I found this wonderful site a couple of weeks ago after I got MISdiagnosed with a miscarriage. I am still in shock over the good news we got yesterday and want to encourage everyone here that there is always hope. I am going to recap my story for anyone who didn't see my original post here:
I am 46 years old, which in and of itself is already a huge risk factor. I have a beautiful 2 1/2 year old son who was born healthy and my pregnancy with him went smoothly. My husband and I really wanted to try for one more so we did. We got pregnant last year but it ended in m/c after 9 weeks. (never saw a heartbeat and the fetus showed to be no larger than 5-6 weeks -something definitely happened along the way).
We kept trying and succeeded again. My LMP was 1-13-10 and when I was in my 6th week, I went for my first ultrasound and OB visit. At first the ultrasound tech said, "I see the heartbeat", and then she kept prodding around, finally saying something to the effect of "nevermind, that's not a heartbeat .. it's the blood pumping through on of your blood vessels" .. so she kept looking for a heartbeat and never found one. She was very quiet during this time. She did tell me, however, that sometimes it's just a matter of a day or so and not to worry because they would check me again in a week. So I really wasn't concerned UNTIL I saw my OB. When he came into the exam room and said outright, "I'm a little concerned because I'd like to have seen a heartbeat at 6 1/2 weeks". I was confused. I said I JUST STARTED my 6th week but he said the gestational sac measured to be 6 weeks 4 days. He said they'd get me back for another ultrasound in a week and he also said he wanted to check my progesterone levels due to my advanced maternal age.
The next day, I called the nurse for the results of the progesterone level test and she said, "It's 8.3" .. just like that. No explanation. So I am new to all this and said, "what does that mean, exactly?" So she asked me to hold on while she asked the doctor. She came back and said, "it's good. The doctor said anything above an 8 is good." After we hung up, I went on the Internet (maybe not the best idea but I was desperate for information) and found that anything between 9-15 is considered to be LOW, not GOOD. I called the nurse back and she agreed to see if the doctor would prescribe some progesterone suppositories for me. While the nurse has me on the phone, she says, "Did the doctor talk to you about your ultrasound?" I asked her what she meant and she blurted out, "I am looking at the pictures now and I see 'white spots'. I hate to tell you this but that is not a good thing and this pregnancy probably isn't going to work out for you." I was in shock. What did "white spots" even mean??? She said something like it means there is debris in the gestational sac .. could be blood or something else. That's it. My thoughts were this: WHY DIDN'T MY DOCTOR TELL ME ABOUT THIS? That was the beginning of my despair .. that nurse should never have said anything because I found out later that the doctor was waiting and, even though things didn't look good, he wasn't ready to give up on me yet.
I was really devastated. I asked her if we could set me up for another ultrasound sooner than the following Thursday (as we had originally set up for) and she said she could get me in as soon the following Monday.
I had my second ultrasound on that Monday and things still looked bleak. No heartbeat at all and the fetus (to my untrained eye) just looked like a lifeless mass on the screen. The doctor was not in the office that day so I had to deal with that same terrible bedside manner nurse again. She told me again bluntly that the pregnancy was going to end in a miscarriage and gave me a specimen cup to bring home for when the bleeding started so I could scoop the fetal tissue out of the toilet at the appropriate time to take to them for examination. She did call my doctor on the phone while we were present in the room and he said I could wait as long as I want for the miscarriage to start OR he could do a D & C. I didn't want a D & C at that time because I'm a chicken and hate general anesthesia. Plus it's a major invasive procedure that I wanted to avoid if at all possible.
That was 1 1/2 weeks ago and it was a living nightmare. I spent every minute of every day thinking about the fact that I was going to start losing this pregnancy, which I dreaded on the one hand but also wanted to get over with on the other.
Yesterday was ultrasound day .. and I had pretty much made up my mind that I was going to schedule a D & C because the waiting had been excruciatingly difficult and I just wanted to move forward. My husband and I were in the room with the ultrasound tech and I almost didn't want to look at the monitor .. I've had nightmares about what I would see. Last time, it was just a whitish blob and, with no visible heartbeat; it just looked so ominous to me. Not to mention the fact that the nurse told me after my previous ultrasound that my baby was just an "abnormal mass of tissue". While I was laying on the table, the tech was doing her thing and all of a sudden, there is a squiggly line going across the bottom of the screen (where the heartbeat shows up when there is one). Then I heard that familiar "swoosh swoosh swoosh" sound I had heard when I was pregnant with my son .. strong and even. The tech exclaimed, "there's a heartbeat!". After she said that, pretty much everything else was a blur for me. I just started crying .. so hard, in fact, that she had to stop what she was doing for a minute because I was moving my tummy up and down with my sobbing. She was very sweet about it and when I calmed down, she did the measurements. The fetus was exactly the size it should be for where I was in the pregnancy .. 8 weeks 1 day. The fetal pole was visible as was the yolk sac, although she did say the yolk sac was a bit small. My husband says he heard her say that was normal for that stage of development but I don't remember that part. The heart rate was 157 and apparently, right on track for an 8 week old fetus.
After the shock of finding my baby was alive
during the ultrasound, we went to the exam room and waited for the doctor. He walked in with a huge smile on his face .. almost a surprised look, and said "congratulations!". He told me that he had not expected to see a heartbeat but that is also the reason why he is a patient person and doesn't like to be hasty about recommending D & C's. He also told me that if he had seen that particular ultrasound without seeing the others from 1 1/2 weeks ago, he wouldn't think there was anything to worry about. However, since he has seen them, he is still a little concerned and wants to see me weekly for a while. He said that the heartbeat was a very good sign and that it upped the chances of my having a full-term baby to 95%.
He offered to let me get on progesterone if that would make me feel better but in his opinion, the level that it was at before was okay. I told him that I would make my decision based on whatever my levels are after the blood they drew that day. I am going to get those results today and will make my decision based on that. He said that at this point, using a progesterone supplement wouldn't hurt but wouldn't necessarily help, either, unless I was minus an ovary or something like that. I have friends who disagree with him on this; I just don't have enough information about it and would welcome anyone else's input here.
One interesting side note: Everyone in that office was coming up to my husband and I, congratulating us .. everyone except that nurse. She was there but avoided us like the plague.
I am still in shock right now over this; living the past 2 weeks with basically no hope of a positive outcome has been so hard. But I went in to that doctor's appointment with lots of prayers from good friends, which meant so very much. I was just clinging to my faith to get me through whatever the outcome was to be. I was prepared for the worst, hoping for a miracle but not expecting one. I want to add that I know we are not free and clear now - I know things can still go wrong and, if they do, I will be back here to share and get support. But there is something to be said for waiting ... and, in my opinion, even though it can be excruciating there is really no need to rush into getting a D & C without proof positive that the pregnancy is not viable. I hope my story has encouraged someone today -- I will keep everyone updated here as things progress.
Many blessings to you all ~