Multiples

When do I stop being "higher" high risk?

I had some spotting at 5w6d and 6w1d.  I know this is more "normal" for twin pregnancies, but when do I stop being part of the statistic?  I read that my chance for m/c after 12w is XX without spotting.  Will this always be that I've had spotting or does it "not count" since it's been 7 weeks and I haven't had any more spotting yet?

Probably looking for more of a "when do I stop worrying" answer and I know the answer to that.
1st FET 2/14/2013 Happy Valentines Day! - BFN
2nd FET 6/14/2013
- BPF!!! -
1st Beta:
1046!!!!! - 2nd Beta: 2754!!!!!
First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
Second u/s
7/29/2013 - wiggley babies! 178 and 184 heartbeats!
Third u/s
9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


  photo e8294769.jpgphoto 3a44b450.jpg
imageimageimageimage"">image

Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!

Re: When do I stop being &quot;higher&quot; high risk?

  • I spotted pretty consistently from 7 weeks through 13 weeks.  My doctor was never concerned and never told me I was higher risk because of it.  I had at least 3 ultrasounds during that time (for regular appointments not emergencies) and have had at least 4 (including a/s) afterwards and everything has always been perfect.

    Don't worry unless your doctor has told you to!


    D & L are here at 34 weeks 4 days by vaginal and breech delivery on 11/19/2013
    Two healthy boys weighing 4 lbs 15 ozs and 4 lbs 5 ozs.  Only 6 days in the NICU and getting bigger, stronger and cuter every day! 
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  • Well, we were actually out of town and went into the ER with the spotting and they all seemed really worried.  They basically rushed me right in and kept telling me statistical numbers (which is probably why that's what I remember).  They were nice, but it felt like they were preparing me for bad news ... which never came
    1st FET 2/14/2013 Happy Valentines Day! - BFN
    2nd FET 6/14/2013
    - BPF!!! -
    1st Beta:
    1046!!!!! - 2nd Beta: 2754!!!!!
    First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
    Second u/s
    7/29/2013 - wiggley babies! 178 and 184 heartbeats!
    Third u/s
    9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
    Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
    MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
    Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
    MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
    MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


      photo e8294769.jpgphoto 3a44b450.jpg
    imageimageimageimage"">image

    Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
  • Yeah, I wouldn't put stock in anything the ER says.  They are just there to address acute conditions and make appropriate referrals/consultations.  Did you ever speak to your MFM about it?

    D & L are here at 34 weeks 4 days by vaginal and breech delivery on 11/19/2013
    Two healthy boys weighing 4 lbs 15 ozs and 4 lbs 5 ozs.  Only 6 days in the NICU and getting bigger, stronger and cuter every day! 
  • MFM?  I'm assuming you mean my normal OB? Yeah, they did an u/s about a week later and said everything looked great - haven't mentioned anything since.  The only other time I had bleeding was at my 10w apt when they did a pap.  He said as soon as he did it that I was going to bleed - and he was right.  It away that night.
    1st FET 2/14/2013 Happy Valentines Day! - BFN
    2nd FET 6/14/2013
    - BPF!!! -
    1st Beta:
    1046!!!!! - 2nd Beta: 2754!!!!!
    First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
    Second u/s
    7/29/2013 - wiggley babies! 178 and 184 heartbeats!
    Third u/s
    9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
    Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
    MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
    Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
    MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
    MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


      photo e8294769.jpgphoto 3a44b450.jpg
    imageimageimageimage"">image

    Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
  • I want to say you can stop worrying now. I am 13 weeks, had early 1st tri spotting, pretty much the same as you and my OB did not qualify me as high risk because of the spotting. It has gone away now and I also had spotting after my PAP with the OB around 8 weeks or so, same as you. I'm considered High Risk now because of the type of twins I have, not because of spotting. Also, you've probably seen heartbeats and maybe even babies fluttering about by now depending on how often you're getting ultrasounds, but I would say your "risks" percentage wise have gone down substancially since the early spotting days.

    Mono/Di Twins - Due March 3, 2014 (Realist EDD - Feb 5, 2014)

    Mommy to Jericho - 2 Years Old.

  • I just realized, you are 1 day ahead of me. I'm 13w1d today. :)

    Mono/Di Twins - Due March 3, 2014 (Realist EDD - Feb 5, 2014)

    Mommy to Jericho - 2 Years Old.

