Missed miscarriage update

well ... 1 month ago  I choose  to have a  medical termination for my  missed miscarriage , I  am very  pleased  with the results ...   I feel  great ..   I had a couple of  bad  days  .. the 31 of december I did  an ultrasound and  it  seems I did had  some  retained  product ,  the  doctors insisted me  to have a D&C but  I choose  to wait , I  had my period  the  31 of  december  and for my next  ultrasound  everything  cleared  up, I was  very  upset  as I didnt  really  wanted  to do another  D&C  as  I only had  just a fragment of my placenta, and  to be honest  the D&C is a blind procedure , in which  they can not see  where  exactly is the fragment in your  utero. I would  never  recommend  another  d&c .

I ask  the doctors if  it was possible to have a hysteroscopy for the management of retained product of  conception   instead  of a  d&c , but they  refuse , they said that it was not  possible as you have to push  liquid with pression  for being able to introduce the camera , they said  the pression could make the fragments to move to the  fallopian tubes ...

But I read in many of the Gynecological journals  online that  hysteroscopy is actually the best  method to  treat  retained product as  is less invasive and  let the doctor has a clear view of  what's going on in the uterus..

In my advise , always  read  , read and read  , as  is very important  to have  knowledge of what  the doctors are doing to you  and why they are  doing it,  don't  let yourself be fool by the doctors , some of them they just don't have enough time  to read  the latest treatments or they are very conservative in the way they practice . This  doctor in the hospital didn't  wanted me to use the misoprostol  instead  of the d&c ,  he  predict  it  would be retained product  in my uterus .. but  he  didnt expect that  my  body was going to settle  down  and eliminate this product  by itself ......
at the  end  I think doctors were  rushing me to have a  d&c ,in fact ,   they offer me this procedure 4 times after  the misoprostol,  I was  just  imagining  how many  women are  rushed by their doctors to  do this type of  procedures.  I guess there is more money .


I did call to colombia  to one of the best Doctors available , he is an specialist  in high risk pregnancies , he was  very kind with me  ,  he totally understood my case ,   he  answer my email and then he was  very  nice  on the phone with me , he  didn't  charge me any money , for his time , and  he was actually very please to hear that I was calling him from so far away ... and he was  very very  very  kind and cooperative ,  he also agree with the procedure I was  interested  in , he actually  told me that in cases of  retained  product  hysteroscopy is the  optimal procedure with the best  results , he also told me  that  is a  ambulatory procedure  in which they  put local anesthesia .


You  just can't imagine my  face when in my last scan  my uterus  look  beautiful  & clean  ..... I was over the moon ....  I follow my  heart  this  time , I just did  what it  felt  right  :-)     and I am so happy  with the results .. :-)

I got pregnant, Doctor I need the Heparin please !!!

I visited an specialist  Colombia last year, he reckon the Proteine S disorder could be the cause for me to keep loosing the babies, as  your body is more prone to form really small clots, some of them extremely small in your womb, preventing the embryo to be well nourished and  die.
The specialist in Colombia  Dr Becerra Mojica, is absolutely sure that if you have this type of dissorder you should start a low molecular heparine (Clexane ) treatment as early as 3 days of conception.

When I arrived to Australia I went for my regular checks to the  hospital where they have been investigating my case with no success  and I  had a chat with the specialist at the Townsville hospital , after a little argue we agreed  that once I realized I was pregnant  they would send me  the prescription for the clexane .  The problem was that when I realised that I was pregnantI tried to contact the doctor at the hospital with no success , I was extremely stressed out , as Iwanted to start the progesterone and the heparin as soon as possible.

 After calling  to the hospital  a hundred times I finally got in touch with a nurse who promise talk to my doctor , but he told her to let me know, the clexane was  not that important for me , and he recommended to  keep taking the folic acid  . The nurse  also agree to book me an appointment for the next week, she recomend to take the blood results and  if possible an ultrasound.

 I went to my appointment ,   I couldn't see the doctor , instead I saw another  doctor  and I spend  the whole 30 minutes  telling her my story . I ask her for the  heparin , and she said they need the ultrasound that confirm the pregnancy first .

Next day I went for my ultrasound , and I supposed to see the doctors at the hospital next week ,  fo this appointment I had  my ultrasound that confirm my pregnancy and my progesterone results  and  my HCG  levels results that confirm my levels are going up .

One week later , I went for my  doctors appointment,  doctor saw the  ultrasound results and he said  is too early , I need to see a heartbeat before sending you any clexane .  OMG , I was so stressed out,  now I was needing to  come back for another ultrasound and  another medical appointment  in 1 week.

My previous 3 pregnacies ending before  finding any heartbeat,   the last 2 were blighted ovums , and the one previous that  stop developing at 8 weeks  and  no heartbeat found, so to find a heartbeat this  time  was gonna be not an easy task .

The day of my ultrasound  I was  in panic , I was so scared ,   I was only needing a heartbeat, to be able to get the clexane , I pray so much ,  I really wanted to give  an opportunity to this baby .



 They did they normal ultrasound and then a vaginal as the first one didn't show up anything .
The vaginal ultrasound  show the little sac   with a little  embryo inside  :-)  OMG I was  happy , I was  so happy , and in top of that  she ask  if I  could  see the heartbeat , OMG !!!!! there was a little heartbeat  ....  so tiny, and  beautiful , was incredible  :-) AMAZING !!

