Please confirm it's not possible

[mylittlemonkey]

i had a MMC in early oct last year and so was delighted to get BFP on 9th jan which was date of expected AF as regular 28 day cycle. Went for early scan today which should have been 9+6 weeks. The sonographer told me could not find a heartbeat and baby only measuring 6 weeks. They said that as don't always see heartbeat at 6 weeks I should come back for further scan in a week. I asked to see the consultant as I knew there was no possibility for me to viably be 6 weeks pg as not DTD since found out was PG as so terrified of miscarrying again. They said to take bloods to be sure and bloods came back at 29,000 which is don't think is that high but dr said that they can't rule out a viable PG and that I could just have my dates wrong and so have cancelled the ERPC I had booked in for tomorrow and booked another scan in a week.

I am totally devastated at my second PG resulting in what appears to be another MMC and I just want to move on as quick as possible. I already have a DC so I am thankful for that but desperate for another. I feel like the fact they will not rule out a viable PG has given me some hope that I could come back in a week and see a healthy baby with a heartbeat and the dr even tried to pursued me over the phone that it could be possible I might be only 6 weeks PG and that I could have ovulated late in my cycle even though I am sure my dates are right. even if I did ovulate late it could not account for the difference between 6 and nearly 10 weeks. I know deep down it is impossible for the PG to be viable but I think I am secretly hoping the dr may be right and then am going to go through the crushing disappointment again in a week.

I suppose I am looking for someone else to confirm that the dr cannot be right and there is no hope. DS has been amazing but I think he too is secretly hoping as well.

[FrozenNorthPole]

I'm so sorry to hear that you're experiencing this. You are in the best position to know whether it is possible that you are only 6 weeks pregnant: given the date you got your BFP it seems unlikely. However, have you had any bleeds since then? It is at least feasible that you may have lost a pregnancy and then conceived again, hence a 6 week pregnancy. Do you think this is possible?
The other possibility is that the ultrasound measurements were off. Was your scan transvaginal or transabdominal? Did the sonographer comment on the accuracy of their equipment?
I really understand the need to be certain and to have closure in this situation. In your position, I would reach the same conclusion as you did: that it is not a viable pregnancy. Are they going to take more bloods from you in 48 hours' time? That would give you more of an indication as to what is happening. I'm sorry not to be of more help but you have my sympathy and I hope that my pessimism - and your pessimism - are unwarranted.

[mylittlemonkey]

Thank you for your post Frozen. Unfortunately, I have started bleeding today. Went back to the epu and they did an internal and said that because my womb was still closed they still could not 100 percent rule out a viable pregnancy so have to go back in a week for a further scan. My scan yest was transvaginal as they could not see the baby with the transabdominal scan and the monographer spent a long time doing the measurements and was supervised by a senior so I think it very unlikely the measurements were off. I would love to have hope that there was some way I could still be pregnant but ESP now I have started bleeding I just know there isn't. Just the awful week wait for another scan to confirm the miscarriage if I have not miscarried naturally before then. This is really hard.

[OracleInaCoracle]

ok, many women bleed in pg. when I was pg with ds I bled from 5w to 20w. do they think that you are 6w pregnant? could they see a heartbeat?

[mylittlemonkey]

No, no heartbeat. I think they are really just following guidelines about when a miscarriage can be absolutely confirmed and because a baby does not always show a heartbeat at 6 weeks they need to rescan in a week to absolutely confirm the pregnancy is not viable. If I was only 8 weeks or less I could understand there is a possibility for discrepancy in my dates but not as much as 4 weeks. I just feel the dr should have explained it was more to do with following the guidelines than trying to encourage me that I could still be PG.

[mylittlemonkey]

I want to add though that other than the on call registrar I spoke to over the phone all the nurses and the consultant at the epu unit were absolutely amazing and so comforting and understanding.

[OracleInaCoracle]

have they taken bloods? are your HCG rising/falling staying?

[mylittlemonkey]

They took bloods yest and said it was 29,000 hcg which I don't think is very high for 10weeks, is it? No bloods taken today and to be honest I did not ask so not sure if rising/ falling.

[OracleInaCoracle]

they should have arranged for you have bloods taken tomorrow. can you call epu and ask why not?

[mylittlemonkey]

Yes, maybe I should do that as I suppose it will give another indicator about what is going on. Thank you lissie, I am really not thinking straight at the moment and did not get much sleep last night. What was your bleeding like if you don't mind me asking? Mine is period like really at the moment.

[OracleInaCoracle]

when I was pg with ds it ranged from spotting to short gushes. however, I have also had 13 miscarriages and 1 ep, the bleeding for those varied. clots are something to look out for though, and if you start flooding get yourself to A&E. they confirmed the location didnt they?

[mylittlemonkey]

They told me to come back to epu as it's 24 hours. My last mmc was dealt with by ERPC and was so quick and painless so I am quite anxious about loosing the baby naturally. I am so terribly sorry to hear about your mc's, I cant begin to imagine what you have been through but I am happy to hear you have a ds. I suppose it's makes them all the more precious.

[OracleInaCoracle]

it really does. it still hurts, but the pain becomes bearable.

stock up on paracetamol and dont be afraid to ask for something a bit stronger if you need it. and rest. It might still be ok, but it is better sometimes to look on the black side.