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Another One Bites The Dust

balanced translocation miscarriage pregnancy blog

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Another One Bites The Dust

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Another One Bites The Dust

You can probably guess from the title that the outcome for G9 was not a good one.

I went in for my 8 week scan (really 8 weeks, 6 days) and could see pretty quickly that the pregnancy had not progressed. There was clearly no heartbeat and the embryo looked like it had deteriorated significantly, measuring only 6 weeks gestation.

One of the crappy parts of miscarriage is that you can have one but still experience pregnancy symptoms and show no signs until you get to a scan or check.

That’s the usual experience for me, which is why I opt for a lot of scans, as I don’t like to leave things too long in case of complications / infections from retained products and that sort of thing.

Of course, my new OB was away so his colleague very kindly stepped in and rushed me in for an appointment the same afternoon as my scan.

She was lovely, and discussed some concerns with me about repeat D&C’s (a suction type procedure that removes the pregnancy from the uterus) as it can cause scarring (otherwise known as “Asherman’s Syndrome” and pre-term labour in an otherwise healthy pregnancy).

I had been a little concerned about Asherman’s due to our last loss having an “unknown reason” (not caused by unbalanced translocation) and asked her a little bit about whether she had any recommendations for me (it can’t hurt to ask for other opinions if you have to see someone new anyway!)

She suggested some tests I could have to check for the syndrome, a fertility specialist I might like to consult, and said that she would also check for signs of it when she did my procedure the next day (not really a fail-proof check, but she said sometimes she can get a “feel” for whether there is already scarring when she does a D&C).

I said I’d really appreciate her thoughts after the procedure and asked if she could leave some notes for me. She very kindly offered to come down and see me after the procedure (pretty nice of her, considering I’m not really her patient and most Dr’s don’t’ come to see you until your follow-up appointment in my experience).

So, I went in for the procedure this morning. It was all pretty non-eventful as far as procedures go and the OB came down to see me afterwards as promised.

She said that she didn’t recognise any signs of scarring but still said I could get a referral for a proper procedure to check if I really wanted to. I agreed just to wait until the results of my genetic testing on my embryo came back to see if it was an unbalanced translocation before opting to any further investigation.

So we are in the waiting game again for the next 4 weeks just waiting on results before deciding what to do next…

If you have any thoughts, comments or experiences with Asherman’s (or any other insights you’d like to share) I’d love to hear them in the comments below.

Until next time…

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It’s Never Simple

Its Never Simple Balanced Translocation Blog

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It’s Never Simple

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It’s Never Simple

I’ve started joking that I never really know what to expect when I go into an OB, scan or pregnancy-related appointment because it’s rare that I experience the same thing twice.

Of course, there’s the usual things in terms of procedures and what not (and the heightened anxiety never really leaves you) but every time I go in it’s almost like I’m faced with some new unknown thing that I’ve not seen nor heard of before.

I mentioned in my last post [tap here to read it] that I had been having “chemical pregnancies” every month and wasn’t sure if there was some “new thing” wrong that I didn’t know about.

So when my OB appointment finally rolled around, he was happy to send me for a whole raft of blood tests to check for clotting disorders and also did a scan in his office as he was concerned that the pregnancies weren’t “actual pregnancies” and maybe some strange growth or similar just causing hcg (pregnancy hormones) to be released.

It was really early days at that scan, only 5 weeks gestation, so all we could really see was what looked like a couple of areas of fluid, and not much else.

It was difficult to draw any conclusions from that, so I agreed to go for a follow-up scan at a specialist centre “no longer than” a week later.

Being the week of Easter, it was almost impossible to find a centre with availability, and I ended up having to beg clinics all over the city to put me on their wait lists, especially since my Dr had urged me not to “leave it any longer than a week”, since we really didn’t know what we were dealing with.

Luckily, I managed to get an appointment within the week, and it was even at the centre the OB had recommended (thank goodness for understanding staff and waitlists)!

