This is my first blog. My motivation for starting it is, unfortunately, my miscarriage. Is that weird to hear? It's weird to say. I decided I needed a place to get down everything I went through, emotionally and physically, through the whole experience. In this way I can continue to heal and look back on the progress I've made from day one. This will be the longest post as it starts from the beginning of a life and ends at its end.
To start at the beginning we have to go back to August 22nd, 2009. My wedding day and the day my son was conceived. Let's just say it was a busy day! This is the day I legally joined my life to the most amazingly wonderful man I have ever met, Andrew. We had a morning to afternoon wedding and then went off to our honeymoon in a beautiful mountain cabin. We had talked about trying to get pregnant soon after the marriage for the last couple of years but didn't think it would literally happen on the first try. I didn't even think I was ovulating and was, in fact, expecting my period any day at that point. Given my irregular cycle it's pretty amazing that one try was all it took.
When I didn't get my period the next week, I took a pregnancy test. Negative. I thought "maybe it's just late." That wouldn't be unusual for me. A week later I knew. I just felt different. That night I was supposed to go out with co-workers for margaritas so I figured I better figure it out. Friday morning I took a test and it was positive. It was faint but there were 2 lines! I remember telling Andrew and his reply, "It's really faint though. Does that mean it's positive? Should you take another one?" or something along those lines. I let it sit for 10 more minutes and the line got darker. We were definitely pregnant! At first it was disbelief, then shock, then happiness, then how am I going to cancel margarita happy hour without telling them why? I wanted to cry and smile at the same time while hugging Andrew but I was 5 minutes late for work. Damn. Memo: never test to see if you're pregnant if you don't have time to comprehend and celebrate the result if it's positive.
That week I went in to take the official doctors office pregnancy test to confirm. We got set up with a nurse later that week and got an appointment for early ultrasound to confirm date of conception. At the time of the ultrasound I was 6 weeks. At 6 weeks, a baby is a little bean attached to a yolk sack. It doesn't look like much, but it already has a heartbeat. There was a little spot near one end that was flashing. Wow. That made it more real and Andrew and I were so happy in that moment. Also found out I had a small ovarian cyst. They said it might cause some pain and bleeding. I had my first prenatal exam at 7 weeks. It was basically a question and answer session. Blood was drawn. Got a huge bruise from where she jammed the needle in. So far so good regarding the pregnancy and my health.
Week 8- first sign of trouble. Went to the bathroom first thing in the morning and found bright red spotting. The heaviest spotting I had to date. I was concerned for the baby but also that it could be the cyst. Called the urgent care at 6:30 am for the doctor on call. Never got a call back. At 8:00 am I called my regular doctors office. My usual physician was out so they set me up with another physician. He was nice. Still too early to hear the heart beat via doppler, which would have been reassuring, but he did an exam and said my cervix was still closed. An ultrasound was scheduled for later that day. We got to see the little bugger at 8 weeks. The difference from 6 to 8 weeks is amazing. It was starting to look more like a baby. There was a definite head and little nubs for arms and legs! In the last ultrasound the yolk sack had been larger than the baby, but this time he was almost twice its size. Heard the heart beat again. Found out the cyst was diminishing so it didn't rupture. They never figured out why I bled.
We took a profile picture of me at 8 weeks. We were going to do it every month for comparison on how big I was going to get.
Week 11- second occurrence of bleeding. Went to the bathroom first thing in the morning. Saw blood on the toilet paper again. More this time. Looked down and the toilet was full of red. Waited until 8:00 am to call the doctors office since urgent care was no help last time. I was in the parking lot at work when I called because it was the first Wednesday of the month. That's when we have our section meetings and I didn't want to miss. Found out later that I didn't have reception in the meeting room and had a missed call. Finally got a hold of the nurse and set up an ultrasound. We got to see him and got more ultrasound pictures. These would be the last printed of him. This time was amazing. He now had mostly fully formed arms and legs with feet and hands. His head was head-shaped. Heart beat was strong. He moved around so much! The results were sent to my doctor and in the return call they said everything looked normal, sometimes blood just pools behind the placenta and then can be released. At that time I breathed a sigh of relief. Things seemed fine after that. No more bleeding. We took another profile picture at 12 weeks. I was getting a little belly on me.
