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Is This Normal In Miscarriage?

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MagentaJade

New User, Becoming EHEALTHy
Joined: 25 May 2007
Posts: 4
Location: UK
Is This Normal In Miscarriage?
Posted: 05-25-07 14:00pm

Hi,

The day before my first scan at 13 weeks i started to get back pain and then had some bleeding and mucus when i went to the toilet. We went straight to the emergancy dept and they did blood tests and said my HCG was fine and to come in the next day for my scan.

My first scan showed that either my dates were wrong or there was no baby inside the placenta and it had died 2 weeks earlier. We were devestated and didn't really take it all in and told to return 1 week later for another scan in case it was wrong dates and there was still a pregnancy but we knew it was over.

I went back for my second scan and they confirmed that it was an ended pregnancy. The problem is that the sack had continued to grow from 12mm at the frst scan to 22mm at the second and in the middle of these two scans i had passed a big clot the size of cassette tape and then a small white grey sack. I thought that i had miscarried everything but the scan seemed to say otherwise.

I think as there was no developed feotus that i suffered a blighted ovum but what did i pass? was that not it???

I went back into hospital 2 days after the second scan as they seemed to think i hadn't passed the contents/sack and they gave me medical managment ( a tablet and then 2 lots of pessaries) to induce miscarrage but nothing happened under observation and then i had cramping that night and light bleeding. The only time i have had reasonably heavy bleeding was around the days that i passed the large clot and what i thought was the sack, otherwise it has been reasonably mild (but then i do have heavy periods)

I have another scan in 2 weeks, i am scared i will have to have a D&C as i feel that would be intrusive for me personally and don't really want general anasthetic but i feel impatient waiting, feel like i'm weird because it doesn't seem to be a normal process to others and am desperate for this to be over as i feel like a zombie waiting for normality to return and feeling like i am in limbo.

I'm sorry this is such a long post and hope somebody can give me ome answers - the Dr's look at me with an uncomfortable smile when i ask them what is happening and nobody seems to be able to give me any answers - it's making me more and more upset..

Thank you Sad
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Kia

Supporter
Joined: 23 Jun 2004
Posts: 6594
Location: Planet Tampaxia,
Re: Is This Normal In Miscarriage?
Posted: 05-26-07 02:39am

MagentaJade wrote:
My first scan showed that either my dates were wrong or there was no baby inside the placenta and it had died 2 weeks earlier. We were devestated and didn't really take it all in and told to return 1 week later for another scan in case it was wrong dates and there was still a pregnancy but we knew it was over.
well, the baby wouldn't be in the placenta at all.
The placenta only becomes fully developed by 12 weeks, so if there was a placenta there you had to be 11+ weeks.
At this time the amniotic sac is still minute.

Quote:
I went back for my second scan and they confirmed that it was an ended pregnancy. The problem is that the sack had continued to grow from 12mm at the frst scan to 22mm at the second
The amniotic sac does not continue to grow once a pregnancy has ended

Quote:
and in the middle of these two scans i had passed a big clot the size of cassette tape and then a small white grey sack. I thought that i had miscarried everything but the scan seemed to say otherwise.
If there was still a pregnancy showing on the scan then you had not at that point had a miscarriage.

Quote:
I think as there was no developed feotus that i suffered a blighted ovum but what did i pass? was that not it???
sounds like a large blood clot and endometrial tissue.

Quote:
I went back into hospital 2 days after the second scan as they seemed to think i hadn't passed the contents/sack and they gave me medical managment ( a tablet and then 2 lots of pessaries) to induce miscarrage but nothing happened under observation and then i had cramping that night and light bleeding. The only time i have had reasonably heavy bleeding was around the days that i passed the large clot and what i thought was the sack, otherwise it has been reasonably mild (but then i do have heavy periods)

I have another scan in 2 weeks, i am scared i will have to have a D&C as i feel that would be intrusive for me personally and don't really want general anasthetic but i feel impatient waiting, feel like i'm weird because it doesn't seem to be a normal process to others and am desperate for this to be over as i feel like a zombie waiting for normality to return and feeling like i am in limbo.

I'm sorry this is such a long post and hope somebody can give me ome answers - the Dr's look at me with an uncomfortable smile when i ask them what is happening and nobody seems to be able to give me any answers - it's making me more and more upset..

Thank you Sad

You really need to sit down with your doctor and discuss because we can only "suppose".
If you hcg levels continue to increase and the contents of your uterus continue to grow - that indicates a live pregnancy.
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MagentaJade

New User, Becoming EHEALTHy
Joined: 25 May 2007
Posts: 4
Location: UK
Re: Is This Normal In Miscarriage?
Posted: 05-26-07 12:25pm

Hi Kia,

I was 13 weeks. There was no baby developing as it looks from my research as though it was a blighted ovum, where the placenta continues to develop after the cells have stopped multiplying or the baby has been re-absorbed into the sack as it wasn't viable. It was still producing progesteron

"Many women assume their pregnancies are on track because their hCG levels are increasing. The placenta can continue to grow and support itself without a baby for a short time, and pregnancy hormones can continue to rise, which would lead a woman to believe she is still pregnant. A diagnosis is usually not made until an ultrasound test shows either an empty womb or an empty birth sac. "

Quote:
The amniotic sac does not continue to grow once a pregnancy has ended


See above Sad

Quote:
If there was still a pregnancy showing on the scan then you had not at that point had a miscarriage.


Quote:
it sounds like a large blood clot and endometrial tissue.


