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Pregnancy After Loss Support Thread

  1. periwinklebee

    grapefruit / 4466 posts

    @Jruess: Congratulations!

    I know this must be so hard, thinking of you...Taking it one day at a time seems like a good way to go.

  2. azjax

    kiwi / 578 posts

    Thanks for the supportive words, ladies. Got my AFP results back and they were normal, which is great. Saw the MGM today and the bowel is still echogenic but all of the other anatomy looks great. Combined with the NIPT results, it is hopefully going to resolve without complications. I am doing a bunch of blood work (TORCH, expanded screening for CF) to help rule out some causes of the EB. That will take a week or two to come back. In the meantime I will see the MFM again on June 9 to get another look and check growth and development. I feel pretty... ambivalent about it....I guess..

    We had stomach flu (not the family fun I'd hoped for) this past weekend, which was initially hard for me to tell at first because I'm still nauseous even with Diclegis some days. The timing of all of this is bad as we have two grandmas and one sister in the hospital now, and I'm trying to finish my freaking dissertation. I just wish we could have resolution on something instead of moving from one stressful uncertainty to another.

    I struggle with seeing my trashy neighbor and her four!!!!! Freaking four beautiful kids that she seems to hate and ignore. I know life isn't fair and that I should only look in my neighbor's bowl to make sure he has enough, but I just feel jealousy and resentment. We just want a healthy baby, and have poured so much preparation, effort, and love in to TTC and parenting and it chaps my ass to see those with none of these attributes enjoying the blessing of so many healthy kids. Then I feel small and mean for thinking that way, ugh. Anyhow that's a lot of rambling complaint so I'll stop now.

  3. periwinklebee

    grapefruit / 4466 posts

    @azjax: I'm so glad to hear you got some good news, but very sorry for the ongoing waiting and limbo Will be thinking of you and sending so many positive thoughts.

    What a horrible time to get the flu, ugh... I really hope things start to be on the upswing now.

    It is so, so sad to see children in homes where they are neglected or worse, and then see couples who are such wonderful, loving parents struggle to have children. It is perfectly normal for this to be upsetting. Your new LO is going to be so, so lucky to have you as a mom.

  4. winniebee

    hostess / wonderful grape / 20803 posts

    @azjax: How did your follow up scan go?

  5. winniebee

    hostess / wonderful grape / 20803 posts

    I'm 35 weeks and this is also the week last year that we said goodbye to our son. I'm pretty emotional remembering all that we went through and remembering and honoring our son while trying to hold space for this new baby. It will be a relief to move past this milestone.

  6. periwinklebee

    grapefruit / 4466 posts

    @winniebee: thinking of you and your family

  7. azjax

    kiwi / 578 posts

    @winniebee: scan will be next week; just waiting for TORCH and CF screen results in the meantime. Very sorry for your loss last year and hoping for healing for you and your family.

  8. azjax

    kiwi / 578 posts

    Ugh just found out that I screened positive for a recent CMV infection (IgG and IgM both high). I've been referred for an IgG avidity test and am waiting for a call from MFM on whether or not I need an amniocentesis ASAP or not. I feel awful and it's hard not to worry because I know how devastating CMV infection can be to a developing fetus.

  9. winniebee

    hostess / wonderful grape / 20803 posts

    @azjax: my friend had the EXACT thing happen during her pregnancy. ugh, not the news you wanted. i'm so sorry. i know that not every story is sunshine and roses, but my friend recently went through this - echogenic bowel at anatomy scan, so screened for everything....and tested positive for CMV (she has two little kids already and had no idea when she had it). they monitored her pregnancy (ultrasounds) the rest of the time and there were no issues. baby boy is now 4 months old and perfectly healthy.

  10. periwinklebee

    grapefruit / 4466 posts

    @azjax: I'm so sorry - I know this must be really scary Will be thinking of you

  11. azjax

    kiwi / 578 posts

    @winniebee: I am praying for the best possible outcome. I really want this baby so so badly, but I know that prayers and hope can't make a sick baby well. I guess I should.pray for resilience and grace instead.
    @periwinklebee: thanks, mama. Are you going for an U/S soon?

