Need advice about pregnancy?

[Pattymotherof2]

  We conceived the 1st wk of June.  Went for ultrasound on monday and they saw sac and yolk but no fetus or heartbeat.  My HCG was 12,000 on 6-25-08.  Yesterday on 7-7-08 it was around 56,000.  My doctor wants me to come back in for an ultrasound in 5 days (on Friday).  He feels at 6 weeks they should have seen the fetus and if they don't find the fetus on Friday he wants to do a DNC that afternoon.  I feel very conflicted and don't know what to do?
Any advice would be helpful?

[adgal]

I am so very sorry for your loss.  I know what a painful difficult time this is, and my thoughts are with you.  I also find it more difficult as no one seems to talk about this stuff, and have also found so much support here.  Please take good care of yourself, and I wish you all the best should you choose to ttc again.  Take care, and lots of huggs to you!!

[Pattymotherof2]

Thanks.  It is difficult.  I think because people really don't talk about it.  Like you are supposed to just forget about it.  I really do feel much better now though.  I wish you all the best in getting pregnant and having a healthy baby!

[LuvAbaby]

Very sorry to hear the outcome, but my heart goes out to you. I recently suffered a loss and it is so difficult.

[Pattymotherof2]

Hi,
Yes, it was a blighted ovum. Thanks for your kind words and for keeping me in your thoughts and prayers.  I had a rough couple of days crying and wondering why this had to happen to me again.  I have come to accept that it was meant to be and have found peace in my heart.  I will continue to keep you in my thoughts and prayers.  I hope that everything goes well for you and that you will have a healthy baby.
Keep me posted.

[Heather3418]

Oh honey, I am so so sorry.  I had hoped and hoped that things would turn out well.  Was this what they called a blighted ovum?

I will still keep you in my prayers.  You rest up after your D&C.  Let your body and your mind heal.  Oh God bless you for what you have had to endure.  My heart goes out to you sweetheart and to your little one that now lives among the angels.

Big healing hugs,
Heather

[Pattymotherof2]

Hi Ladies,
Thanks for keeping me in your thoughts and prayers.  Unfortunately, my u/s did not go so well.  My HCG levels had dropped and the yolk sac actually got smaller.  The did not see a fetal pole/embryo.  So I went ahead and had the D&C today.  I will continue to keep all of you in my thoughts and prayers and hope that you all hear good news.

[Nicole557]

I feel your conflict. Until your next appt. in 5 days, please pray and think positive thoughts. I will also be praying for you. With your level going  up as it is,  believe that is a very, very good sign.  
I am 6 weeks also and my Dr. told me that it might just be too early. He says I may not be 6 weeks, due t my irregulr cycles, but I'm sure my lmp was June 2. I had an ultrasound today, but the sac ws empty. I am also concerned because my hcg level has only increase 4000+ in the past 12 days.  I lost my first child 9 months ago at 8 weeks due to no heart beat.  

[Pattymotherof2]

I hope it is just a slow grower and will catch up in the next few weeks.  That has to be hard to wait and see.  Keep your hopes up!  I have been trying not to think about my u/s appt.  I will say a prayer for you and your baby.
Best Wishes

[Sham1961]

I conceived through IVF so they are sure of the conception date, which is why my doctor is concerned that I am behind.  However, I transfered 4 embryos one of which was only at a 4 cell division.  The rest were 8 cells.  I keep thinking it was the little 4 cell "runt" that actually took and that's why it's behind.  My doctor says she has seen slow growth lead to misscarriage and she has seen slow growers catch up to where they need to be by 9 or 10 weeks.  It is just hard to tell right now and we have to take it one week at a time.

[Pattymotherof2]

I called my Dr. today and told him I wanted to hold off on the D&C.  I also told him about all the women who didn't detect the embryo by u/s until later. I told him I could not live with myself if I didn't wait and make sure there wasn't a fetus.  He said there was no harm in waiting.  I will have an u/s this Thurs. and again in a few weeks.  I feel so much better in deciding to wait.  Thanks for writing and for all your support.
I will keep you posted.

