Really, stop blaming yourselfMay 25 2011 at 1:56 PM
|BBG (Login biogal)|
Response to Re: Dee, they also need to send the fetus to pathology
First of all, donors have abnormal eggs too. A study was done recently that showed that up to 50% of egg donor eggs are chromosomally abnormal. It is not natural to force overproduction of follicles from ovaries, so even in the most fertile of donors, there can be chromosomal abnormalities in the eggs retrieved. While it may be true that only 5% of losses due to chromosomal abnormality occur after the first trimester, you could have been in that 5%. Also don't forget that there are babies who are born with chromosomal abnormalities, so clearly not all chromosomal abnormalities are self-limiting.
So all that to say, a chromosomal abnormality is the FIRST thing to rule out.
Secondly, a clotting problem must be ruled out. A clotting problem is not necessarily visible on u/s and in fact usually is not. Micro clotting can occur in the microvasculature of the embryonic placental tissue, causing death, and only a pathologist can discern this from close, usually microscopic, examination.
Never forget that there can also be multiple problems occurring simultaneously. If they find a chromosomal abnormality in the fetus, don't just accept that as the only issue -- instead pursue the clotting angle as well to make sure it's not that too. I'd also want to rule out any kind of uterine infection, which can cause miscarriage.
If you have a real clotting problem, it is entirely possible that baby aspirin daily would have been ineffective anyway. I know you regret not taking the baby aspirin and maybe it would have prevented the loss but you don't know that and you will never know that. There are so many other issues that are possible here.
One RE I consulted with said that sometimes coagulation tests done before pregnancy will come back normal or borderline and the doctor takes that at face value, but that during pregnancy, the disorder can suddenly appear or if present mildly, can be exacerbated. I would say if you ever had a borderline ANA or coag studies, you should just be on a prescription strength blood thinner, especially in light of this loss.
Again, so very sorry for you. But quit blaming yourself. There is really no basis for it. This stuff just happens.