  12. periwinklebee

    grapefruit / 4466 posts

    @azjax: thinking of you and sending so many good thoughts.

    I had a dating scan at 6 weeks but don't have my intake appt until 10 weeks. Not sure if the practice schedules other scans before the nt, or maybe anatomy if you go with nipt. I'm hoping if we make it to ten weeks to be able to find hb on a home Doppler by around then...

  13. azjax

    kiwi / 578 posts

    @periwinklebee: I didn't have much luck with my home fetal Doppler until about 11 weeks so try not to worry if you can't find the HB that early.

  14. Academicsocialite

    olive / 54 posts

    @azjax: Dropping in to say if you want to DM me, feel free. I'm happy to speak with you about our CMV experience if you think it might be helpful. Ours did not have a good outcome unfortunately, but mine is a very rare case. We're here for you whatever happens. I know it must be incredibly worrying but the good thing is you know about it now.

  15. winniebee

    hostess / wonderful grape / 20803 posts

    @azjax: Thinking of you. Hope everything is going as well as possible.

  16. azjax

    kiwi / 578 posts

    @Academicsocialite: @winniebee: thank you for the thoughts and support. I have been vacillating between a feeling that my baby is okay and absolute nonstop tears depression. My MFM sent me for CMV IgG avidity testing and blood and urine screening for virus in my body. We have decided to do the amniocentesis at our scan on Friday. I reached out to the two national CMV experts (Dr. Demmler-Harrison and Dr. Adler if anyone else ever needs to know) and Dr. Adler was able to provide me with a phone consultation in addition to the email support and got from Dr. Demmler-Harrison. It was shocking to me how kind and responsive they were! Anyhow, they both think it is likely baby is CMV infected, as they have observed echogenic bowel as the most common clinical manifestation of CMV by ultrasound. That was hard to hear but is what I've been suspecting myself. In that case, probability of a negative outcome is 1/3 which is horrifying. Dr. Adler is willing to provide me with a referral to a NYC Doc or protocols to my OB and MFM if I can get them on board with Cytogam immunoglobulin therapy. We may also persistent Valacylovir antiviral therapy in conjunction with Cytogam. However, this is contingent on baby not presenting with malformations incompatible with a decent quality of life on Friday (because then we will TFMR) and convincing all of the docs that they should give us therapy even if by some small chance baby doesn't have CMV.

    Frankly, I struggle more each day with jealousy and bitterness on top of the dread and sadness. One of my son's classmates is expecting a sibling soon, and I am jealous of that Mom's healthy pregnancy even though her daughter was probably exposed to CMV at the same time my son was. I know it's wrong to feel that way, but I am jealous. And angry. Then I feel guilty because I'm struggling to enjoy what may be the limited time I do have with my daughter. I hate this.

  17. Academicsocialite

    olive / 54 posts

    @azjax: I am so angry and sad for you as you navigate your way through this. And you are a fierce fighter of a mama for reaching out to Dr. Demmler-Harrison whose leadership on behalf of CMV-affected families has been transformative for so many. I am in NYC and there is a study at Columbia right now for anti-viral treatments (we didn't enroll as the damage done to my son was too significant when we discovered it via u/s). We did speak with an amazing pediatric neurologist if you want his name - he was able to speak to the outcomes for us as far as brain development in our situation.

    I wish I could reach out through my computer and hold your hand. Be gentle with yourself as you find yourself in crisis/wait-and-see mode. I'm here, whatever I can do for you.

    And CMV is such an insidious infection - it attacks without warning and it can do such harm to our loved ones. There are so many reasons to be angry and frustrated about the lack of information and treatment options available, but that can wait for now. Right now, focus on you, your family, and your baby. Keep fighting and we are with you every step of the way. So much love to you.