The day finally arrived, and I went into my appointment (just narrowly avoiding a car crash due to my anxiety over the crazy parking lot and inability to focus properly).

I was at 6 weeks, 3 days gestation at that point and was surprised to see that there was a new sonographer who I hadn’t met before. In a way it was almost a good thing. Sometimes when it’s someone I’ve seen before, I almost feel like they’re looking for, or even expecting to find problems.

The scan started and the sonographer explained to me that she could see a gestational sac and the beginnings of the development of an embryo.

She could ALSO see what looked like a haematoma (kind of like a sac of blood) close by, which appeared to be an implantation bleed. She suggested that it may come out at some stage, but not to worry about it.

I was in two minds about it… relieved of course that it wasn’t some “weird growth” causing pregnancy hormone, that we were actually dealing with a legit pregnancy, but also worried because I’d had a haematoma with my previous pregnancy, which had ended around 8.5 weeks (and was chromosomally normal, no unbalanced translocation).

She was unable to find a heartbeat, but was not concerned as gestation wasn’t yet quite at 6 and a half weeks.

So, she suggested I return in two weeks time for a follow-up scan, and I was happy with that because I also knew I had an appointment with my OB (who could check for heartbeat again in his rooms) the following week.

The appointment really did nothing to alleviate my anxiety. I just felt as though I still didn’t really know anything, or what to expect next.

The following week (at 7 weeks gestation) I went back to visit my OB again. Luckily, within the first few seconds of scanning, he was able to detect a heartbeat. It was pretty obvious, and I was able to see it myself as well, which was a relief.

He could also still see the haematoma, and said that he wouldn’t usually recommend it, but in this case, suggested I start taking supplemental progesterone daily. I wasn’t super keen on it, as the evidence on pregnancy outcomes with progesterone is really limited, but he pointed out that if it could make even a fraction of a difference, that it was probably worth trying.

So, I agreed and prepared myself to wait another week or so for the next scan…

In-between all life just kept generally being stressful, with my poor cat getting attacked the week prior and needing a lot of extra care (which unfortunately eventually ended in him passing away ☹) following which I came down with a horrible cold. Which in some ways, forced some rest time that I probably really needed anyway.

Here I am now at 8 weeks gestation and just really trying to keep myself occupied, not thinking too hard about what comes next, and hoping the next scan has a good outcome too.

So far it appears that the haematoma is staying put, although both my OB and the sonographer have warned me that it may cause a bleed at some stage, which keeps me kind-of-on-edge most of the time.

Until next week… would love to hear your thoughts and comments below as always (scroll down to the “leave a reply” section) 😊

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The Past Couple of Months Have Been Like…

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The Past Couple of Months Have Been Like…

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The Past Couple of Months Have Been Like…

Over the past couple of months I’ve been experiencing what are known as “chemical pregnancies”. It’s basically where you get a positive result (in my experience, the line on the test is quite faint) on a home test but then a couple of days later have a cycle like normal…

In a chemical pregnancy, it is thought that perhaps an embryo is created, triggering HcG to rise, but the embryo doesn’t get to the stage of implantation, which causes a cycle to start like normal.

After I’d had 3 chemical pregnancies in a row, I went to see my GP because I was concerned that they could possibly be caused by something other than the balanced translocation (especially since the last miscarriage at just over 8 weeks gestation was not due to balanced translocation, and just some “unknown reason”).

My GP seemed rather doubtful about the whole thing, because I explained to her that my positive home tests had been showing up on day 22 and then cycles starting a couple of days later on day 24 (usually accompanied by what I would describe as a hormone-related headache).

She thought that it was “very unlikely” that I would be seeing a positive home test result at 22 days.

It did make me question myself a bit… but to be honest, I’ve been pregnant so many times now I’m pretty clear on what the signs look like for me, and I really didn’t think the results were false (not that she said that, but I felt that was insinuated).