Week 13- the last occurrence of bleeding. We had a prenatal appointment at 14 weeks and 2 days. At 13 weeks and 6 days, I started bleeding again. It was very mild spotting at first and not even bright red. It was brownish-pink, which is the "safe" kind of bleeding. I didn't have any cramping and still had that nauseas feeling in the morning, which was reassuring. The blood continued though, not like those other times. It never got heavy so I figured I try to wait it out until Monday's appointment. Saturday it started to get a little heavier, like the lightest period on your lightest day. Looking back I had some mild cramping but ignored it at the time. I figured I might as well wait until Monday because what could they do for me on the weekend?
Week 14- a glimmer of hope before the end. I started getting stomach pain Saturday night which became intense on Sunday. I tried so hard not to show how much pain I was in because Sunday was Andrew's birthday. I didn't want to ruin his birthday. I didn't want this to be the day we found out our baby was dead or that I was going to miscarry soon. He took me to the urgent care against my will that night. At 4:30 pm we met with the doctor. We heard the heart beat. Oh sweet relief! He did a physical exam. He said that my cervix was still closed (no dilating) but that it felt effaced, that it was shortened and felt thinner. We had to do yet another emergency ultrasound to measure my cervix and see what was going on. The baby was still there, alive, strong, moving around. They ruled out placenta previa and still had no clue why I was bleeding. Got home around 9:00 pm.
At my prenatal appointment that Monday, we heard the heart beat again on the doppler and discussed the results of my ultrasound. After the late night ultrasound at the hospital, lots of doctors were brought in about what the results could mean. My doctor set up an appointment for Tuesday with a specialist. We needed to talk to him about a cerclage- a stitch put in my cervix to prevent further effacement and help hold the baby in until due date. She also said the cause of my pain might be related to my bowels considering that it wasn't located over my uterus. We got some stool softeners on the way home.
We met with the specialist who my doctor referred to as a gentle giant or a big bear of a guy. He was a large guy but was nice enough. He seemed busy, not enough time for introductions and small talk. Down to business. He recommended the cerclage. He had seen several other women in my case have a cerclage and carry to term. he recommended it at 14 weeks. I was 14 weeks 4 days so we needed to schedule it in soon. Got an appointment for Thursday, November 19th. He did a physical exam to verify the effacement and look for dilation. He said I had a cervical polyp the size of the end of his thumb (which was probably almost the size of a quarter). That was what was probably causing the bleeding. We did an ultrasound to verify it was indeed a polyp and not part of the placenta. They also measured my cervix length again. It was between 1.6 and 2.2 centimeters. Less than 2.5 cm is a concern and most pregnant women should be between 3 and 5 cm. There was no way I would carry to term without a cerclage. That was the last time we really saw him moving. Got to see her measuring his bones and his little limbs were kicking all over the place. He was bigger and more defined then he had been at 11 weeks. I'm still sad we never got a picture from that appointment.
We went to the hospital (just right across the street) for pre-admittance for the surgery. I got checked in and ready for surgery two days later. We went to subway and home and just enjoyed the afternoon off thinking that we had a plan now and there would be no more problems. Everything was supposed to be alright.
11/18/09- the last time we see our son alive. Wednesday morning was the second day of my laxative diet. My stomach pain had almost subsided so I figured that must have been the cause of the pain, not an impending miscarriage. I still had some minor, painless cramping, which they said would happen because of the weakening of my cervix. I did some light housework since I wouldn't be able to do much for a couple days after the surgery, and watched a movie. Later I went in bed and read. Except for the housework I was laying down most of the day, and had been for the last week. I noticed the bleeding was lighter today, but a little bit more watery than usual. I didn't think anything of it at the time, I was just happy that I wasn't bleeding as much and that tomorrow morning I was getting a surgery to save my baby and remove the polyp causing this bleeding. At 9:00 pm I was lying down with Andrew and watching a pretty ridiculous movie. I felt a gush of fluid. I went to the bathroom, sat on the toilet, and yelled for Andrew. There was clear fluid in my underwear that had filled up my pad. I told him to look online about what this could be or what it meant if my water was breaking. I changed my pad and underwear and then had another big gush. I went to the bathroom and so much fluid came out. Andrew asked me if I had to go to the bathroom again and I told him that I'm not. That was it, we knew my water broke. We hopped in the car and drove 20 minutes to the emergency room.