  18. periwinklebee

    grapefruit / 4466 posts

    @azjax: I'm so sorry Thinking of you and so hoping that you're in the group who end up with a good outcome. I'm so sorry you have to go through this.

  19. mrskansas

    nectarine / 2813 posts

    @azjax: Thinking of you mama

  20. winniebee

    hostess / wonderful grape / 20803 posts

    @azjax: oh my goodness, I'm so sorry that you are facing this possible diagnosis. I'm so glad that you've spoken with some leaders in the field and that you will be getting more information about the health of the baby soon. After all that you have already been through, this is so incredibly unfair. I'm hopeful for you that your baby continues to look healthy. I know I mentioned it before (and I don't mean to harp on one good outcome when I know there are many poor ones) but my friend's baby had an echogenic bowel at 20 week scan - so they did testing and it turned out she had had CMV at some point. They monitored the baby the rest of her pregnancy and he was born healthy. Please know that I'm thinking of you and support you and whatever decisions you may need to make. If god forbid, you are faced with TFMR, there are many good resources including several of us here on Hellobee who have made this decision and will hold your hand if you need us.

  21. azjax

    kiwi / 578 posts

    Our MFM specialist moved the amniocentesis up to this morning. He also did our follow-up level 2 ultrasound. Baby girl looks good except for the echogenic bowel, which has stayed the same and not progressed. As of now, her liver, spleen, and brain look healthy, as does my placenta. The amniotic fluid was clear (which is good), but we won't have results on her CMV status for 7-14 days. Tomorrow I meet with my OB to talk about starting antiviral therapy immediately and then Cytogam immunoglobulin therapy as early as next week, although Dr. Adler indicated that I may not be able to get the Cytogam without a CMV positive amnio result. My urine came back negative for CMV, and we're still waiting on the blood reault. We will have a follow-up ultrasound in 2 weeks to look at the baby again to see if she has any anomalies that are incompatible with life, in order to allow us time to consider termination before the legal limit. I'm a bit sore at the sample site (my MFM doesn't use local anesthetic) and at home on the couch trying to relax and feel grateful that baby girl isn't looking badly affected yet. Thank you all for the support, it means a lot to me and I particularly value the support from you all in the face of your own difficult experiences and loss.

  22. Jruess

    grape / 80 posts

    @azjax: thinking of you! So glad things went well today!

  23. Jruess

    grape / 80 posts

    I am 7 + 2 today and have my first appointment with the midwife in 2 hours. I'm so scared for this appointment. I'm worried I will cry walking back in that office. I'm scared to see a baby on the ultrasound. I'm scared to not see a baby. And, what if we do see a heartbeat. That doesn't guarantee a healthy outcome.

    Ok, now that I've gotten that out, maybe I can face this appointment.

  24. periwinklebee

    grapefruit / 4466 posts

    @Jruess: I hope things went well.

    @azjax: I'm glad to hear that things looked good today. I hope you get the amino results back as fast as possible and are able to start the treatment. Will be thinking of you and your family.

  25. theotherstark

    pomegranate / 3045 posts

    @Jruess: I hope your appointment went well

  26. theotherstark

    pomegranate / 3045 posts

    @azjax: glad that baby looked good, and that you seem to have a great support system there with proactive drs, etc. Thinking of you

  27. periwinklebee

    grapefruit / 4466 posts

    @theotherstark: Do you have a first appt yet? Sending lots of sticky baby dust

  28. theotherstark

    pomegranate / 3045 posts

    I just scheduled my first appointment today, and I already have a sense of dread about it ugh. I feel silly even making the appt since it's so early.

  29. theotherstark

    pomegranate / 3045 posts

    @periwinklebee: ha, jinx! See above. It's not until 6/29, but I was happy they are seeing me a little earlier than normal, due to the miscarriage. Thanks for asking!