So anyway, the next month there was no positive result, and the following month (March) there was once again a positive result on day 22. I took a photo of it (I’m not sure if it was to prove it to myself or the Doctor, but anyway I just felt like for some reason I just needed someone to believe that this was what was happening) and then I took another test, using a testing kit from a completely different company on day 24 (which was also positive) just so at the very least I had some form of evidence before I could get back to the Doctor to get a blood test.

Check out my Instagram reel for a bit of a fun spin off on how my results have been looking 😉

I had been trying (without much luck) to get back to my OB to run some tests to find out if there was any other reason for the chemical pregnancies, but couldn’t get an appointment until next week anyway.

SO after all that, I’m back off to the Doctor (GP) this week to get a new referral to the OB so that I can at least ask for some tests to check hormone levels are where they are supposed to be, and maybe also ask for some other tests to be run just in case there is some other unknown-underlying reason that could cause early pregnancy loss.

Have you ever been in a situation like this? If so, if you are willing to share, I would love to know what caused your chemical pregnancies.

A couple of people have mentioned to me that theirs were caused by low iron, and a blood blotting disorder. If there’s anyone else out there with any ideas on what tests to ask for, I’d love to hear them!

Will do my best to keep in touch with updates.

 

Until next time… I would love to hear your thoughts in the comments below.

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The Day G5 Arrived

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The Day G5 Arrived

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I sat down this morning to give an update on what has happened with our family planning journey over the past 4 years… but I found a half-written post from 9 months after our son was born so I thought I’d stretch my brain back a few years and start there! The next post will give re-cap of the past 4 years and then we’ll start talking about where we’re currently at 😉

So here it is…

The Day G5 Arrived

It has been just over 9 months since I last wrote a post on my blog! It’s pretty safe to say I’ve been focusing most of my time on the little guy since he arrived (and the past 9 months have flown by quicker than I could have imagined!)

Remembering back to the weeks before our little guy arrived, there was a fair bit of discussion around about whether he was “too big” and I was presented with a few options including early induction and caesarean.

I wasn’t really keen on making a decision until I absolutely had to, partially because I wasn’t sure of the accuracy of the scans and wanted to know more about what the risks involved were when it came to the size issue.

I ended up requesting another scan and going in for additional check-ups to see if the little guy was starting to engage on his own.

The final scan showed that he had grown considerably again and there was some concern that his stomach measurements were larger than his head measurements. I had quite a long discussion with my OB about what that meant and what our options were.

He outlined that some of the concerns included possible risk of shoulder dystocia (where the shoulders get stuck during delivery) and that he suspected I would likely need an assisted delivery and/or worst-case emergency caesarean.

We had been through so much already that our main focus at that stage was to prioritise the safe arrival of our baby over anything else.

Given that it looked like the birth may end in an emergency c-section anyway, we opted to book one in for 39 weeks and 4 days (pretty much full term).

On the 3rd of September 2018 (can you believe it was almost 4 years ago!?) we headed to the hospital at 6am to be admitted.

Finally, at around 8:30, it was our turn to head to the theatre (second on the list for that day!)

I was really nervous about having an epidural. It probably sounds silly, but I get really bad hayfever and I sneeze a lot so I kept having this crazy thought that I might accidently sneeze while the needle was going in and cause myself to have some sort of lower-body paralysis… I didn’t mentioned this to my anaesthetist, but I just said, I’m going to close my eyes while you do this because I don’t want to see the needle… he jokingly responded that he would keep his eyes closed too.

Anyway, the epidural was fine, the needle didn’t hurt and then I couldn’t feel anything after that anyway… haha!

Pretty soon after that I was up on the table and it was time to deliver the baby.

I was actually pretty shocked at just how difficult it was to deliver the baby via c-section. There was SO MUCH pushing and pulling to actually get him out. There was the anaesthetist at my stomach pushing, and what felt like 3 people on the other side pulling, while Sam was holding my shoulders because my whole body was sliding down the table due to the force (and obviously I couldn’t do anything because I was numb from the waist down).

