1st Trimester

Diagnosed with blighted ovum miscarriage in ER @ 6 weeks

Hello all, I wanted to start this discussion to help anyone who may have had a similar experience as myself.
One Friday morning at about 6 weeks, I woke up feeling great. I went to work as usual, but started having mild cramping and spotting. The spotting was of very dark color and wasn't very heavy. The cramping was more like a sharp pain in my groin and in my inner thighs. This being my 2nd pregnancy, but after almost 7 years, I couldn't remember if this was normal or not, so I called my Obgyn. I had about a year of infertility, endometriosis & adenemiosis, so my Dr wanted me to go to the ER as a precaution.
When I arrived at the ER I was given the usual tests which included a blood test and ultrasound. My HGC level was 7,000. I was told that's pretty normal for how far along I was. They could not see anything with the traditional US so I was sent for a transvaginal US. It took over 45 mins and of course the tech wasn't allowed to tell me much. I just assumed that was normal and the Dr would analyze the results and send me in my way.
After what seemed like forever, the ER Dr came in and casually said, "well, we see a sac & a yolk, but no baby. With your HGC levels as high as they are we should see a fetal pole and a heartbeat. This is a suspected miscarriage or there was never a baby there to begin with". What I later discovered to be called a blighted ovum. He was so nonchalant about the whole thing. Told me to come back over the weekend if I got a fever or hemorrhage. Otherwise to followup with my OB on Monday for "further advice".
The weekend ticked by in an agonizing manor. I read every message board I could find l, but it was an emotional roller coaster. Monday morning came and I was called my Dr's office the moment they opened to be seen. She squeezed me in and the moment I saw her, she assured me that I should not think the worst. Even though I had prepared for the worst. She did a transvaginal US right there in the office. Almost immediately, I saw her smile, turn the screen to me, and show me what was clearly a little spot in the sac, with a very strong heartbeat! Measuring exactly where it should be!
I go for my 1st real prenatal appt tomorrow and I am hopeful everything still looks good! So basically, I learned that you cannot judge a pregnancy by your HGC levels or what someone read in a book, "should" be normal. Everybody is different and every situation is different. And don't always trust the 1st diagnosis. Have hope and trust in God! Hope this helps anyone who is going through a similar experience!

Re: Diagnosed with blighted ovum miscarriage in ER @ 6 weeks

  • Hello all, I wanted to start this discussion to help anyone who may have had a similar experience as myself. One Friday morning at about 6 weeks, I woke up feeling great. I went to work as usual, but started having mild cramping and spotting. The spotting was of very dark color and wasn't very heavy. The cramping was more like a sharp pain in my groin and in my inner thighs. This being my 2nd pregnancy, but after almost 7 years, I couldn't remember if this was normal or not, so I called my Obgyn. I had about a year of infertility, endometriosis & adenemiosis, so my Dr wanted me to go to the ER as a precaution. When I arrived at the ER I was given the usual tests which included a blood test and ultrasound. My HGC level was 7,000. I was told that's pretty normal for how far along I was. They could not see anything with the traditional US so I was sent for a transvaginal US. It took over 45 mins and of course the tech wasn't allowed to tell me much. I just assumed that was normal and the Dr would analyze the results and send me in my way. After what seemed like forever, the ER Dr came in and casually said, "well, we see a sac & a yolk, but no baby. With your HGC levels as high as they are we should see a fetal pole and a heartbeat. This is a suspected miscarriage or there was never a baby there to begin with". What I later discovered to be called a blighted ovum. He was so nonchalant about the whole thing. Told me to come back over the weekend if I got a fever or hemorrhage. Otherwise to followup with my OB on Monday for "further advice". The weekend ticked by in an agonizing manor. I read every message board I could find l, but it was an emotional roller coaster. Monday morning came and I was called my Dr's office the moment they opened to be seen. She squeezed me in and the moment I saw her, she assured me that I should not think the worst. Even though I had prepared for the worst. She did a transvaginal US right there in the office. Almost immediately, I saw her smile, turn the screen to me, and show me what was clearly a little spot in the sac, with a very strong heartbeat! Measuring exactly where it should be! I go for my 1st real prenatal appt tomorrow and I am hopeful everything still looks good! So basically, I learned that you cannot judge a pregnancy by your HGC levels or what someone read in a book, "should" be normal. Everybody is different and every situation is different. And don't always trust the 1st diagnosis. Have hope and trust in God! Hope this helps anyone who is going through a similar experience!
    I'm very happy for you that it was a false alarm! However, the ER doctor is an idiot. A heartbeat at 6 weeks is not typical, and he shouldn't have ever said that to you. I understand the message you are trying to provide here, but I'm also concerned that it may give a sense of false hope. Again, very happy everything is working out for you and wishing you an easy remainder of your pregnancy!