Quote:
You really need to sit down with your doctor and discuss because we can only "suppose".
If you hcg levels continue to increase and the contents of your uterus continue to grow - that indicates a live pregnancy.


Just without a baby Sad which means that i'm going to have to go through this for a while longer or go through with a D&C Sad

I don't think i can cope with the not knowing and waiting when i know that nothing but pain and depression are going to result in the end. I just want it over, i was so sure that what i had passsed was it and that i could start getting over this but if my body hasn't realised that it's all over and to give up then i assume that all i can do is give it some help.

I just want everything to be over so i can get back to normality and take some time before we can try again. I know i'm lucky in the fact that i didn't see a baby at the scan and it didn't get further along than this, but i had already bonded with th little one that i had pictured growing inside and the fact that what would be 15 weeks now my body still seems to not want to let go even though it's over.

Thank you foryour help, i will try and discuss this with my Doctor but the last time i was in hospital and then when i went for he medical management i had a new SHO doc who didn't seem to know the answers herself and didn't know what had happened.. i had to explain to her as she hadn't even read my notes properly the first time... That's the UK NHS for you..

Thanks for answering though x
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Bridget

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Joined: 27 Jan 2006
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Re: Is This Normal In Miscarriage?
Posted: 05-26-07 12:58pm

MagentaJade wrote:

I don't think i can cope with the not knowing and waiting when i know that nothing but pain and depression are going to result in the end. I just want it over, i was so sure that what i had passsed was it and that i could start getting over this but if my body hasn't realised that it's all over and to give up then i assume that all i can do is give it some help.



i'm so sorry you're going through this. a similar thing happened to me, i found out through an u/s at 13 weeks that the baby had died at 8 weeks. they gave me the option of waiting for things to happen naturally or to have a d&c. my baby had been dead for 5 weeks and i still hadn't passed anything naturally, who knows how long it would've taken. i couldn't even think about having to go on with my day to day life just waiting for it to happen, so i decided to have the d&c.

aside from the terrible circumstances, it really wasn't that bad. i was asleep during the procedure and afterwards i had no cramping and only spotted for about a day (everyone is different though).

emotionally, i think it's one of the worst things a person has to go through ever.

please feel free to pm me if you have any questions or just want to talk or vent.

i'm sorry for your loss.
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Kia

Supporter
Joined: 23 Jun 2004
Posts: 6594
Location: Planet Tampaxia,

Posted: 05-27-07 02:31am

I have had 3 blighted ovum.

The pregnancy does not continue to grow.

Most typically "miscarriage" will occur around 8-10 weeks if the situation is a blighted ovum.

The placenta doesn't continue to develop and the hcg levels fall not rise.
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MagentaJade

New User, Becoming EHEALTHy
Joined: 25 May 2007
Posts: 4
Location: UK

Posted: 05-28-07 16:29pm

Thank you both for your replies x

At the moment i have decided that i may phone the hospital this week and see if i can move my scan forward, if it is still the same or grown then i am going to opt for the D&C so that i can get some closure on this as every waking moment is spent thinking about what has happened/is happening and it is driving me mad, i still feel so fragile from it all.

I must be one of the unusual ones kia as that is what the Dr's told me and the sonographer measured and i was supposed to be at 13 and then 14 weeks, but then i suppose everybodies experiences are different.

I really appreciate both your feedbacks though, i wish nobody had to go through this but if my experience helps somebody feel less alone in the future as your feedback has made me feel less alone, then i will feel happier knowing that.

I will post again when i have had some further news or made a decision.

Thanks for your feedback though x you have made me feel more comfortable Iheartmybostonterrier Smile
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Kia

Supporter
Joined: 23 Jun 2004
Posts: 6594
Location: Planet Tampaxia,

Posted: 05-28-07 16:57pm

I don't think you quite understand hun.

with a blighted ovum the pregnancy can not grow.
It's not a case of everyone being different - no info from the egg means it can not grow.
this is why the hcg levels fall because there is no viable pregnancy.

Now, maybe your doc isn't telling you something, but if your pregnancy is growing and you are more than 8 weeks then you do not have a blighted ovum.

You might have something else going on and speculation could lead in allsorts of directions and really isn't worth starting because of the many various possibilites.

Get your doctor to talk to you.
but based on your explanation of events and dates a blighted ovum is not what you are experiencing
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MagentaJade

New User, Becoming EHEALTHy
Joined: 25 May 2007
Posts: 4
Location: UK

Posted: 06-10-07 20:02pm

Hi Kia,

I am now on the other side pretty much and just wanted to let you know that i found lots of info that seems to back up what i believed about blighted ovums, i am not saying that you are wrong at all, as you will see from the sites i have posted, it just doesn't seem that clear cut and black and white and everybodies experiences differ slightly as mine did, and i'm sorry that you have been through this so many times. i just wanted to make sure that if anybody else wanted the info it's there.

"Diagnosing a Blighted Ovum

Unlike with a chemical pregnancy, a blighted ovum cannot be diagnosed by measuring hCG levels. This is because the placenta that is present with a blighted ovum will continue to release hCG for a short period of time. This can often lead many women to mistakenly believe that they are still pregnant. The only sure way to diagnose a blighted ovum is through an ultrasound. An abdominal or transvaginal ultrasound will reveal whether or not a fetus is developing within your uterus."

[link removed]
And i found this site to be really useful.

[link removed]

Now whether i experienced this or not, i'm not sure, i can only go on what i have been told by the doc's and what's out there on the web...it's not really important anymore. I just wish nobody had to go through this at all x

I wish everybody the best luck in the world with future pregnancies and wish that this didn't effect anybody X
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