An Unplanned Ultrasound

Well this was unexpected. And not very welcome.

The night before last, I was sitting on the couch when I decided to get a drink. I stood up, and as I did, I felt a warm gush between my legs; almost like a “pop” of fluid. Since I had just inserted Crinone, I was assuming that a blob of it had fallen out (hey, maybe I didn’t get it high enough “in there.”). I reached a hand down to investigate and, when I looked, saw that it was covered in bright red blood. I stood there for a long moment – I don’t know exactly how long – unable to move or form any sound. In my mind was a constant stream of, “no no no no no no no no…”

Once I snapped out of my little chant, my next thought was, “ARE YOU FUCKING KIDDING ME RIGHT NOW?? This can’t be real. This isn’t real.” I wasn’t cramping at all, which was fueling my utter disbelief. However, after some more inspection, it looked as though the gush was still going and was still quite real. I immediately called my husband, who was on his way home from work. (Side note…I feel bad in retrospect; he answered and all I could blurt out between sobs was, “I’M BLEEDING. A FUCKING LOT. COME GET ME.” Talk about scaring the everloving shit out of one’s spouse…) I grabbed my purse for the insurance card and ID in my wallet, and went out into the rain still dressed in pj’s and my house slippers. Hubby was about 10 minutes away, and soon picked me up in front of our house. I called Dr. Albrecht on the way to the hospital, still sobbing, and explained what was going on. He told me to just get there and have the ER doc call him. It was then that the cramps really hit me hard, and I started crying even harder. After all, isn’t it general knowledge that cramping and bright red blood = bad mojo?

I won’t go into all of the details of our 5 hour ER visit, as a good portion of the time was spent alternately crying, staring at the clock, and squeezing the crap out of my hub’s hand when the pain got really bad. About half way into all of this, they finally gave me morphine (Oh, blessed Morphine!). By the way – just as an aside – you know in war movies where a hurt soldier is given morphine and he immediately subsides into a blissful, pain-free silence? Yeah…movie makers fucking LIE. It took a good hour for it to kick in (during which time I endured a 15-minute transvaginal and a 10-minute abdominal ultrasound; the ladies will know the hell inherent in that sentence.), but once it did, I was happy enough. The tech wouldn’t give me any information about what he saw, but Hubs was able to sneak a peak at the screen. He said he saw my gestational sac and something inside it (HAPPY DANCE).

Later in the night and after speaking with Dr. Albrecht, the ER doc came in to give us the news. I am currently still pregnant. My hcg was a little over 5,000, and a gestational sac and yolk sac were present on the ultrasound. As I am only 5 1/2 weeks, that’s all we would expect to see on u/s this early. Aaaand then she kept talking. Turns out I also had a 2.5 cm subchorionic hemorrhage bleeding out. This is a hematoma (pooled blood) that builds up between the uterine lining and where the placenta has attached. From what I understand, they are fairly common in women who have had IVF. I’ve also been told that cramping is normal with a SCH, as the pooled blood/clot will irritate the uterus.

There are a couple of resources helping me through this:

  • This BabyCenter SCH FAQ and Support Group
  • Also on BabyCenter, this massive listing of stories from women who have had a SCH and gone on to have a healthy pregnancy
  • A couple of ladies from my Reprofit and Reproductive Immunology Facebook groups who have been through this

And these are screenies of my ultrasounds. On Monday, I was dated at 5w2d, which is right on track for my dates. Pictured are the SCH, gestational sac, and yolk sac (*doing a little cheer because Bean is still in there*):

Screen Shot 2016-05-18 at 10.07.58 PM

Screen Shot 2016-05-18 at 9.57.36 PM

Screen Shot 2016-05-18 at 10.02.02 PM

I’m stubbornly considering this another bracket win because 1) my baby is still there, and 2) last time there was no yolk sac; present here!

I have an appointment with Dr. Albrecht tomorrow afternoon for a follow up scan. I haven’t had any more bleeding since Monday night; only brown/dark red spotting. I have had cramping, though. I’ve been told this is also normal after a SCH bleed. I’ve been on bed rest for the last couple of days, and tomorrow will be a half day at work. Dr. A did say on Monday night that I can continue all my normal activities right now, but I’ve felt a lot more comfortable taking some time to put my feet up. There is still a chance I could miscarry, but I’m holding out all hope that we will get through this and Bean will keep growing. If any of you out there are of the praying persuasion (or fairy dust sprinklers or fire dancers), I could definitely use some prayers/good vibes sent my way.

I think the scariest part for me right now is not knowing from the above scans where Bean attached, and what percentage of area the SCH is taking up. I’ll hopefully have more answers tomorrow.

In the meantime, it’s time to sleep.

 

 

 

 

 

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