[Pattymotherof2]

I'm so happy they saw your baby.  Do you think maybe the week behind in growth could be because of a mistake with the conception date?  I wish you the best of luck and hope that the baby will catch up in growth by your next u/s.  I called my Dr. today and delayed my D&C.  I told him I wanted to wait a few weeks to see if the U/S would detect the embryo.  He agreed that there was no problems in waiting.  I have an u/s this Thurs. and then I will have another one a few weeks after that.  I hope and pray I will see something on Thurs.
I feel for you in waiting to see what happens next week.  Keep your hopes up and pray for the best.
My thoughts and prayers are with you!!

[Pattymotherof2]

I hope at your next appt.  that there is growth.  I will keep you in my prayers.  Keep your hopes up.

[Heather3418]

With your hcg levels rising like they are, I wouldn't let my OB do a D & C.  Your hcg levels are actually very good.  This is when you have to use YOUR 'mommie' instinct.  What does your HEART tell you to do?

From reading all the other posts, I believe as most do and would give things more time with no D&C.  If your Hcg levels were to start falling like a rock and they still do not see a fetus, then you still have the option of waitng for nature to take it's course.  

Frankly as a mother of two, my instinct would be to give Mother Nature a chance.  She may offer you a big, happy surprise.  A beautiful and healthly baby.  I hope that you will keep us all informed and please know that my prayers are with you, your hubby and your little bean.

Best Wishes and lots of baby dust sent your way,
Heather

[Sham1961]

Wanted to update everyone.....I had the 2nd u/s today and got some good news.  They could see the baby and there is a heartbeat!!!!  I am still measuring behind 6w5d when I should be 7w5d.  The heartbeat is 97-100 which is good for 6 weeks, but slow for 7 weeks.  The u/s tech said everything else looked great, gestational sac looked good, no bleeds, the fetus looked perfect just small.  My RE says it is encouraging, but warned that it could still go either way.  I go back again next Monday for another u/s and she said she will continue to monitor me every week until she is satisfied that the baby has caught up or there is no longer a heartbeat.  I am choosing to be cautiously optimistic!  That's my new moto....Cautiously Optimistic.

Pattymotherof2 - how are you feeling?  Please update me after your ultrasound.

BeingPatientNYC - Good luck next week.  I know how slow the week can go.  I also know how hard it is to stay positive when you are trying to prepare for the worst.  You don't want to get your hopes up too much, yet positive energy is sooo important.  I have decided to believe this week that the baby is fine and will catch up.  After all it doesn't matter how much you try to prepare yourself, if your baby's heartbeat stops....you're devastated!!!  So, I am just not going there this week!!!!

Positive Thoughts to both of you and I will keep you in my prayers!

Sham

[BeingPatientNYC]

I had my second US 7/12 and I was told I am 6w2d when I should be 8w2d from my LMP. Dr also said the hearbeat is a little slow . She did not see it at the 6 week us so there has been growth. I am supposed to go for another us in 1 week. Naturally , I am very nervous. This is our first and we concieved on our own in 4 months of trying so I thought that was a great sign... now I cannot help but be nervous!
Any advice??

BeingPatientNYC

[Pattymotherof2]

Thanks so much to all of you for your advice and support!!  It has really made me confident in my decision to wait and do what I feel is right.  I could not take the chance in getting a D&C so early without waiting to to see if the embryo shows up in an u/s in a few weeks.  
I wish all of you the best of luck in your pregnancies or in trying to get pregnant.  I will keep you all in my thoughts and prayers.
I will keep you posted on what happens.
Thanks again!

