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Old 04-12-2013, 08:38 AM   #1
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Pregnant again after 2 losses and freaking out

I got pregnant last July and everything was great until I went to my first OB apt which showed the baby's heart rate was slow, that doctor said it was because I was of "advanced maternal age". Turns out that day my progesterone was 4.1, I was 7+ weeks pregnant and had fading symptoms the week prior. I miscarried naturally a few days later at the end of August.

In Novemrber I became pregnant again and found out right away so I immediately scheduled an apt with a new OB. That clinic just plain sucked and I only went there 1 time. However within a few days my symptoms completely disappeared. I think I was at 4w2d when that happened. So I scheduled a follow-up with my current OB. She was very thorough and seemed very concerned. However at that apt she did an ultra sound and said she could see a sac but no fetal pole and declared that the baby had stopped developing at 4w2d. She pushed me to take the drug that you insert into your cervix to bring on a miscarriage. Which I did because I was distraught and wasn't thinking clearly.

When I went back for my follow-up after the miscarriage I was told that I shouldn't even contemplate getting pregnant for at least 6 months because I would probably just have another non-viable pregnancy if I did. I left that apt in tears and cried the whole way home. I was crushed.

Fast forward a few months, I grieved for my losses and decided that because I just turned 36 it was time to call it quits and have no more kids. We had a garage sale just 3 weeks ago where I sold darn near Everything I had been saving from my 2 year old.

Low and behold I took a pregnancy test on a whim Tuesday because I was 1 day late and it was positive. I was able to get into my OB 2 days later. That was yesterday.

This is how that apt went down.
She asked me if I knew how this happened and I jokingly said "because I sold all my baby stuff 3 weeks ago" and she said "no because you had unprotected sex" I have had fertility issues since the onset of puberty and our girls are naturally spaced at 16, 8 and 2 years. So for me to get pregnant 3x in 8 months is a total shock to me and I told her so. She just looked at me like I was an idiot.

She did an ultra sound and "thought" she could see something "getting started" what it was looked like a little white cloud to me. No sac or anything. Then kept asking me if I was having pain on my right side because she thought it was an eptopic pregnancy, then decided it was just a corpus luteum. Then she decided to do a beta and I asked her to draw my progesterone again because it was crazy low the last 2 times.

She tells me to get dressed and head to the lab. On my way to the lab she catches me in the hall and asked if I had been taking progesterone because she had missed that when looking at the paperwork I had just filled out and I said yes. I had for 2 days, because I had a prescription from the crappy OB and thought it would be best to be proactive with my history. She then said that doing that would alter the numbers and give me a "false sense of hope" "but we will see". I was crushed. I thought I was doing what was best. SO her plan is to look at my betas and if they look good we will repeat on Monday, if not I get the impression I will be pushed into another induced miscarriage.

Well here is the worst part. I looked up my previous labs this morning on my online medical records. with my second pregnancy my first beta at 4 weeks was 156 (current doctor said that was way to low) BUT when she rechecked them on the day I was told to induce the miscarriage (prior to getting lab results) my beta was 4793. Now I am freaking out thinking that I killed my baby.

I was promised a call this morning with my numbers but I got an email notification that my betas were in. Yesterdays beta was 177 and I am just over the 4 week mark. I am scared to death that she is going to claim this is another non viable pregnancy and push me to miscarry again.

The doctors down here refuse to let me see a perinatologist despite my history of 2 preterm labors, autoimmune hypothyroidism, 2 recent miscarriages and the fact that I am currently 36. My last 2 pregnancies I was cared for by a perinatology team in Seattle. We now live in Houston and his is only 1 perinatology clinic that will take our insurance and its 2 floors up from my current OB.

I don't know what to do next. I'm waiting for my "false" progesterone levels from my labs yesterday. They way I see it I have 2 choices
A. go shopping for a new doctor again
B. wait it out and let nature take its course (I refuse to induce another miscarriage)

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Old 04-12-2013, 09:23 AM   #2
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Re: Pregnant again after 2 losses and freaking out

Oh my gosh, I am so sorry for everything you have been through. I would definitely shop for a new OB. Even though I had no plans of having a homebirth (ever) I called a homebirth midwife and told her some of the issues I had. She was understanding and pointed me to some conventional doctors who were more natural and compassionate

It just breaks my heart to read your story. I would not go back to that woman. Ever. I hope someone else can chime in about your levels. When you calm down and get your heart okay, I would even report her to the hospital or what ever boards she is affiliated with.
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Old 04-12-2013, 09:34 AM   #3
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Re: Pregnant again after 2 losses and freaking out

First of all Im so sorry for all your losses. I too have fertility issues and had a loss recently, and I know how awful it is.

We do IVF, and my clinic always does a beta right at the 4 week mark. Your #'s for 4 weeks look totally normal.

