Baby is the size of a sesame seed. Their brain is developing from the neural tube and at the end of this week their heart should start to beat! That will be a huge victory for us.
Illustration of 5 weeks gestation. Isn't it strange to think we all started out like this? |
The concerning part of my week started last Friday, when I seemed to have some sort of weird allergic reaction to my Lovenox injection. Horrible itchy burning hives everywhere- and the shots were feeling more painful than ever.
It was scary because I'm always concerned the medicine I'm taking may be harming instead of helping the baby. I didn't want any weird antibodies floating around from some type of a reaction. The next day the doctor wanted to make sure I wasn't showing any sign of Heparin Induced Thrombocytopenia so they just took a CBC to check everything in my blood. They took my beta (hCG levels) too. It was two days earlier than I had anticipated checking them so I was a nervous wreck. According to normal growth rates, the hCG that day should have been at LEAST around 300. I had never seen one of my pregnancies get past the rate of 200 before the growth slowed. So I just couldn't imagine seeing any other number. It seemed unrealistic. As much as I tried to stay positive I felt very "doom and gloom" waiting for that number to come back around 160 instead of at least 300. Then when it came back- 845.
845! The highest number I had ever seen!! The relief washed over me. Not only was the growth fantastic, but this baby is already set apart from all the others (aside from Jack.) Something is working. I feel like it has a lot to do with the DNA quality. That's just what makes sense to me. Keep growing baby!
Yesterday was my MFM (maternal fetal medicine) appointment. The plan was for me to meet THE expert in Lovenox in pregnancy to bring him on to my case. It was by far the most difficult and emotional part of my week. It was an emotional place to be anyway- a women's center in a hospital. It felt so weird to fill out those forms and realize I've been pregnant every year since 2011- at least for a couple weeks during each year. I told myself 8th time's a charm for baby #2!
Specialists have a reputation for being harsh and having abrasive personalities. Having experienced this before, I was a bit nervous going into the consult. At first, I liked him because he was so hard core science. He didn't talk down to me and actually made the conversation pretty casual (swear words and all haha) so I was thinking we would click together well. He did think we would have successful pregnancies someday, but then his words got a little rough. He asked if I had accepted the fact that we would have more losses than live births, now and in the future (obviously, I'm already 6 for 1.) Then he went on a rant saying, "This will NEVER be as easy for you as your friends, your neighbors, the girl down the street..." blah blah blah. It felt like he was just trying to make me cry. I already know this fact there is no reason to be so harsh about it. He said he understood that I'd lost so many and it was probably "pissing me off." I just felt like my actual emotions were a joke to him.
He started talking about how he was determined to get some viable tissue for testing from this fetus (you know, if I actually lose it) and I was thinking "Slow down why are we talking about this! Nothing is wrong yet!" He reminded me there are exactly ZERO treatments approved by the FDA for treatment of recurrent miscarriage. I already know the evidence isn't strong so I said "Yeah, I know these are best guesses." He responded with "I couldn't even call them that- maybe just guesses with no proof." I tried to prove my point that with the better DNA quality being a reason this baby is growing better. He said it was "interesting" at best but there were no real studies behind it. I tried to cite the Reproductive Urologist and what we had learned with actual scientific tests but he just laughed "They don't actually know that." As if we had been lied to. I started to feel angry like he was just kicking me while I was down, trying to shred my last bit of hope. As far as the medications, which is why I came for his opinion, he seemed like he could care less. He said I could take all of it or none of it and it wouldn't make a difference. That I couldn't get fixated on the problem being ONE thing because it "never is." (Except as soon as Kevin has surgery suddenly we're having success while I'm treating all my issues?) He was from the Old School and basically said no one else knew what they were talking about. He said I had an obvious medical issue (duh) but that people "make a bigger deal out of MTHFR and thyroid disease than there needs to be." Because people have those things and have babies all the time. Maybe that's true, but I DON'T. Which is why I was there! He didn't buy the idea of my Deplin prescription for converted folate (which surprised me because I've read the clinical evidence behind it). I wanted to say, "Excuse me Sir, do you have thyroid disease?" Maybe if he did, he would realize it is a big deal- to feel exhausted. To be in your 20s and feel like you're in your 70s.
I get that he's all about hard evidence- and there just isn't much of that in the case of recurrent miscarriage. But I really felt like I was debating at a medical convention instead of at a consult. I have a whole new love and appreciation for my wonderful fertility clinic. My "proof" was totally ignored by the MFM and I left sobbing. I felt like my baby no longer had a chance- that I had been fooling myself and we would never know why. I reminded myself that I'm also a spiritual person and I have to do what I feel is right. I'm this baby's mommy. I will have intuition that a callous doctor (who even teases doctors in other specialties) will never have.
I walked down to the outpatient lab to get my blood drawn and have my last beta and all my confidence was shattered. The girl behind me in line was laughing the whole time about how she's pregnant with her 4th and didn't even know until 21 weeks. She took birth control and hard core exercised the whole time and the baby is still fine. She laughed, "isn't that the funniest thing you've ever heard, the things we don't even notice!" I felt so much injustice and despair that she could do nothing, or even everything wrong and get a 4th healthy baby- and no matter what I do, it just isn't working like that.
The office scheduled me for an ultrasound to find baby's heartbeat next week- pending my hCG results. I made the appointment heavy hearted, thinking they would cancel it when my numbers came back poor. They made it for next Thursday, which on my calendar is listed as "The National Day of Prayer." So, perfect.
I decided if the numbers were good, I would finish the last 7 injections I have and then switch back to only aspirin (thank heavens) since I still have no clinical indication for Lovenox. I've never had a blood clot. The doctor said that was fine. Why did I even see him if I just decided what to do with no advice anyway?? In four studies, Lovenox never reduced miscarriage rates (only clots in at-risk moms) so I feel ok about it. I only did aspirin with Jack.
Waiting hours for those hCG results was painful and included lots of crying. I just let that doctor get in my head. We wanted to see numbers at least between 1800-2000 (which again seemed impossible since it's ten times higher than what we've ever seen.)
They came back, 3517!!!! I about hit the floor. Miracles are happening. This baby is healthy thus far.
Isn't this the most beautiful graph you've ever seen?! |
Your prayers are felt and we are so thankful to all of you for your love and concern! We're praying for this baby's heart to develop properly and that we'll be able to see it fluttering away beautifully next week!
We haven't told Jack Jack yet, even though he knows we've lost others. I'm afraid a loss in present tense would break his heart. But if we see that heartbeat, we are planning on telling him that he's going to be a big brother next week! I've been waiting for this moment for so long!!