[Mel910]

I am going through the same thing right now.  Please follow your body and how you feel.  I find these Dr.'s easy to jump into a D&C without waiting a few extra weeks.  I as well have a 1.2 sack which at this point is empty.  I am suppose to be 7 weeks but the 1.2 sack is saying I am 5W 4D.  I am waiting to see how my levels are and just praying they are increasing.  My Dr. tried to book the U/S in one week but I refused and booked 2 weeks.  If I don't see anything then I may have to reconsider my options.  I do go to accupuncture and he said he felt a second heartbeat that is very strong.  Trust your instincts and if you feel pregnant and believe you are just wait it out.  It can't hurt and then you know foresure.  
I feel for everyone going through this.  The waiting game is the worst.  I just hope we all have great endings to our stories.
Mel

[tina41]

P.S
and having your hcg levels continue to increase is a great sign that all is well!!!!

[tina41]

Wait... you have had really early u/s. My LMP was 3-10-08, i started spotting On May the 5th, which according to my LMP I should have been 6 weeks. I had U/S because I was spotting...had reg.U/S and Transvaginal, they saw a sac but nothing else. I was told I would miscarry, luckily my doctor said we would wait ...went for 2nd ultrasound May 13th, hcg was still increasing, U/S and Transvaginal still showed nothing...My doctor said we would wait another week. U/S on May 18th still showed nothing, I was told to return to radiology on the 19th because on the 18th they forgot to perform a transvaginal U/S went back the next day, and there was my baby heartbeat and all, fetus measured 7 weeks 1 day, which made me 9weeks 1 day pregnant. I am now 17weeks and all is well.
So there is hope, my doctor said some babies are late bloomers, or a little lazy:):)
so good luck and I will keep you and all the wonderful babies to be in my prayers!!!!
Tina
so don't give up hope

[alikat1205]

wait.  don't let them rush you into a dnc.  you need to be sure in your own heart that it is right or you will always second guess regardless of what the dr. tells you.  my dr. told me he would wait as long as i wanted for a natural m/c unless i started running fever then he would say it was urgent.  wait.

[Suzie0224]

Keep in mind the measurements can be off due to human error.  My dr. told me that the estimated due date  should be within 5 - 7 days of the size measurement. I have had 5 m/c and did a D&C with all 5.  I showed no signs of loss naturally.  One day the heartbeat was strong - next week it stopped.  From what I understand, it can actually be easier to conceive after a D&C since the uterus is clear.  Whatever you choose, make sure it is your choice.  Only once did I have a dr. that showed me in the ultrasound that the baby's heartbeat stopped.  I wondered with the other 4.  Keep your spirits up and think positive -

[prevatt77]

I went for my first ultrasound at 5w6d and no heartbeat, only saw the sac and a very tiny fetal pole.  I went back at 6w6d and then we saw the heartbeat.

My girl friend had an ultrasound at 6 weeks no heartbeat, waited and went back at 7 weeks no heart beat, waited even longer and went back at 8 weeks and no heartbeat.  Finally at 9 weeks she saw a heartbeat.  As long as their is some kind of growth from the last ultrasound, I would keep waiting.  It's your body and you can request another ultrasound in another week if you want too.

I would wait and see if the doctor sees any growth.  Don't jump right into a D&C. Stay positive and have hope and I'm sure when you go back your little bean will have a heartbeat

[carpediemforlife]

Well I hate to hear of this situation but if you are comfortable in doing so I would wait to m/c naturally at home.  I have had 2 m/c the 1st natural and the 2nd D&C.  I have no idea why the doctor told you that its harder to get pregnant after a D&C its not true.  I was pregnant less than 8 wks after a D&C in Jan 08 and Im 20wks now.  PLEASE dont lose hope.  You can do this.

[Pattymotherof2]

Thanks for your advice.  I really appreciate it.  I feel the same way.  I have decided to wait until next week.  My doctor is really stressing the D&C.  I would rather just wait and have it occur naturally.  My previous OB said it was harder to get pregnant and for the baby to implant after a D&C but this Dr. feels I could end up with an infection.  I will wait to see how the u/s turns out.  No matter what happens, I will at least feel better knowing that I waited to make sure.
Thanks for your support