Pregnancy after preterm loss

H&2014

A little over two months ago I lost my twin boys at 22 weeks gestation. It was very much a surprise to me and my ob. I didn't even know I was in labor at all and decided to go to the hospital after having some pain for an hour or two and I was told I was fully dilated..very soon after I had my sons. They were perfectly healthy and my prenatal care was so great! My sons lived for 42 minutes and 47 minutes, then passed. My ob reassured me it was nothing I done or there was anything wrong with me having kids again. After my preterm birth/ loss I want to have a child again..I was wondering if anybody had any problems getting pregnant soon after and if you had twins did you have twins again? I'm worried that I will have twins again, I wasn't very big at all when I was pregnant, how can I help with that with my next pregnancy.

princezjk

I am so very sorry for the loss of your sweet boys.  If you haven't already done so, I highly recommend checking out the Loss board.  It is a wonderful resource full of supportive women who have all experienced a late loss.  (((Hugs)))

As for TTC again, I would highly recommend talking about this with your doctor and asking for a specific timeline.  My doctor gave me a time frame for which I should wait and then referred me to MFM for a preconception consult to discuss risks and the plan of action for my next pregnancy.  How quickly you conceive again depends on so many factors and varies greatly from woman to woman.  Again, if you have concerns, I would highly recommend talking to your doctor.  Wishing you the best!  

haleyusf

I'm so sorry for your loss. With your next pregnancy, you will likely be given 17P (progesterone) injections starting at 16weeks to prevent preterm labor, and they will likely watch your cervix very closely starting in the 2nd trimester to check for incompetent cervix. Your doctor will be able to give you guidance on when to try again. As for the twins question, that depends on what kind of twins you had; if they were identical, then that was a spontaneous twin pregnancy and is no more likely to happen again than it was the first time. If they were fraternal, then you do have an increased chance of having twins again, but it's not greatly increased. I wish you the best of luck and hope to see you back here soon.

Bigboneded

I am so sorry for your loss. I miscarried at 17 weeks, not twins. Also while I got pregnant pretty quickly initially, we had tried from July until May this time. But I have different issues. Best of luck! I found a lot of comfort on the Trying To Conceive After Loss board, but they may not want to answer questions about getting prwgnant right away.... (((hugs))) to you, T&P.

H&2014

Thank you all! My ob didn't give me a time frame when I should start trying again, I had healed perfectly back to normal and he said I didn't have an incompetent cervix, I was very much feeling the contractions (I just have a very high pain tolerance plus back labor) and he did say he would watch me very carefully the next time and give me the progesterone shots because my boys were fraternal twins I did have a higher chance of having twins again..thank you again..

[Deleted User]

I don't have any advice relative to your question, but I just wanted to stop by and say I'm so sorry for your loss. ((Hugs)) to you.

PinkCamino

Lurking from TTCAL

I'm so sorry for your losses. ((hugs))

I lost my girls to incompetent cervix almost two years ago. I was 21 weeks and like you had no idea I was in labour. What was supposed to be my routine a/s scan turned into my worst nightmare. I ended up delivering 5 days later because there was basically nothing they could do to help me at that point.

I was told to wait 6 months to TTC again. I really wasn't satisfied with my OBs really laid back attitude about my loss and ended up finding a high risk MFM who was willing to see me. Her plan was pretty conservative and included a cerclage at 12 weeks, progesterone injections and bedrest from cerclage placement until 37 weeks.

I ended up getting pregnant with twins again about 6 months after my loss but unfortunately, that pregnancy ended at 6 weeks.

Currently, I'm TTC but over the last year I've faced a bunch of different issues. My IC is attributed to having a uterine septum. After a few tests including a SIS and MRI my septum was confirmed and surgically repaired. I also had some other issues that were taken care of at the same time.

If I were you, I would really plan out any future pregnancies. Pre-term labour isn't a fluke and often requires more monitoring than a regular pregnancy. Maybe an appointment with your OB to discuss your plan is a good idea.

If you have any questions, feel free to get in touch. I'm so sorry you've had to go through this. Best of luck.

2redtulips

I don't have any advice, but I wanted to express my sincere condolences for your loss. {{{hugs}}}