(Warning: This post contains sensitive and personal material.)
The Miscarriage.
Unfortunately, this is a major taboo subject in today's world.
October is National Pregnancy and Infant Loss Awareness Month. More specifically, the date is October 15th. I was trying to hold off on writing about this topic until then, but it's been tugging at my heart a little too much recently.
This topic is extremely personal and unique to each individual woman. I get that.
I won't get into specific statistics about miscarriages and still births. If you're really interested in knowing numbers, here's a good
chart to help break it down.
It saddens me that the one area where most all women can relate in some way, shape or form, is the one area that most women won't talk about. I understand that every woman has an incredibly personal and private view point on this topic; however; it makes my heart heavy that by not talking about it, we miss one major area where we could develop and grow our overall compassion and understanding of each other.
As I have traveled down this infertility road, so many stories relating to this topic have crossed my path. Each story is shaped by its own unique set of circumstances and there's no way I could even begin to summarize all the different scenarios that have unfolded before me.
Some doctors have argued that the overuse and easily accessible home pregnancy tests have added to the rise in the number of miscarriages reported. The early detection HPTs are used to detect an hCG level above 25, which in the medical world is a really, really, really low beta number. In the medical world, a miscarriage occurring before a gestational sac can be detected on an ultrasound is dubbed a chemical pregnancy. You've heard me talk about this as it has been my experience.
Even the basic vernacular used to describe our experience shapes how we perceive what we're going through.
Here's my most recent example of what I mean.
If you're reading this, you have most likely followed my story almost daily for the past month now.
It's important to understand the timeline in which my most recent story played out.
Friday, Sept. 12th: Frozen Embryo Transfer of three 3 day embryos. (Embryos usually implant around day 5.) Commence almost two week wait.
Tuesday, Sept. 23rd: 1st Beta: 26. I'm pregnant!
Wednesday, Sept. 24th (& everyday through Oct. 2nd): Positive Home Pregnancy Tests
Thursday, Sept. 25th: Non-doubling, yet rising beta: 45
Friday, Sept. 26th: Share will everyone our positive status.
Monday, Sept. 29th: Non-doubling, yet rising beta: 75 (Suspecting a blighted ovum)
Thursday, Oct. 2nd: Beta dropped to 71-Probably a chemical pregnancy-expect period.
Tuesday, Oct. 7th: 6 weeks pregnant today and finally started my miscarriage.
If I had not been in the infertility world, I would have received a positive pregnancy test and would have scheduled to have an ultrasound whenever my OBGYN could fit me in. I would have started to bleed at the 6 week mark and would have been completely devastated by the arrival of my period, all along probably thinking I was going to have a normal, healthy pregnancy. But, BECAUSE, I am in this infertility world, I was well aware of my low numbers and suspected my story would unfold this way. Mentally and emotionally making the transition from 'pregnant' to 'not pregnant' relatively easy for me. All along my doctors (and Paul and I) have referred to them as chemical pregnancies because that is exactly what they are. This term also helped us process this journey. We knew all along that although a gestational sac was probably developing, more than likely, an embryo was not. Please know, I am not negating that other women and men may still find a similar scenario to be earth-shattering and heart-breaking. It just wasn't for us this go around. We haven't had a positive pregnancy result in over 7 years, so we're probably a little used to it, too. Yes, it's still sucky, but it's manageable. I hope that makes sense.
But here's a similar, yet entirely different scenario.
Due to incredibly painful periods, my sister (Brittany) has been on birth control since her teen years (while I have never been on birth control). When she and her husband decided to start trying for kids in 2012, she went off of it. For close to 3 months, her cycle was wishy washy and she began to get frustrated with a non-regular schedule (Personally, I have always been like clock work). In fact, she was on her way to a scheduled doctor's appointment to discuss why she hadn't had a period in over eight weeks, when she FINALLY got a positive pregnancy result that morning. She had been testing religiously that entire time all with negative results. She discovered that she had ovulated way late and had caught her pregnancy way early. She went on to have a happy, healthy, perfect baby.
At the end of this summer, my sister and brother-in-law got another (somewhat) surprise positive home pregnancy test. They shared their joyous news with family and close friends. Eight short days later, my sister began to feel not right. Being that she had already had a child, she could tell that something was off. The next day her suspicions were confirmed. Blood work confirmed a fairly low beta number (not as low as mine, but not where it needed to be) and two days later more blood work confirmed a dropping beta. Her doctor called to confirm that she was indeed having a miscarriage...just before she hit the 7 week mark. Our timelines were almost identical, but because of our different histories, our story unfolded in a drastically different way. I suspected and believed a chemical pregnancy all along; she thought happy, healthy pregnancy and BAM...a miscarriage.
My story was easy to process, hers was devastating.
A pregnancy that ends before the 24 week gestation mark is termed a miscarriage. A pregnancy that ends after this is termed a still birth.
I am 100% a believer that the later the pregnancy ends, the more traumatic, earth-shattering, heart-breaking, gut-wrenching the news is. I will not even begin to pretend that I know anything about this pain. I also won't even begin to pretend that I know what it's like to have multiple miscarriages. Many women on their journey to parenthood (especially in the infertility world) will have multiple miscarriages at various weeks of gestation. More than anything, the awareness that I have been fortunate enough to not have this be my story, is the one thing that has helped put my life into perspective these past seven years.
My heart shatters for each woman who experiences a miscarriage or a still birth.
Words cannot adequately express how sorrowful of a time this can be in a woman's life. Every woman (and man) will process this situation in a different way.
If you are a silent processor, please realize that you are not alone. One in four woman will experience a miscarriage at some point in their life. I know many women who don't share the news they're expecting with anyone, often have a hard time telling people when they then have a miscarriage. Sharing with just a few extra family and friends right away can most definitely make the miscarriage process a little easier IF it happens. They can help be your shield from the rest of the world and help cover for you on the days you feel awful.
If you know someone going through this, it's okay to ask them if they want to talk about it or not. Let them know you're there for them. Provide a meal, provide some yummy treats. Write them a note just to let them know you're thinking about them. The littlest signs of compassion go a long way.
In a world where women constantly belittle women (appearances, parenting techniques, etc.), my hope is that we all remember the miscarriage. I pray we learn to view each other in a compassionate and understanding way.