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Author Topic: 23 weeks and counting...  (Read 151 times)

Devinekelly

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23 weeks and counting...
« on: May 11, 2018 at 04:50 AM »
Hi everyone,
I’m new here and am so grateful for you all. My story: I lost my baby at 22 weeks 5 days last year on May 2. I had been bleeding for two weeks, went to L & D twice, but they could not find the placental abruption as it was concealed. The third time I went in, it was due to a ripping sensation in my belly and pain I didn’t think was possible. Needless to say, they found the abruption and it was severe. I opted to do a D & E as baby was struggling with diminished amniotic fluid and emotionally, I didn’t think I could endure birthing her. It’s one of my biggest regrets, although I know that nothing could have saved her.

I had a really tough time grieving and went back to work—at the same hospital— as a social worker offering comfort to other mothers who have babies in the NICU, other mothers who lost their babies, and also women who didn’t want their babies due to drugs, teen pregnancy, or other issues. I got pregnant again in Sept 2017 but had an early miscarriage at 12 weeks.

Fast forward to this pregnancy. I found out that I was pregnant in December and found out that the pregnancy was 4 days difference of a due date than the first that was lost to placental abruption—it’s Sept 5, 2018. Everything went smoothly until 21 weeks, which was the same time around when I had bleeding in the first pregnancy.

I have been diagnosed with a shortened cervix (0.8cm), subchorionic hematoma, and placental abruption. I went in to L&D twice over the last week due to severe contractions, but they are unable to do a cerclage or medications (due to contractions and the hematoma).

The positive part is that I am more pregnant than I have ever been, even by 2 days and made 23 weeks this week. I’m on bed rest but am struggling as my whole life has been incredibly active.

Thanks for listening, ladies and best of luck to you all. This is a special club that none of us want to be a part of, but it is so good to have the support.

OBmom

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Re: 23 weeks and counting...
« Reply #1 on: May 11, 2018 at 12:52 PM »
Hi lady!

Welcome to the forum, though as you say, it's not always for the best reasons.
Thanks for sharing your story, my heart goes out to you for your previous losses. It's an incredibly difficult pain to bear, and we can only be glad you have picked yourself up and are trying again.

Also good to hear you work in a hospital. Do you feel you trust the team? I ask because sometimes the grief can be so associated with the place that changing scenery can do you good. The most important thing being that you're seeing an MFM specialist and being treated in a center with 3rd level NICU of course.

As an OB, I have to say I agree with your doctors - a cerclage in these circumstances is risky, your SC hematoma being the most concerning factor. However, I have never heard of SCH being a contra-indication for vaginal or injectable progesterone for your short cervix - maybe you can ask your team? Also, another option would be to place a pessary - it's a rubber ring that goes in your vaginal (around the cervix) but with no stitch, so there's less risk of membrane rupture. The idea is to provide structural support to the short cervix. Not all the MFM center use this, but we do and are big fans.

As for your contractions, modified bed rest and an infinite amount of patience are your best allies at the moment. Don't forget to keep very well hydrated - keep a bottle or some other way of measuring your intake. Some doctors also believe in magnesium supplements.

Best of luck to you and your baby! We'll be waiting around to celebrate you next big marker - 24 weeks and viability is almost around the corner!

EnglishRose23

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Re: 23 weeks and counting...
« Reply #2 on: May 11, 2018 at 01:19 PM »
Hi, welcome to the forum. I'm so sorry for your loss. I wanted to share with you that i've been in a similar situation with my son who is a happy healthy 4 year old today. I started abrupting with him at 16 weeks and I would start booming out contractions with every new bleed. Each bleed was bigger than the last and I was constantly in and out of hospital till i was bleeding so much they decided to keep me as an inpatient with two large bore IV lines at all times so they could give me a transfusion if I started bleeding out! Thought I'd deliver at 24 weeks with a massive bleed and increasing contractions but the magnesium they gave me to give steriods for baby's lungs time to work endedup stopping things that day. I stayed in hospital and ended up with an emergency c-section at 28+6 weeks with a big bleed that triggered labor and breaking my waters. Wasn't an easy NICU ride but we got to bring him home at the end of it and that meant everything.

With this pregnancy i've had a ton of bleeding too with ongoing menstrual cycles and a collection of large subchronic hematomas but somehow all the bleeding stopped around 15 weeks after a brutal night of pushing massive blood clots into the toilet baby was still in there and just fine

How is your bleeding situation now? Are you close to a hospital with a high level NICU so you can get there quickly in an emergency?  Also have your drs discussed steriods for baby's lungs with you yet? Before I was hospitalized with my son I made sure to have someone home with me at all times to get me to the hospital if I started a big bleed since it can progress so quickly.