Our Little Engine that Could

Praise and thanksgiving! Our Little Engine that Could is making slow progress safe and sound in my uterus. I have an at risk pregnancy, but a pregnancy, nonetheless. I'm 6w3d pregnant from my FET, but the gestational sack and yolk sack measured proportionally at 5w2d. The amazing ultrasound technician said that there is a margin of error of about a week, and that she has seen slow developers go on to be healthy pregnancies before. She didn't make promises, but she said to be hopeful for two weeks until we return.

Dr. B basically said everything that the sonographer said, but with less tact. He was fairly polite for himself, but he just drops bombs in a way that Wisesister thinks is unnecessary, and I am inclined to agree with her. For example, he could have avoided scaring me half to death that I was having an ectopic pregnancy and was facing internal bleeding and certain loss. All he had to do was say, "Your blood work is irregular. Let's bring you in for a sono to learn more!" He did suggest that in his experience about 50% of cases like mine result in healthy pregnancies, which is a big improvement over the 15% we had been hearing for the last week.

We're proceeding as if we have a healthy baby. In two weeks, we'll have a make or break sono where we will learn if there is a fetus developing slowly in the the yolk sack. If there is a fetus and a heart beat, we won't necessarily be out of the woods, but it will be 8w3d, and that's a pretty great place to be. If not, then we'll know that we've lost the pregnancy and we'll be able to grieve and start to decide where to go from there.

Half-grieving

I've been half-grieving since Thursday, when I got the worst kind of news when trying to referee what could only be described as an epic Greek and Latin Stem Word Pictionary Battle. I was so caught off guard and in the middle of everything that I had to call back later when my students were working individually to process the information. Unfortunately, the second time around, the nurse's news did not improve.

My HSG, the pregnancy hormone, levels did not rise at the rate that they want. They look for at least 66% rise in two days, and mine had gone up just about 33%. What could it be? Well, miscarriage, ectopic pregnancy, a healthy pregnancy that defies the trend (15% chance), or even more unlikely, our single embryo split into twins, one of whom was surviving and the other wasn't. What to do? Wait and repeat on Monday.

Today, I took the initiative and called when it was convenient, and on my school land line since the cell service in my classroom is terrible. I knew it wasn't good when the nurse hesitated to tell me anything at all since Dr. B hadn't reviewed my charts yet. Oh, shit, not the miracle I'd been praying for.

My hormones went up about 30% again, and they're at a good level for someone who is 6 weeks pregnant, but the slow rise makes Dr. B think it's an ectopic pregnancy. Yeah, that's when your baby is growing OUTSIDE of your womb.

Bad stuff. Risk your life to internal bleeding and destroy your lady parts if you don't end it bad stuff. Chose between poisoning your doomed baby with chemotherapy drugs or surgically removing your doomed baby bad stuff.

I go in for a sono to see if it's actually bad stuff, or just an oddity of modern medicine. Maybe we have a perfectly healthy pregnancy and weird hormones. Supposedly it happens (15% is the number that you see), even if it appears to be documented NO WHERE on the internet. NO WHERE.

So, I am trying to be hopeful, to not return my stack of new maternity clothes, to believe in this miracle, in this pregnancy, in the beautiful hatching embryo in the picture. It's hard though, since I am half-grieving. I can't be truly hopeful, but I can't give into the all encompassing grief. I am stuck in between, where no one has anything to say other than they'll be praying for me.

That's where I am. I suppose you can pray for me.