She said : is a little bit slow 47bpm  ,  but is definitively there  :-)

The most beautiful day in my entire life  :-) 

Next week I came back to doctor , and doctor prescribe  the clexane!!!!!!  :-)



Update:

Is monday december the 9 , I finish loosing this baby too, but I gained hope after seen the babie's heartbeat twice, 

I did stoped the heparine on thursday, and yesterday I was making some photos for my ebay store: I am selling a some things with the hope I can visit an Ivf clinic for a future treatment .. 

My ebay : Summerdayz_lovers  

Well my  belly look like this after the clexane... It looks worse than it actually felt.. I also gained a lot of weight around my belly area, My face & my back as a consequence of the prednisone...

But this is just the small price for giving my baby a chance :-) 

Decmber 4: Low Progesterone Leves in Early Pregnancy as a Prediction of Miscarriage ? I sais Yes , Doctor said NO

The progesterone levels are crusial for the  survival of the little embryo , it keeps the uterus from contracting and promotes the development of blood vessels that  will nurish the little embryo , until the placenta takes place at 12 weeks .

My progesterone levels 3 weeks ago were  about 7.3 nmol/l  quite low for a pregnant women (normal ranges start at 39nmol/l). The annoying part is that  to check the progesterone levels is not  part of the  initial regular  blood test done  once you found out that you are pregnancy .

I literally had to lie to the Gp and I had to tell him that the specialist in the hospital wanted to see this test and the early ultrasound  for my appointment .


of course when I saw my levels were so low I was freaking out .  The only reason that I didn't start with the progesterone presaries I had, was  first  because I was not sure when I got pregnant and because I have Protein S deficiency.

In my case  this Proteine S deficiency is acquired,  slightly  under the normal levels (normal levels start at 59 , I was  47  at that time )

To make it little bit  shorter, the protein S deficiency  means that you body tend to produce more  clots  specially in the legs and in the head. (what it has   sense as  I worked in hospitality  and spend long hours stand up  and  I did  always complaint  of  really swollen and painful legs )

When you take  progesterone supplementation,  your risk of  producing clots is greater.

(In my last pregnancy I  used progesterone supplementation  and I would said that  my body was not working  well, my legs were really swollen and I just didn't feel good at all, I had  terrible migraines, and felt couldn't breath properly. During this pregnancy , I could feel the difference as soon as I started the Clexane+ progesterone 200g pessaries ,  I felt completely normal :)

 When istarted the progesterone  my levels were  7.3 nmol/L  this was  about 3 weeks ago .
My last test results  indicating my progesterone levels  were about  15.5nmol/L so in  2 weeks my levels  basically  doubled. I used use only one 200 g  pessarie a day.

In Australia  the Progesterone levels test is not an important test, neither the supplementation . The specialist at the Women and Children clinic said there is not enough evidence that suggest that  the levels of progesterone are link with early miscarriage.

Unexplained Recurrent Miscarriages : Baby number 5

Hello Everybody,
My name is  Johanna  and everybody calls me YoYo.  I am a spanish speaking  girl  living in Australia 7 years ago , so please I apologise in advance If my  English  is not the best .
Today is my  first post  ever.
My purpose with this blog is telling you my story, and may be help you  to find  the answers you need  to overcome  your current situation or just to let you know that  you are not the only one , I was there too  and many other women  were  and are there too . This blog  is my way of looking  for  healing for myself , healing through  expressing what for years I have been never been able to  properly talk with anyone.
This is my way to reach that like me  have a history of  ”unexplained recurrent/repetitive  miscarriages”.
I am 33 years old ,  and I have been pregnant 5  times .
As a matter of fact  I am currently pregnant  I supposed to be 8 weeks  or more  but my last ultrasound  1 week ago  shows  5 week 4 days  embryo ,  heartbeat:  59 Bpm,  they found  fetal pole too .
About 3 weeks  ago , the embryo  seems to be  6 weeks 2 days,   they found  heartbeat:  47 Bpm  consistent with a bradycardia  (very low heart beat) The radiologist  advised nothing to worry about as it might be that babies heart Just start  Beating  .
Even though  I am freaking out , a  heartbeat , was the last request from the doctor at  the hospital  , before  he would authorise to give me  the  prescription for Clexane .  Clexane  is one of the drugs I am currently using to prevent   my body of producing  clots.  Was very difficult  to convince  my doctor  at the hospital in Australia l to  prescribe it.

The doctors at the Townsville hospital  consider that Protein S deficiency   was not low enough as to  prescribe  the Clexane . ( my results were 47 , normal ranges start at 59 )   I am also  a low positive for the Anticardiolipin antibodies, for which they send me to take  baby aspirin  and folic acid .
So today  Monday 2 of December of 2014 ,  at 4 pm  I got  to visit the “North  Xray ” for another ultrasound .  Is currently  8.46 am , I have  a Psychologist appointment  ( thanks for the mental health  government fund for this )  and then  I have to wait to   see the results in this ultrasound .
I had  1 ultrasound last week  at the hospital that shows basically nothing   but the heartbeat , and one previous that one 3 weeks ago that shows  the most beautiful thing I  ever saw in my life    That day I couldn’t  believe what my eyes were looking   I had 5 previous pregnancies , the 2 last ones , blighted ovum . But  in this one , a little embryo  develop  was  amazing , tears were falling from my eyes  .