attached the website below for you! Monoamniotic Monochorionic Support Group Kristy
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Me-30 PCOS DH-30 low count & motility **cancer survivor TTC for 2 years _____________ 2008 3 IUI's no success Ocotber 2008 1st IVF-BFN Jan 2009 2nd IVF 3/25 D&C 10weeks6/9 lap and drilling..Found a Fibroid! 3rd IVF September 9/25 ER 10 Eggs 2 fertilized 9/28 ET 3 embies(not the greatest quality) None to freeze 10/9 Beta 38.6 low but positive (higher than last time) 10/13 2nd beta 337 10/26 ultrasound (6w3d) one little bean with a strong heartbeat 11/2 ultrasound(7w3d)We heard the heart beating away 156bpm 11/9Ultrasound (8w3d) baby wiggling its feet *measuring 3days ahead
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I am so sorry about you situtation and the care you recieved. It appears as though those drs can't be bother to communicate about a high risk patient. You deserve to find a dr that has better bed side manners and who can communicate and make you feel cared for.
My story isn't identical but I can understand. I have an IC that went undiagnosised for a few years leading to many m/c's...one at 17 weeks even. My old OB never had his own u/s machine so never checked for cervical length or opening. When I was pg with Tristan I was dx with a threatened m/c too and told to go home and pretty much wait. I didn't do that!! I found another OB with more dr's in the practice and their own equipment. Right away because of my history I was sent to a MFM where he saw at 15 weeks I had very little cervix left and had me admitted to the hospital for an emergency cerclage. That wasn't the end of the drama, I had preterm labor at 22 weeks and got a terbutaline pump which helped me hold on to T until 37 weeks. I was on bedrest from 15 weeks until I delivered and I believe that helped a lot too. I am still using both the OB practice and MFM now with this pregnancy and I am so glad we switched. We would have lost Tristan is I stayed with the old OB. I do have to repeat certain things to each one but not something as important as my cerclage, that is ridiculous!!! Can you switch OB's now and maybe another hospital? For me, I would wait it out, you just never know.
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Jessica http://olsonpages.com/herman/index.php?due=2010-01-01&cdd=Go ![]() ![]() ![]() "There is only one pretty child in the world and every mother has it!" Chinese Proverb |
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With God all things are possible. Find another opinion. It could be the difference between life and death of your babies. Keep pressing on, even if bedrest is the only option it will be worth it.
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