Finally some answers and some semblance of a plan going forward. Sorry it's a little long :)

CClark2014 · March 2016

Today we had our first f/u appointment after our miscarriage on 3/3, and I feel so much better with having more information. And a random note of how much I love our Dr.

First was test results, (most of the genetic testing is still out) but so far they feel that chorioamnionitis(infection of the placenta) and probable incompetent cervix was the cause of everything.The choioamnionitis is hard to narrow down because she said that since I went into labor, it could have caused the labor, or been caused during the labor (kind of the chicken or egg situation). Similarly, IC may have been a major factor, but since I had no history, it wasn't something that they were monitoring extra. Unfortunately I had been spotting for so long that if the IC was changing, we may have missed it.

With all of that information, my Dr. let me know that she will be considering me higher risk than before and gave me a heads up to the probability of a cerclage next time. I love that our Dr. takes such a proactive approach, I've had other Dr.'s (not ob, different specialty) that seemed so wishy washy with what treatment plan they offered, I don't want that kind of thing left up to me. Just tell me what my options are, what you feel is the best, and lets move forward. She was also very direct about our next pregnancy and just how hard its going to be to be happy and positive about things until we are past the 14 weeks that this one ended at (but that thats very normal and OK) and just let her know if anything doesn't feel right and she'll get us in to be checked. Again, I love her ways, she doesn't try to brush off the emotional aspect of this and how it will impact us later.

My HCG levels have dropped to 22 as of yesterday, and the HPT urine test that they do at the beginning of the appt was negative, so she said she was fine with us TTC, even if its before AF. I haven't started temping again, but I think I will be starting that again soon. We will probably NTNP for now and then move on to TTC with earnest after AF.

Emotionally, I feel so much better. I just felt like I was hanging in limbo for so long (not that anything is changing immediately), I have been lurking here quite a bit, I just didn't feel like I was having anything productive to add, but I think it is so amazing how supportive all of you are to each other and how sweet of a reception you give to everyone that finds themselves here. I hope to try to participate more, maybe I can help someone the way you all have helped me.

mylittleversailles · March 2016

That's really lovely to read. A few answers can bring so much relief - even if it doesn't change anything or shed light on all of it. I always say a maybe is worse than a no; being in limbo is akin to physiological torture.

housewifehobbyist · March 2016

I'm glad you're getting some answers and have such a proactive doctor! I know it's hard, but I hope she's giving you some peace of mind in TTC again.

And these ladies are wonderful! Even just having people say "I know what you're going through, a loss is a loss, it's ok to mourn" has helped me tremendously.

SnobunnieMel · March 2016

It's so great to have the support from your OB like that. If you do need a cerclage going forward and she feels strongly, have you asked if anyone near you does transabdominal or if thy prefer transvaginal? I am at risk for IC from an aggressive LEEP and it's something we talked about in my office. Sometimes knowing those options before hand can help you feel even more prepared and less anxious with your next pregnancy since you don't have an additional thing to worry at each appointment.

CClark2014 · March 2016

@reneeannem , Exactly, I know its only our first, but I was so worried that something would come back that was such a definite Nope, this was just what I needed.

@housewifehobbyist, She did give us alot of peace of mind. And I agree, being able to "talk" on here when needed is such a great help.

@SnobunnieMel, I'll have to look into it more. She just mentioned it and briefly described it, but didn't go into much more detail. Thanks for the info.

penelope4612 · March 2016

I'm glad you have some answers and a plan moving forward!

catiecatp · March 2016

I'm sorry for your loss and glad you have a great relationship with your doctor.

Knottie1459524222 · March 2016

I too had a MC on 3/3 that led to a D&C. I just had my follow up appointment today and had my first blood draw to check HCG levels. Yours being 22 gives me hope, I'm terrified they will call me to report high levels still. I would love to ttc asap but the ultrasound today showed a thin lining in my uterus and no significant follicle growth. So it's just a waiting game at this point, either for ovulation or for AF. Being in limbo really stinks, I'm glad you got some answers! Definitely helps with the grieving process

DinosaurJumper · March 2016

What a wonderful doctor! I have such respect for the medical field, but there are some doctors that just view as another name on a chart and nothing more.

CClark2014 · March 2016

@Knottie1458305956 So sorry for you loss. I was really worried about my levels too (for all of the other pregnancy/delivery effects) but from ER it was around 31,000 and that following Monday (5 days later) it was already to 2,000. It amazed me how fast it was dropping, but I think that helped with some of the recovery. FX that yours dropped significantly also.

@dinosaurjumper We were really blessed with beyond amazing nurses and doctors through this whole process. I had 2 nurses helping me in ER and both of them were so compassionate and respectful. They both came in right before we were being discharged and asked if they could pray with us. Even though DH and I aren't extremely religious, It was such a sweet gesture for them to show that we weren't just a patient to them. We also received a plant and card a couple days later from both the nurses and ER Doctor that treated us. We aren't in a huge city, but still not small town (165K pop), but they went above and beyond I thought.

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Finally some answers and some semblance of a plan going forward. Sorry it's a little long :)

Re: Finally some answers and some semblance of a plan going forward. Sorry it's a little long :)

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