  30. periwinklebee

    grapefruit / 4466 posts

    @theotherstark: hah hah I hope the time between now and then flies by (I know, not exactly a realistic hope!) Or at least that you don't have to dread it too much. Sending so many positive thoughts...

  31. Jruess

    grape / 80 posts

    @periwinklebee: @theotherstark: thank you ladies! The appointment did go well. Strong heartbeat & measuring two days behind my EDD which is what I expected based on when I think I ovulated. I want to feel happy & relieved but I'm not. I guess it's to be expected since we lost our baby girl in the second tri. Maybe once I hit 20 weeks & feel consistent movement I can relax?

    @theotherstark: I hope time flies by for you! I've been trying to stay busy by focusing on other things - first I planned a trip to Disney for the fall & now I'm switching gears and focusing on planning a bday party for my oldest. Doesn't always keep my mind from wandering but it does help with my desire to plan out the future.

  32. periwinklebee

    grapefruit / 4466 posts

    @Jruess: I'm so glad to hear the appt went well! I think it's pretty normal to not feel that reassured by a heart beat early on - I definitely didn't given that we saw a hb with our loss, and I'm sure it's harder the later the loss was. I think though once you pass the point of your last loss and can feel the baby move, things will get easier. I know it's a long time to feel so much uncertainty

  33. theotherstark

    pomegranate / 3045 posts

    @Jruess: so glad your appt went well! one step at a time.

    Yes, I need to work on some trips that we have coming up, so hopefully that will keep me distracted.

  34. azjax

    kiwi / 578 posts

    @Jruess: congratulations on a good u/s! Hopefully every milestone you pass brings you more peace and confidence.

    AFM, I am starting valacylovir 8g/day today, as my OB was convinced of the prophylactic and treatment values since the meds are well tolerated and safe for pregnancy. We had to haggle with the shrew of a pharmacist TWICE and a month's regimen set me back $200 but I am thrilled to be doing something. My OB has started to work on getting the HIG course approved by my insurance, which I think is going to be a heinous battle based on how crappy they were about prior authorization for my antiemetic and antiviral.

  35. winniebee

    hostess / wonderful grape / 20803 posts

    @azjax: oh I'm so glad things are looking well on ultrasound. Please keep us posted. Thinking of you ❤

  36. periwinklebee

    grapefruit / 4466 posts

    @azjax: I'm glad you're able to get access to the meds, and I hope insurance is not too horrible to deal with - completely the last thing you need now

  37. winniebee

    hostess / wonderful grape / 20803 posts

    I'm 37 weeks, but my mental state is going downhill. I'm so worried that something is going to go wrong with delivery...cord accident, fetal demise, etc. I'm going in for an extra ultrasound this afternoon. I know it's better for him to cook a little longer, but I really need him here soon.

  38. periwinklebee

    grapefruit / 4466 posts

    @winniebee: You're so close After everything you've been through, if I was in your position I'd be a total wreck. I hope the ultrasound gives some reassurance and he decides to make his appearance soon Be as kind to yourself as you can in the meantime.

  39. azjax

    kiwi / 578 posts

    @winniebee: any chance that your OB will induce you now that you are term or schedule an elective C-section? Given the emotional toll of your previous loss, maybe the OB would consider an "early" delivery? Whenever I freak out about baby girl, I use my home fetal Doppler, but if I could fast forward to healthy baby in my arms, I would do it in a heartbeat! Failing that, what about trying some of the "natural" labor inducing approaches?

  40. azjax

    kiwi / 578 posts

    MFM just called and let me know that FISH results came back reporting the baby as chromosomally normal, which is great. However, we will have to wait 2-6 more days for the CMV results. Not going to lie, I was pissed! My MFM is feeling similarly impatient and has instructed his nurse to call the lab every morning until they have a result.

    I'm assuming it's going to be positive, but we have to have the official diagnosis so that my OB can submit the prior authorization and receive the first rejection before we make any real progress. So far, the antivirals have made me occasionally dizzy and thirstier than usual, but I am doing well taking them every 6 hours.

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