At last, at 9:15am the OB held our baby up over the cover and we were able to see him! He had arrived safely, was fine and healthy, which luckily meant I didn’t have to take my eyes off him for the entire time we were in the hospital.

After 3 years and 4 miscarriages it was such a relief to see our healthy baby finally arrive!

(Just as a side note too – for anyone who may be having a c-section and is worried out the recovery. Despite all that pushing and pulling I mentioned, I had hardly any pain following the procedure and stopped taking pain killers the third day!)

I did think that all my pregnancy anxiety would disappear once the baby arrived and was healthy, but… I’ve got to say, I think I felt anxious any time my eyes weren’t on him for at least the 2 years… I’m not so bad now, but I still rarely let my eyes leave him for more than a few moments.

Our journey certainly hasn’t ended there… I will pop up another post to give a quick run-through over what happened over the 4 years following (I just didn’t blog all that much because I was so besotted, spending as much time as humanly possible hanging out with my little dude) and I might even start blogging again about where we are at now (I just can’t make any promises as to the regularity of it, because my time will always be prioritised to my family 😉)

As always, I’d love to hear from you. Share your thoughts and experiences in the comments below (scroll down to “leave a reply”)!

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G5 On Notice

G5 On Notice

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G5 On Notice

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G5 On Notice

A couple of weeks back I mentioned that I had to go in for a late scan due to a low-lying placenta. I was pretty much in denial, not thinking about it and hopeful that it had moved on its own and wouldn’t be anything to worry about.

That strategy worked fairly well for me until my midwife mentioned about a week before the scan (at a routine check-up) that I would likely need a caesarean at 38 weeks if the placenta hadn’t moved.

I wasn’t exactly thrilled with the news, but knew I couldn’t do much about it anyway so put it to the back of my mind for the rest of the week.

Finally, the day of the scan arrived and I was relieved when the first thing the Sonographer told me was that my placenta had moved and was in a good position.

She then went on the joke that G5 was rather large and would likely be taller than me by the time he arrived! I thought that was pretty funny but didn’t think too much of it, as I was just relieved that the whole potential caesarean scenario could now be put out of my mind.

Until the next day when I saw my OB.

It is not like him to say much unless completely necessary, so I was quite surprised when he immediately wanted to talk about the scan, G5’s size and what my options were from here.

He was very good at discussing all the possibilities but did stress the point to me that he felt that if I did not naturally go into labour within the next few weeks that G5 would be too large for me to birth naturally at full term (he was already measuring 3kg at the scan, which is approx… 6 pounds 7 ounces) so his main concern was what size he would be at full term (which at that point was still just under 6 weeks away).

I immediately queried the accuracy of the measurements at the scan as I have heard what feels like a million stories of people being told their babies are either “too big” or “too small” and their size is no where near the estimate of the scan prior to birth.

I got the strong impression that the recommendation was that I need to either go into labour naturally within the next few weeks or agree to book a caesarean before we reach September (I wouldn’t be 40 weeks until 8th September).

After discussing all possibilities, we agreed to “do nothing” at this stage other than monitor G5’s progress over the next few weeks to see if he starts to engage on his own with the knowledge that I may still need to consider the possibility of a caesarean at 38 weeks.

It’s not something I am particularly stressed about. At the end of the day, in comparison to all the stress we went through at the start with tests and scans in relation to the balanced translocation this doesn’t really hit that high on my stress radar.

At this stage, I am happy with the monitoring option and I think that if a caesarean is recommended in a couple of weeks I will ask for another growth scan for my own piece of mind that he really is this large size that they keep telling me (although I do acknowledge that his measurements have been ahead at every scan we have had).

Maybe he is a big baby and maybe not, I guess we won’t really know for sure until he arrives.

Until then… I would love to know if you have been in a similar scenario. Were you told your baby was “too big” or “too small”? Were they the estimated size when they arrived? Were you given a recommendation on what to do? Would you have don’t anything differently?

I would love to hear your thoughts and experiences.

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