Another FET = Another Pregnancy

Yes. You probably already read my previous post. But in case you didn’t, I’m PREGNANT! We are expecting another baby in early October! Thanks be to God, we have made it past 12 weeks so far. We had a bit of a scare around 6 weeks — I wrote about what was happening at the time but wanted to wait to post about it. You can catch up on the past weeks and days below!

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{This post was written on Thursday, February 19th.}

A few months have passed by since our chemical pregnancy back in early December. I thought we would take a break and save up for the final transfer of our remaining two embryos, but  instead we jumped right back into it. The day after I miscarried I started birth control to start my next FET cycle. I didn’t have to order meds for the new FET because I was already stocked up from the last one. I also got to bypass a water sonogram and several labs due. After dealing with all the ups and downs of the last cycle, this FET just seemed so… easy.

Ease aside, I ignored the fact that we were going through another FET as much as I possibly could. I tried not to think or talk about it. I was still pretty numb from our chemical pregnancy. I prayed and asked God for another baby. I tried to hope. But I dreaded the idea of more heartbreak. Adding to this stress was the fact that these were our last two babies in storage. My husband and I were very uncertain as to whether we would go through a second full IVF cycle in order to retrieve more eggs and eventually embryos. In other words, we were coming to grips with the fact that our son might be an only child.

Those six weeks proved to be a hard time for me. For one of the first times in my life, I didn’t want to share with people what was going on with us. I just wanted to get it over with and take the time I needed to adapt to whatever scenario the Lord brought us.

On the day of the embryo transfer, January 21st, our RE transferred in two lovely 4AA embryos, one expanded and one not quite expanded. As the bed rest and two week wait progressed, I began to have mild cramping. I breathed a sigh of relief, taking this as a good sign. Sure enough, on the day of my beta at 12 dpo, my beta came back at 103. We were elated and even wondered if I were pregnant with twins. Two days later, at 14 dpo, my beta more than doubled and came back at 227. At 24 dpo, my beta continued to double perfectly and was 7,383. I was having very light cramping and some pretty extreme first trimester fatigue. The nausea started the night before I hit 6 weeks and I felt completely relieved that everything was seeming to be progressing as it should be. I allowed myself to dream a little, to think about my due date and maybe what kind of stroller I would purchase for two or more children. My husband and I were nothing short of excited.

And then on Sunday, when I was 6 1/2 weeks along, in the midst of feeling quite nauseous, I noticed that I had some moderate cramps starting while sitting in church. I wasn’t sure which was making me feel more uncomfortable — the cramps or the nausea — but I stayed seated during the service until I decided that it would probably be a good idea to go out to the car and lie down. My plans didn’t quite go as planned though as I heard Josh crying from the nursery as soon as I left the sanctuary so I grabbed him and the diaper bag on my way out. As I sat in the car with Josh on my lap, the cramps started to worsen. My husband came out to the car right after the service and I told him that I felt concerned that I might be starting to have miscarriage.

When we got home, I went straight into the bathroom and discovered that I was bleeding bright red blood. “Oh, no, oh no, oh no” I cried as I looked into the toilet bowl and discovered that it was completely red from blood. The cramps felt like menstrual cramps and I knew that they plus bright red blood were not a good sign in pregnancy. My heart sank lower than it had been in a long, long time. I started to sob and my husband heard me and came into the bathroom. His heart sank too when he realized that I was probably miscarrying.

I finally pulled myself together enough to lay on the bed and call the clinic. I left a message telling them what happened and that I had likely miscarried. Then I called my mom and the we both cried on the phone together. Somehow, hearing her own sorrow and pain at receiving my sad news helped to comfort me.

The nurse at the clinic called me back promptly and told me that she was trying to be hopeful about the bleeding and cramping and scheduled me for an ultrasound the next day. I told her that I knew about subchorionic hematomas (a tear between the sac and the wall of the uterus) but that I was bleeding quite a bit and that I still had a lot of cramping. At the time I had thought that subchorionic hematomas didn’t come with cramping. She didn’t say much at my comment but did acknowledge that a hematoma could be a possibility.