I wouldnt fret too much about the one in the 4000's... when i was miscarrying my OB did many betas to make sure my #'s were going down and told me the 1st couple we might still see a rise even though the baby stopped developing... he compared it to a car driving with no driver. Even though the baby stops developing, the placenta can still continue to grow for a few days to a week, producing the HCG... then once your body realizes what is happening, THEN the #'s start to fall, thus inducing a bleed.

So yes, you can still see a rise as cruel as it is. I would trust your U/s...

Sounds like your Dr. isnt very good at bedside manner or putting your very understandable fears to rest and taking you seriously. I would keep shopping for a new Dr. maybe try to get into a high risk one?

Good luck mama! I am still working on my rainbow baby.. hopefully soon
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Old 04-12-2013, 09:44 AM   #4
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Quote:
Originally Posted by solobluedancer
Oh my gosh, I am so sorry for everything you have been through. I would definitely shop for a new OB. Even though I had no plans of having a homebirth (ever) I called a homebirth midwife and told her some of the issues I had. She was understanding and pointed me to some conventional doctors who were more natural and compassionate

It just breaks my heart to read your story. I would not go back to that woman. Ever. I hope someone else can chime in about your levels. When you calm down and get your heart okay, I would even report her to the hospital or what ever boards she is affiliated with.
Thanks, I never thought to call local midwives and ask who they recommend. I'm going to work on that as soon as things settle down.
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Old 04-12-2013, 09:49 AM   #5
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[QUOTE="swrlgrl105"] First of all Im so sorry for all your losses. I too have fertility issues and had a loss recently, and I know how awful it is.

We do IVF, and my clinic always does a beta right at the 4 week mark. Your #'s for 4 weeks look totally normal.

I wouldnt fret too much about the one in the 4000's... when i was miscarrying my OB did many betas to make sure my #'s were going down and told me the 1st couple we might still see a rise even though the baby stopped developing... he compared it to a car driving with no driver. Even though the baby stops developing, the placenta can still continue to grow for a few days to a week, producing the HCG... then once your body realizes what is happening, THEN the #'s start to fall, thus inducing a bleed.

So yes, you can still see a rise as cruel as it is. I would trust your U/s...

Sounds like your Dr. isnt very good at bedside manner or putting your very understandable fears to rest and taking you seriously. I would keep shopping for a new Dr. maybe try to get into a high risk one?

Good luck mama! I am still working on my rainbow baby.. hopefully soon [/

Sounds like I should have gone to the fertility specialist right after my second miscarriage. Hearing that the numbers can rise does make me feel better. If I haven't miscarried in the next couple of weeks I'm going to demand to be seen at the perinatology clinic. The roller coaster is the worst.
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Old 04-12-2013, 10:04 AM   #6
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Re: Pregnant again after 2 losses and freaking out

i dont think the pill was the right thing for her to push into you. alot can develop in a weeks time. altho you cannot be sure why there was such a huge rise, I would point it out to them and I would refuse any request to get on with a miscarriage w out getting a 2nd opinion. i myself lost at about 6-7 weeks but got another opinion and found I did indeed have a fetal pole and sac where the 1st dr said no. so I waited yet another week to see if any change. no, then I took the herbs.

I would get a new dr and a be taking asprin or progesterone just to be on the safe side.
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Old 04-12-2013, 07:31 PM   #7
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Thanks ladies. I finally got both my beta today at 172 and progesterone was 10.56. I have been taking prometrium vaginally and from what I have read online that does NOT affect blood levels.

I have decided to just let nature take its course and stop worrying. I will be working on researching and finding a new OB over the next few weeks. Until then I am going to relax and stop analyzing every little twinge or fading symptom.
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Old 04-12-2013, 09:25 PM   #8
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Re: Pregnant again after 2 losses and freaking out

you went from 177 to 172? you should not have a drop in a healthy pregnancy. if so, i am so sorry to hear this are they having you stop the prometrium then?
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Old 04-13-2013, 06:35 PM   #9
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Originally Posted by homebirthmom
you went from 177 to 172? you should not have a drop in a healthy pregnancy. if so, i am so sorry to hear this are they having you stop the prometrium then?
No. That was a typo on my part. The number was 172 NOT 177. Oops.

My "current" OB wants to see me back a week from Thursday to check my betas again and I'll ask her to check my progesterone despite the snarky comment she left in the nurses notes about my using progesterone as a precaution for 2 days(guess she doesn't know that they show up in the online patient records). And from what I understand vaginally applied progesterone does not affect blood serum levels. I'm going to clarify that when I go back next week.

If all looks good then I will be asking my PCM to refer me to the perinatology clinic specifically because the "referral specialist" doesn't seem to know the difference Between high risk and really high risk so she keeps sending me to the regular clinics which say they take "high risk" patients.

Been there done that and I don't plan to chance a rescue cerclage and all that drama at 23 weeks and 4 months of bed rest with a 2 year old in tow.
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