Saturday, January 03, 2009

Gimli, son of Gloin

It took me a little longer than expected to update on our ultrasound yesterday--sorry for keeping all of you in suspense. It takes some time and energy to process news like this and I just didn't feel up to writing about it last night after our long day. But now that I've had a good night's rest (and a late morning thanks to Lyle letting me sleep in) I will do my best to share our news with you.

Gimli

So there is our little baby at 7 weeks 4 days. He (or she) was measuring 8 weeks 2 days, which the RE explained has a +/- 6 day variance, so the baby was basically measuring right on target. There was a nice strong heartbeat of 160bpm. So on that end little Gimli (extra points if you know that reference, Lyle nicknamed the baby yesterday and it seems to be sticking) is looking pretty good.

Gimli

The problem is...well, there is a problem. From this angle you can see a darker area underneath the gestational sac (if you click on the photo to go to my flickr I have things labeled there if you need help seeing it). That darker area is fluid, usually blood, and the white line between the fluid and the sac is placenta. The RE said the placenta right there is very thin and sometimes what can happen with a collection of fluid like that is that it grows and can eventually cause the placenta to detach, leading to miscarriage. This is usually related to blood clottings disorders, which makes sense with the whole MTHFR thing. This definitely leads me to believe that something like this was probably the cause of my last two miscarriages (for some reason I always think of my first miscarriage before Josh in a different category, perhaps because it was so early and so different while these last 2 were very similar).

The RE assured me that this area of fluid was small (although to me it looks huge, as big as the baby! I suppose it is relative and he has probably seen far larger collections of fluid in other cases) and would normally not concern him at all if it wasn't for my history. We have another appointment for an ultrasound in two weeks to check on this again. Hopefully our baby will still be doing okay and this area of fluid will be smaller or may even disappear.

I have to admit that this concerns me a lot. In two weeks I will be close to the time when my last two babies stopped growing. I have to wonder if I had an u/s this early with either of those two pregnancies would I have seen the same thing I am seeing now? Maybe in those cases the collection of fluid was even bigger and so now I am doing better? Or maybe this is happening all over again and in around two weeks the placenta will detach and my baby will die and I will have another dead baby.

So here I sit with another two week wait to see if my baby is going to live or die. There is nothing I can do but wait and try to keep myself busy, try to think positive and try to hold onto hope. I honestly wish I could've either gotten all good news or all bad news. I would just like to know, am I going to have this baby or not? But the sitting here and not knowing, seeing a strong healthy baby growing but seeing this lurking problem in my uterus that could kill my baby...well, it's hard to deal with.

So my question for all of my IF/loss pals is do any of you know more about this? Has anyone had an area of fluid under the placenta like this and things turned out okay? Anyone had this and things were not okay? My doctor definitely seemed to think it was not a huge concern and he just wants to give me all of the information and be honest with me. I do trust him, but at the same time I have been through this too many times and am too much of a realist to see something like this and just brush it off like it is not concerning. And like he said, I do have that history. Without it we would shrug it off, but with my history of miscarriage and MTHFR, well this could be the beginning of the end for this baby.

14 comments:

MissEllen said...

How frustrating! Why can't good news ever just be good news? It seems like life always sends a cloud to threaten our sunshine. I pray that God is working a major miracle for you. Gimli is pretty cute. Nice LOTR reference.
hugs,
Ellen

S said...

I had a similiar situation with my baby. I also had RPL and MTHFR. Since I was also seeing an RE, I got a scan each week from week 5 to week 12. The pocket of blood (that's what the RE called it) continued to get smaller every week. I delivered a healthy baby girl on Nov 5th after a dd 4 years earlier (w/ preeclampsia) and 3 losses in 2007. I'll be watching for your fluid to get smaller and smaller!! (FYI-I did BA and FA and also progesterone the first 12 weeks b/c I also had LPD!!)

Meg said...

First, what a wonderful image of your baby! I am elated that you saw life! Life Annie!

I honestly know so little about the placenta and I can speak from experience that Google does not go anywhere pretty when you search on placenta (abruption and detachment have been my searches lately) and they will freak you the f^ck out.

I will be following you so closely and I really do hold so much hope for you that this will be a healthy 9 months.

On a side note, I have read in many places that with any early placenta issue the chances of the obstruction (blood, polyp or fibroid) shrinking to the point of being a non-issue and the placenta getting really big and happy are very high so let's cross our fingers!!!

Lori said...

Holding cautious optimism for you.

(And I loved Piers Anthony's "Incarnations of Immortality" series -- some of the Xanth books, too.)

Abiding with you as you wait.

RM said...

As if the original uncertainty of things wasn't enough... now you have this to worry about too. Did the RE have any suggestions? Or would they have done anything differently with you leading up to now if they know this might come about?

I am hoping for you that this pocket will shrink, and that the next few weeks will be kind to your unsettled mind. The comment here from S is so encouraging... big hug.

Dan & Hillary and little Russell said...

I don't have a 'for certain' answer, but since our stories are somewhat similar, I thought I'd share this idea: Lovenox injections for the first trimester. I am just starting the injections so I don't know if they will help me, but there seems to be a lot of women helped by L. It must have been so wonderful to see a strong heartbeat, though! Although it is SO hard, please try and have peace through this time...

Emilie said...

I'm hoping for the best Annie! I hope that fluid continues to get smaller and in two weeks you see a healthy wiggly little one in there. I've still got you in my thoughts...

annacyclopedia said...

I don't have any advice or experience, but you and the baby are in my thoughts and prayers.

Hija said...

As your own best advocate, do you feel comfortable asking for more frequent ultrasounds? You have the right to ask for such things. If you are far away from your RE and weekly trips are prohibitively expensive, would your RE be willing to work with a local doc/hospital? (If that's something that you would find helpful, that is.)

c. said...

Wow, A. That's a lot to process. I'm sure the next 2 weeks will be excrutiating for you. Hoping that your next 2ww culminates in good news for you this time. Absolutely.

As for Gimli, my parents used to own a cottage in a small beach town close to where I grew up. It was an Icelandic town and it had this enormous sculpture of a viking that we used to play on as a kid. Does the reference have anything to do with this????

Two Kayaks said...

No wonder you needed a rest. I know very little about the condition, but I want you to know that you are never far from my thoughts. I am not a particularly prayerful person, but I will have a talk with St. Gerard tonight.
There's a lot in your sweet little heart right now. I wish you peace and strength.

Good Egg Hunting said...

I wish there were something helpful I could say right now but I'm encouraged by the couple of positive stories I saw among your comments...I truly hope this works out for you and you get more and more encouraging news. You've gone through so much and I sincerely hope this is the time it works for you. Sending positive vibes your way.

Photogrl said...

Yay for the nice strong heartbeat!

The fear never ends, does it?

I hope the 2 weeks go really quick, and end with a wonderful U/S that shows no or a very little pocket left.

Thinking VERY positive thoughts and praying for you, Annie.

((HUGS))

Annie said...

Thanks everyone!

And Gimli is the dwarf in Lord of the Rings :)