  • Awww awesome!!! Weird we had the same symptoms - I guess that means it's "normal" right? :)  I need to read what the Di/Di thing means and all the different kinds. I don't know them yet...
    1st FET 2/14/2013 Happy Valentines Day! - BFN
    2nd FET 6/14/2013
    - BPF!!! -
    1st Beta:
    1046!!!!! - 2nd Beta: 2754!!!!!
    First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
    Second u/s
    7/29/2013 - wiggley babies! 178 and 184 heartbeats!
    Third u/s
    9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
    Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
    MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
    Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
    MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
    MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


      photo e8294769.jpgphoto 3a44b450.jpg
    imageimageimageimage"">image

    Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
  • Ok, just looked it up. I'm Di/Di it sounds like
    1st FET 2/14/2013 Happy Valentines Day! - BFN
    2nd FET 6/14/2013
    - BPF!!! -
    1st Beta:
    1046!!!!! - 2nd Beta: 2754!!!!!
    First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
    Second u/s
    7/29/2013 - wiggley babies! 178 and 184 heartbeats!
    Third u/s
    9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
    Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
    MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
    Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
    MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
    MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


      photo e8294769.jpgphoto 3a44b450.jpg
    imageimageimageimage"">image

    Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
  • Mcsweets said:
    MFM?  I'm assuming you mean my normal OB? 
    MFM (Maternal Fetal Medicine) is a Dr. who specializes in high risk PG (like twins, triplets, etc.). A lot ladies with multiple gestations see one in conjunction with their normal OB.

    I hate to say it but you won't ever stop worrying ;) Spotting and bleeding is fairly common (as you said) in a twin PG. I had a huge bleeding episode at 11w (gushing blood) and was sure I was miscarrying but both babies were fine; it was a SCH. I bled for about 48 hours and then it stopped and never happened again.

    Hang in there, Hon!
    TTC 12/2009
    Me: 32 - Stage II Endo / DH: 36 - Low count and morphology (1%)
    IUIs 1-3 BFN, lap Dec. 2010, IUIs 4-6 BFN
    IVF w/ICSI #1 - ER 2/8: 24R 19M 9F ET 2/13 2-5 day blasts (no frosties) = BFP - b/g twins!
    E & C Born 10/19/2012
    Lilypie First Birthday tickers
  • @jessican08 - We have a high risk clinic here, they said they wont see me unless my regular OB refers me ... I'm probably over-thinking everything and I just keep telling myself that everything is "probably ok".  The word "probably" helps a little bit.

    Thank you :)
    1st FET 2/14/2013 Happy Valentines Day! - BFN
    2nd FET 6/14/2013
    - BPF!!! -
    1st Beta:
    1046!!!!! - 2nd Beta: 2754!!!!!
    First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
    Second u/s
    7/29/2013 - wiggley babies! 178 and 184 heartbeats!
    Third u/s
    9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
    Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
    MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
    Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
    MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
    MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


      photo e8294769.jpgphoto 3a44b450.jpg
    imageimageimageimage"">image

    Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
  • I agree with PP - you probably won't ever stop worrying - but it might lessen.  I had an SCH and heaving bleeding around weeks 12-14 (I think, can't even remember now) and it was SO scary.  I went to the ER and they did the same thing, gave me all the statistics w/ no information.  Thankfully, the second time they told me to call my OB and follow up.  They did an u/s and found the SCH and then put me on bed rest for two weeks. 

    After all that I've been spotting/bleeding free and I'm not 28w4d.  I still check the toilet paper every time I go to the bathroom in fear of seeing blood.  But, I don't worry about it as much, if that makes sense.  

    Good luck!! 
    Me: 30, DH: 40 
    TTC since January 2012HSG & Bloodwork: Normal, SA: NormalDx: Unexplained Infertility 50mg Clomid + TI = BFN (three cycles)
    50mg Clomid + trigger + IUI = BFP (one cycle)
    Beta #1 (12dpo) = 49  Beta #2 (14dpo)= 149

    Expecting g/g twins Oct '13


  • 1st FET 2/14/2013 Happy Valentines Day! - BFN
    2nd FET 6/14/2013
    - BPF!!! -
    1st Beta:
    1046!!!!! - 2nd Beta: 2754!!!!!
    First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
    Second u/s
    7/29/2013 - wiggley babies! 178 and 184 heartbeats!
    Third u/s
    9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
    Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
    MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
    Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
    MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
    MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


      photo e8294769.jpgphoto 3a44b450.jpg
    imageimageimageimage"">image

    Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
  • The only part of my "post bleeding" pregnancy considered high risk was the fact that it was twins. So to my doctors... it seemed to stop mattering early on.
    Eat your food people. You are pregnant, not made of glass. ~PrimRoseMama
    The Benes Boys were born 9/3/13! woooo
    imageimage
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