I walked up to the desk and said "I'm 14 weeks pregnant and I think my water just broke." Right then I could feel the tears start to fill my eyes but I wouldn't let myself cry yet. Not until I knew there was no hope left. At 9:30 we were in our own room. They gave me a gown to change into. She asked if I had been bleeding. "No, just the clear fluid"....then, as I took my underwear off I saw that the pad and my underwear were soaked in blood...."yes...a lot of blood." I took them off and they gave me a plastic bag to put them in. I sat on the bed that had a large scare pad for me to sit on and I could feel it gushing still. People were in and out, asking me the same questions over and over again, "Name? Birth date? Address? How far along are you? Who's your doctor?" Another girl was sticking an IV in my arm and trying to draw blood.
Meanwhile I was sitting in a pool of my own blood and even the blankets weren't keeping me warm anymore. That and the fluid from the IV was very cold. After that they left and 30 minutes later the doctor came in to do an exam. Definitely effaced and showing some dilation. He wanted to schedule me for an ultrasound. As he was leaving I asked if I could use the bathroom. He asked if I could use a bedpan since he didn't want me walking around until the ultrasound. I said sure, feeling somewhat embarrassed and very defeated. Another nurse came in later and pulled out the bedpan from the cabinet. Then she asked if I would rather use a bedside commode. Yes, please. I felt some sense of dignity return. After I was done I looked down and it was filled with blood and a giant clot. I looked at where I had been sitting which was covered in blood. A couple tears went down my cheeks. When the nurse came back we asked her if she could change the pad on the bed, which she did. She took the toilet out and brought back some freshly warm blankets. She was very nice and I won't forget her. Before we went to ultrasound she brought in a doppler and we heard his heartbeat again. It was fast and strong. Andrew and I looked at each other with a sliver of hope that maybe there is some hope still.
The ultrasound tech was rude. He said he hadn't called for me and had been waiting for another patient. We had to wait for him to call and "check" that this was right. The nice nurse rolled her eyes. He didn't turn the ultrasound screen very far towards us. I had to turn my head pretty far to see the screen but I was afraid to look and only got a couple of glimpses. I could tell that it looked different and he didn't seem to be moving very much, if at all.
Back in the emergency room the doctor came in and told us the results. I had membrane rupture which caused the amniotic sac to break and all the fluid leaked out. The baby was no longer protected in the uterus and wouldn't be able to survive. I later learned that if this happened at 28 weeks or later, then usually they can guide the pregnancy on for another week or two and then deliver. Before that there is nothing they can do. I had very mild cramps still and since he had seen some dilation of the cervix, I was going to need to go to labor and delivery to "pass" the baby. This was the moment where all hope was lost and I cried. Andrew held my hand and we knew it was over.
11/19/09- the day our son was born and died. I didn't know what time it was until we got to labor and delivery. I still can't remember exactly but I think it was around midnight or later. We had already been there for 3-4 hours but it seemed much longer. The on-all doctor for labor was in a c-section so we were met by the on-call nurse, Dawn. She is probably the nicest person I have ever met and helped so much to have her there through the whole experience. I could look at her and tell that she felt so bad for us. She had to ask all the usual questions and I tried to be polite and make conversation but I was very tired and still hadn't been able to fully cry. I just wanted to cry myself to sleep. It was an hour before the doctor arrived. They did an exam and saw that I was a little dilated but not that much. I was having cramps but they were variable and definitely not close enough together for me to time them. They said if nothing happened soon they would give me some medication to help me dilate. They were going to hold open my surgery time slot for later that day in case they needed to do a D&C, but they wanted me to try to naturally pass the baby since I was in the second trimester. We were left alone for a little bit and all Andrew and I could really do was look at each other with the saddest faces. Between 2:30 am and 3:30 am I took the pills to start dilation and had to stay awake until she brought in papers for me to sign. She said at 6:30 am she would come back and give me more pills to take but I could sleep until then. Because the cramps had become more painful they had hooked up some pain medication to my IV which helped me sleep a little. I still had a hard time sleeping but I fell asleep for at least 2 hours. I woke up at 6:15 am and had to pee. I decided to wait until 6:30 am when she was supposed to come back in but at about 6:25am I felt a gush of blood or fluid and then I could feel a pressure and I knew the baby was coming. I pressed the call button, Dawn came in and took a look and saw that the baby was coming. They paged the doctor, who never came, but another nurse was in there with her and they delivered my son.
