[mabelina01]

I need some info/advice. A little background: I'm currently bracing myself for the worst. I went for u/s yesterday and they couldn't find a sac. They thought they saw a little "something" but it was hardly recognizable on the screen. RE said it might be early for u/s, but I think he was just being hopeful (or didn't want to come out and say it). I got another beta done afterwards and it was only 998 at 2 weeks after my first beta of 79. Of course they want to exhaust all possibilities so I have to go back in for another beta tomorrow. We're not too optimistic. Needless to say we're heartbroken. I'm so sad, feel out of control, and feel completely uninformed about the whole process. I hate dragging this out. I just want to know so we can cope with it and hopefully move on. If the pregnancy isn't viable what's the next step? Would I miscarry naturally or would I have to do a d&c at this point??? Just looking for any information...on anything. We're clinging yet to that small ray of hope, but I want to know the next step if it's needed.
Thanks in advance.

[amax]

Originally Posted by mabelina01

I need some info/advice. A little background: I'm currently bracing myself for the worst. I went for u/s yesterday and they couldn't find a sac. They thought they saw a little "something" but it was hardly recognizable on the screen. RE said it might be early for u/s, but I think he was just being hopeful (or didn't want to come out and say it). I got another beta done afterwards and it was only 998 at 2 weeks after my first beta of 79. Of course they want to exhaust all possibilities so I have to go back in for another beta tomorrow. We're not too optimistic. Needless to say we're heartbroken. I'm so sad, feel out of control, and feel completely uninformed about the whole process. I hate dragging this out. I just want to know so we can cope with it and hopefully move on. If the pregnancy isn't viable what's the next step? Would I miscarry naturally or would I have to do a d&c at this point??? Just looking for any information...on anything. We're clinging yet to that small ray of hope, but I want to know the next step if it's needed.
Thanks in advance.

Hi Mabelina,
I'm so sorry you're going through this. I know only too well how it all feels, especially still holding out hope! Some people have had situations like ours and then suddenly things work out okay. For me, they were able to see the gestational sac etc, but it was my beta numbers not doubling that made my docs think it wasn't a viable pregnancy. They said that if I were to miscarry (which I eventually did at almost 8 weeks!) that I had three options:

1) D&C - Procedure to remove the pregnancy
2) Take a drug to trigger the body to miscarry (apparently this would also cause a lot of cramping and nausea)
3) Expectant management (which I chose), which is basically just allowing your body to miscarry naturally, when it is ready.

I have many friends who opted for the D&C, but a combo of holding out hope for a miracle and also wanting to do the least invasive thing led me to choose expectant management.

Good luck to you with everything.

[chuchu]

Hi Mabellina,

Last year I went to my first u/s and everything looked fine (measurement, sac/pole and flickr). Next week we went back and received the news that the sac was too small thus the fetus had not grown as expected. We waited for a whole week and in that one I prepared myself for the worst. On the following week, we went back and we had a demise. On the next day I had a D&C. My RE gave me two choices (natural or D&C) and we opted for the latter one since we could get some genetic testing done.

The night before they gave me a pill that simulated a delivery. I started bleeding and having contractions. I was in lots of pain and could not take anything. During D&C I was under so I don't remember anything (Thank God!). It only took 20 minutes. Of course, emotionally I was devastated. DH was so sad (I had never seen him like that). I cried and cried for days. I had non major pain or discomfort but I was totally sad for 2 weeks.

Slowly I started recovering and as my HcG went back to zero, so my mood. I will never forget my angel but have learnt how to deal with the loss.

I know this is a awful post but I hope it helps you. I will be around for whatever you need.

Hugs!

[harpjs]

I had a m/c about 4 weeks ago at 8 1/2 weeks and thought I would share my experience as well. I had a number of US in the early weeks and my RE was the only one to be able to find anything that helped me stay positive. Others weren't able to find what they thought should have been seen at that point. It was only after my RE compared the results from a previous US to my current one where the baby hadn't grown and there was no longer a heartbeat. Then he said it was time for a embryoscopy. He only took the embryo and sac and left my lining for me to shed on my own. That way he would be able to test the tissue to see if he could find an answer for the m/c. He also said it was better than waiting for me to pass it on my own. I would not have wanted to wait around for it to happen. That would have been horrible. For the embryoscopy, I was put out but it only took about 20 minutes also. I bled for a long time (about 3 1/2 weeks )but wasn't in too much pain, physically at least. Best of luck to you. I hope it has all worked itself out by now.

[maggiemay]

amax did a nice job summarizing for you what your options will be.

I have had two d&c's and one natural m/c. My natural m/c was very early... about 5weeks 5 days I had an ultrasound and they didn't see anything... so about 2 days later I started bleeding on my own. It was like a bad period which was lessened with advil. I recoueperated quite quickly from it, much quicker than I did the previous d&c's. But that might have been because I wasn't as far along that time.

The d&c's I didn't start my period for 2ish months... whereas my natural m/c I started a new cycle within weeks I was ovulating again! But, the d&c's... I didn't start bleeding right away, my body was taking awhile to pass the m/c so I did a d&c. So, if your body is trying to keep the baby.... i.e. slow falling hcg levels or whatever... a d&c will make it happen faster I guess.

I think both have positives. Just follow your initial instincts. Every time has been different.

Sorry you are going through this. It is hard. Take the time you need.