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  • This is similar to what happened to us, except we got the transvaginal scan in tge (proper) imaging dept before he could give any diagnosis on the basis of the ER abdominal scan. Also, he was not an idiot and just warned it was "50/50" and "we needed a more thorough scan".

    So glad you have a heartbeat. What an awful experience to have to go through. Hugs to you and fingers crossed that you have a happy and healthy 40 weeks. Well, 34 more!
  • I'm really thinking there needs to be a big PSA on 1st Tri to not go to the ER, unless you're bleeding so heavily you're worried about blood loss or vomiting to the point you need an IV. The ER is just not the place for a pregnant lady early on. This isn't the first story we've seen like this on here.

    Yes. Most ER doctors will automatically tell you that since you are bleeding, it's a 50/50 chance you'll miscarry. They just cover their butts with this type of thing. With minor bleeding, it's always best to contact your ob.
  • Thanks for all the encouraging words. I contacted my OB before I went to the ER and she advised me to go there because she was the OB on call at that hospital, but was performing C-sections and couldn't make it down to me. His major concern seemed to be that my HGC level being that high, a fetal pole should have been detected. (Nothing was showing during the 45 min transvaginal US) My goal with this post is to not give false hope, but to make sure people don't always trust that 1st opinion, like I did. All weekend I had myself convinced that I didn't even feel pregnant anymore. He did not give me 50/50 odds. It was more like 90/10 that I had lost this baby. Now I understand that making a baby is not an exact science and everybody and every pregnancy can me much different. I hope all of you have successful pregnancies & healthy baby's:)
  • I am so glad for the wonderful outcome of your story! I hope your baby continues growing stronger and your pregnancy will progress easily.

    I don't think you are spreading false hope, actually the world needs more hope in it. Thank you for sharing!
  • I'm really thinking there needs to be a big PSA on 1st Tri to not go to the ER, unless you're bleeding so heavily you're worried about blood loss or vomiting to the point you need an IV. The ER is just not the place for a pregnant lady early on. This isn't the first story we've seen like this on here.

    True true true! I went to the ER because I had a nasty case of food poisoning and a fever of 103. After 3 iv bags and 9 hours of laying in the ER bed, I asked if the baby was ok and his response was "well the baby is in the lord's hands now" so moral of this story is, whatever situation you're in, ER doctors are not trained in OB care or trained in how to deal with expectant mommies and their emotional surges.
  • You see so many people continuously post their HCG levels or ask if they are high enough. When I went in for my first ultrasound at 7 weeks LMP, I only looked 4-5weeks. The doctor said that he'd check my progesterone, but that HCG can be all over the place and not completely a reliable predictor. The only thing that is reliable was waiting a week, doing another ultrasound, and see if the baby grew. Went in a week later, and I was measuring 6 weeks 3 days and heard the heartbeat. Ever since that experience, it made me want to shout from the roof tops that HCG is not the final say on things and for people to quit being so fixated on it, but I guess other doctors put a lot of stock in it. I've never been told at any point my HCG levels, and my OB is an award winning doctor year after year.
  • I love this story!!! So happy for you.

    Pregnancy Ticker
  • samclrk21samclrk21 member
    edited October 2015
    I hope all goes well for you!! Good luck!
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