To have any hope that this might not be another miscarriage?

[Vebrithien]

Had a MMC in April (12 weeks pregnant).

On Weds, at 7.5 weeks pregnant, went to our early pregnancy clinic, as I'd had cramping and light spotting for a few days.
Internal scan, which showed a gestational sac, but no fetal pole/embryo (which should be showing).
Measuring at 5.5 weeks. This would mean I had a positive pregnancy test 3 days before I would have ovulated, if those dates are correct.

Doctor strongly suggested that this was another MMC, or a blighted ovum. Have a scan next week, 6 days after the last one, to see if there is any growth/embryo/heartbeat. However, Doctor said "you and I both know where this is going" and has offered surgery probably at the end of next week.

So, AIBU to have any hope left?

The NICE guidelines have changed recently, and recommend scanning up to 2 weeks after the original scan. They also suggest that a blighted ovum shouldn't be diagnosed before 9 weeks (will be 8w 3d on next scan). Also, have read about how having a tilted womb (which I have sometimes wondered if I have) hiding the pregnancy until about 9 weeks.

So, WWYD? Go for scan on Tuesday, look at results and make a choice about surgery? Ask to be scanned again a week later, then make a choice? Pray for a miracle?
Cramps are less noticeable and I've got a bit of (TMI) yellowish discharge.

Anyone been through this?

Sorry it's so long.

Hi, sorry to hear you are going through this, and I have very limited knowledge... is there any health risks to you in waiting to have a scan at 9weeks? Could you push the scan next week to 9 weeks rather than 8w 3 days?

The scan was only offered for next week, as that is the only time I have childcare for. DD has a term time only nursery place and DH is away with work.
For lots of different reasons, my family can't help (although want to) and DH's family are on holiday.

Part of me thinks I should just go to the scan, see how much growth (or not) there has been, and ask if there is any risk to me for waiting another week and having another scan. I might be able to ask a friend to watch DD for a couple of hours.

The main risk AFAIK, is if I actually start to miscarry, is with blood loss, as I am already anaemic.

Anyone else?

I’m sorry for the stress you are under, the uncertainty is upsetting and infuriating at times. I would do as you say and go along, see what is said and then decide from there whether you would like to wait. Don’t be badgered into making a decision then and there. Take someone with you if you can and good luck xx

TBH I think there is very little hope at this point. I'm really sorry.

I don’t want to give false hope but I had a very similar I had bleeding etc and went to epu and was told only sac no pole etc ( should have been 7 weeks) and I should take the drugs to terminate

Posted too soon went back week there was change but not enough to indicate viable pregnancy, bloods were consistent with normal pregnancy (doubling as they should) so refused to take drugs and went back again and there was heartbeat she is now 5 I know how hard this is but make sure you are 100% happy before you “terminate” if you want a 2nd scan push for it

Hi

Very hard to word this as I don’t want to give false hope.

I had the same at what should have been the same stage, blighted ovum, no fetal pole or heart beat. I was also bleeding a lot. Heartbeat was found by internal scan a week later. They dated me two weeks less pregnant but I then gave birth two weeks early.

I also have a tilted womb.

I don’t want to give false hope but wanted to give you an honest response. I wish you lots of hugs.

Hi OP - I will DM you.

An internal scan should have showed the pregnancy even with a tilted womb. It's transabdominal scans that sometimes can't see the pregnancy with a tilted womb.

I would personally go for the scan and then go from there. If you still have doubts about the surgery then ask for another scan a week later. At this stage I don't think you should keep your hopes up, but at the same time keep an open mind.

I'm sorry you're going through this, it's hard enough having had one loss and then being in limbo again is just awful

*I say the internal should show a pregnancy but of course that still depends on how far along you are. There are cases of people having slow developers

Thank you so much everyone, for your honesty and stories.
I am meant to be having my booking in appointment tomorrow, which the hospital doctor hasn't cancelled.
I think I will go along and discuss with the midwife what is happening.
I will go ahead with the scan on Tuesday, and then see how things are going. There isn't a huge difference to me having surgery next week or the week after, if needed.
But at least I'd know that I'd tried everything possible.

Skihound how far along were you when they finally saw a heartbeat?

I think the hope you have OP is that you have successfully had a DD and are able to get pregnant. I had two MC between my DS and DD and it sucks. Both MC just were not meant to me. I saw a consultant who was pretty clear that if you have had a successful pregnancy and are conceiving you have really high chances of carrying to term again.

Personally I would have the scan at the earliest opportunity. Sending you a massive hug xxx

I had a blighted ovum a few years ago now, the hospital did two scans a couple of weeks apart and when it was confirmed, I was going on holiday the following day for a month, so the dr decided for me to go on holiday and let things happen naturally. I came back from the holiday and started bleeding and eventually ended up in hospital haemorrhaging after passing out in the car.
So to answer your question waiting another week isn’t going to cause any major problems but if it is confirmed as a blighted ovum after 9 weeks definitely have the procedure done and don’t let them leave you for it to happen naturally.