That afternoon and night I researched like crazy. My bleeding had tapered off and completely stopped by the evening. And I was still nauseous. That didn’t seem to add up to a miscarriage in my mind. I learned that the cramping from miscarriages are often pretty painful (although mine wasn’t with my chemical pregnancy, most likely because the baby hadn’t developed very far) and that the bleeding increases and lasts for days, not hours. I also learned that subchorionic hematomas often do come with cramping, because there is blood in the uterus and the uterus becomes irritated from it and tries to get it out (hence the cramping). As I learned more, I began to feel a little hope that maybe I wasn’t going through a miscarriage. But I also felt prepared to receive the possible news that there might not be a heart beat.

The next morning a friend graciously watched Josh, and my husband and I headed off to the clinic. My RE started the ultrasound and there I saw it — a sac with a flickering light! Our baby had a heart beat and was alive! Tears of joy filled my eyes. But then I saw a large fluid-filled pocket adjacent to the baby. My RE confirmed that it was indeed a subchorionic hematoma. The baby measured perfectly — 6w3d — but the hematoma was twice the size of the baby’s sac. My RE didn’t seem to be as concerned about that. The important part, he said, was that it shared about 30% of the baby’s sac with the hematoma. If it grew to share more than 60%, he said that it could constrict the baby from growing and cause it to arrest. Another possibility, he said, was that it could cause the sac and placenta to detach.

After the ultrasound, my RE discussed bed rest with us. He said I needed to be very careful not to exert myself or to lift anything heavy. We asked more questions to clarify — exactly what level of bed rest was he talking about? He never said “strict” bed rest but then he said we should “call in all our help” to get through this time, because I wouldn’t be able to pick up Josh at all, cook, do laundry or even go anywhere. My husband and I looked at each other. We were scared but we were determined. We would do everything we could to prevent a miscarriage. More than anything, we wanted to hold this baby in our arms when the time came!

When we left our appointment my RE wrote in big letters on my medical sheet “Threatened Abortion.” I felt sick just seeing him write it. “I have to write it on the sheet,” he said, slightly apologetic. “It’s not a high chance that you’ll miscarry (he couldn’t give statistics when I asked for them) but the chances are increased.”

On the drive home my husband and I began planning how we would both survive (potentially) weeks of strict bed rest. Everything I had read said to plan on WEEKS for hematomas to either be reabsorbed or to bleed out. Most resolved by 20 weeks, but the earlier the diagnosis in a pregnancy (meaning the first trimester as opposed to the second), the better the prognosis.

In the meantime, I am bed resting. Or rather, sofa-resting. Trying to make the best out of our situation. My husband has really kicked into high gear and is doing a great job taking care of Josh while also juggling the other jobs of the house. He’ll be going back to work next Monday and my sister will be helping out for a few weeks then.

As I lay low, we are all praying that this hematoma will miraculously resolve. We’ll find out more on Tuesday.

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Coming up next: Bed rest under my older sister’s care.

 

 

 

 

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4 Comments

Filed under IVF, Miscarriage, Pregnancy, Uncategorized

4 responses to “Another FET = Another Pregnancy

  1. Heidi Nunes

    Emily, my heart goes out to you. It is hard to be a wife and mom and to be on bed rest and not do your normal routine. Our Meagan has just gone through the same thing. She is 15w2d and just got off bed rest after 2 very long months. It is super hard not picking that 25# boy up. Good thing they adapt quickly. I am so glad that I got to go help her for a week. I could have, should have gone sooner to giver her husband, Josh a break. Both of your husbands have done double duty, and done it well. I will be praying for you along with Meagan now. You have a lot in common.😊

    • Heidi, wow! It sure sounds like Meagan and I DO have a lot in common! She deserves a medal for bed resting for two months– I can personally attest to the fact that two DAYS feels like an eternity! Praise God that she is 15 weeks already and that her hematoma is gone (I’m assuming, since she’s off bed rest?). What a blessing that you could go and help her out. I know I really started to feel sadness at not caring for Josh and having to let everyone else do everything for him. It was hard and I really missed being close to him! But it was just for a season and I had to keep that in perspective. I hope that the rest of Meagan’s pregnancy goes well! Complications are no fun.

  2. Wow! I’m so glad you are doing ok now though. I’ve heard of lots of SCH and so far, everyone has been fine (babies included). We are only a day off from each other on timeline (my transfer was Jan 22). Looking forward to sharing this pregnancy journey with you.

  3. How amazing–just one day apart! I hope things are going well for you!

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