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D&C pathology report (warning DD pic)

aggieabbie02aggieabbie02
in Miscarriage/Pregnancy Loss

I had a missed m/c of identical (mono/di) twins discovered at 11w4d (babies measuring 10w2d), and had a D&C at what would have been 12w3d.  

 

Just went for my post-op appointment after my D&C last Tuesday. The pathology report was basically just confirming the uterine contents were "consistent with products of conception." It did describe the contents as containing "degenerating fetal elements with early ossification of bone and immature chorionic villi."

 

The doctor did say that ossification would be unexpected at that gestation, but wouldn't speculate on if it was chromosomal or had anything to do with the cause of the m/c (grrrrr). Anyone want to speculate for me, please? :)

 

I am one of those people who really, really need an answer... and it's driving me crazy that I will likely never have one.  

 


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Re: D&C pathology report (warning DD pic)

  • KK1109KK1109

    Like us, you seemingly chose to not have karyotyping done on the babies.  My doctor said he doesn't recommend it, as it is a pricey test and doesn't tell you much more than what was most likely the problem--there was most likely a problem in the chromosomes.  As far as which chromosome, it doesn't seem to matter.  It could be any of them.  

     My speculation--something happened with the chromosomes.  Statistics say that is what causes M/Cs the most.  And it rarely means it is something wrong with YOU.  

    For me, I am a victim of statistics twice, so I hate them.  What I tell myself is: would knowing change our plans to try and get pregnant again?  The answer was NO.  So the information is just pricey and my doc recommended putting the money toward our future child's college fund.   

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  • aggieabbie02aggieabbie02

    I wasn't really given the option for karyotyping, unfortunately. When I asked, my doctor acted like we couldn't do it because the babies passed away about 2 weeks prior to the D&C and the tissue wouldn't be useable (and (((graphic)))) because he uses suction for the D&C, there may or may not be big enough parts anyway... sorry.). So, I wish I would have pushed that issue more, because it looks like a lot of people with missed m/c are still able to have the chromosomal testing done. They can't do it now, unfortunately, because even though the lab has everything still, it's been preserved, so nothing will grow...it's basically a culture (I called the lab and asked).

     

    So, I guess I just have to be ok with no answers, and know that it probably was chromosomal and probably wasn't something I did to cause it. But... you are right... it probably wouldn't change anything for us if we decide to TTC again (although, at this point, I'm really not sure if we will. I don't think I can do this again). 

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