I felt him come out. It didn't hurt. I started to get cramps after though. That was my body trying to get everything else out of my uterus. They took him and asked if I wanted to hold him. I was scared but I knew I did. I guess I expected the placenta to come out right away then they could leave so Andrew and I could have some time with our baby alone. I told them that the cramps were hurting a lot more so they gave me more pain medication. It took away the pain so I could keep pushing, then resting, then pushing. They wrapped our baby up and I got to hold him while we waited for everything else to come out. I think within another 10 minutes or so I pushed out the placenta and everything. I felt a huge relief of pressure. I was still cramping a little so they gave me more medicine. We got a little bit of time alone with our son soon after.
He was so little. He measured at 5 3/4 inches and 4 ounces. They said we might not be able to tell the sex at this point but it was quite obvious that he was a boy. He looked just like a baby only smaller. His head was bigger in comparison to the rest of his body too. He had all of his fingers and toes perfectly formed with little fingernails. If you haven't seen a baby this early, it's red. Their skin is also very thin so you can sort of see the veins running underneath. He had perfect little ears and a nose and mouth. His eyes were closed as all babies this early in development are. He was perfect. After a little while they took him to take pictures and asked if we wanted to hold him more. At that time I said no but I wish I would have. All I have are my memories and a few blurry photos to remember him by.
They took him away for good. Another doctor came in later and talked to me. He wanted to take my blood at 10 to make sure my levels were ok and I wasn't anemic and for me to eat something. Around 7:30 Andrew ordered some toast and a banana for me. I had been really hungry earlier but didn't feel like eating much then. I told Andrew to go home and let our dog out and to feed her and the cat. All I could eat was half a piece of toast and half of the banana. Then I decided to take a nap. I had a different nurse now since it was time for Dawn to go home. She was nice enough but not too bright. The machines hooked up to my blood pressure cuff would alarm about every 15 minutes or so. She kept coming in and saying she was going to unhook them or turn them off but it would happen again. This happened about 4 times. Finally she turned them off but it was almost 9. I didn't get but 30 minutes of sleep.
My mom called and I told her the news. She had been calling me to wish me luck for my surgery. She didn't know what to say and sounded devastated. I started to cry again. Someone was coming in the door so I got off the phone. It was Andrew. I started to bawl when he came back telling him the machines kept going off every time I would start to fall asleep and I was so tired and just wanted to go home. The machine ended up alarming again soon after. I think she finally disconnected it because it didn't go off again. They had disconnected my IV so I got up to go to the bathroom and vomited my food in the trash can. I'm not even pregnant anymore and still have morning sickness. What a sad reminder. They didn't come take my blood until 10:20 am and then at 10:40 am the other doctor came back in and asked if I had eaten and what-not. I told him yes but I threw it up so he told me I needed to eat again and when I could keep it down I could leave. They brought me a disgusting bagel with butter, jelly, peanut butter to put on it. It was soggy and I had wanted cream cheese. Oh well, it was ok with butter and peanut butter. Andrew helped me eat it because I just wasn't that hungry at that point. No one came back in for another hour and finally we could go since I was able to keep my food down. It was 12:30 pm when we left. The worst 15 hours of my life. We passed a pregnant woman on the way out of the hospital and I almost lost it. I waited until we got in the car and I cried. We still had to go pick up my prescription so I couldn't lose it just yet, even though I looked like death.
I cried the rest of the way home. I carried a little shoebox they gave us with his footprints and a couple things they took pictures of him in. I looked through the box with Andrew when we got home and cried my heart out as we held each other. This is the worst thing that's ever happened to me and I hope it always will be.