My doctors can't say for sure why I lost Conner and Benjamin; it could be due to an incompetent cervix that led to an infection, or just an infection. The popular opinion that they all feel very strongly about is that I had an infection that made it's way into my uterus and caused me to go into labor. This could have been from normal bacteria that is just not supposed to be in the uterus. I could have also had BV, which is normal in pregnant women because of the changes in hormones. It could have been asymptomatic, and left untreated caused me to go into labor.
So imagine how it felt when they called me to let me know that I had BV. Typical protocol is to let pregnant women in their first trimester ride it out, since the body usually gets rid of it on its own. However, given my history, it had to be treated right away. This meant the use of antibiotics that are typically not given until the second trimester, or at the very earliest, 11 weeks.
My OB explained to me that the most harmful time to take these antibiotics is between 6 and 10 weeks. I am 6 weeks pregnant today (coincidentally, it is also Conner and Benjamin's 6 month birthday today). He put me on the safest antibiotic he could and gave me a cream instead of oral antibiotics, which flood the bloodstream and are more toxic to the baby. He was overly concerned that I had an infection this early in pregnancy, especially after what happened with the boys. While he was happy to see me pregnant, I'm not sure if I have ever seen that look of worry on his face before.
I also had to talk to my RE and discuss the risks of this infection. It is possible that I had this infection during embryo transfer and the bacteria followed the embryo into the uterus. My RE believes that if this had happened, I wouldn't have gotten pregnant in the first place and I would be in the hospital, deathly sick. However, my MFM believes that I could have lost Conner and Ben due to a low lying infection that followed the babies into the uterus on the day of embryo transfer. So yes, there is a chance that I might lose this baby again in the second trimester. We just won't know until we get there.
After speaking to my nurse at the clinic and to my OB, we have decided to transfer my care to my OB early after we have established fetal heartbeat, which should be on Monday. Typically, the release does not happen until 10 or 12 weeks but I am free to go whenever I feel comfortable. I would like to get the fuck out of my clinic, especially after they kept telling me my symptoms were "normal" and that I could wait a couple weeks to get all this checked out.
This is why we all need to be advocates for our babies and for our own health. I went over their heads and saw my OB, even though I had not been released to his care yet.
My OB will be repeating cultures frequently even when I am asymptomatic (as I was asymptomatic with the infection that took Conner and Benjamin). Thankfully, I have an OB that has stated that they are going to be as aggressive as possible so that I do not lose another baby.
So, in a nutshell, these are the concerns:
- That I had an infection for weeks but did not know it; bacteria then traveled with the embryo on transfer day and will lead me to lose a baby later in the second trimester once the bacteria has grown out of control. We can test this with amniocentesis, but it might not show up in the test.
- That I will have recurring BV, which is a cause of premature labor. I seem to be susceptible to varying levels of PH which means that I may be more susceptible for infections recurring.
- That the antibiotics I am using this early will cause developmental damage to Baby C.
- That the antibiotics I am using will actually cause a miscarriage.
I trust my doctor and I know that it is in the baby's best interest to treat aggressively. While I know women treat infections during pregnancy all the time without issues, my case is a little fragile. Well, very fragile. My body hates me, and right now, I'm not too happy with it either.
I can't stop rubbing my belly and telling Baby C that s/he needs to keep growing and needs to come home with us. But that is an awful lot of pressure to put on a little baby.

I am glad your doctor is being agressive with your treatment plan. I had "hoped" you had BV if that makes sense, since it is very common and very treatable. Your body may be fragile but your spirit resonates in your words! You are warrior mom! Birthday wishes to Connor and Ben.
ReplyDeleteI'm very pleased that you blogged. I would have worried without updates, good or bad!
ReplyDeleteI too was wondering if since this happened a second time if there wasn't something that transfered during both transfers...is it possible that the media the embryos are stored in are breeding an infection? I wonder if other women have this problem from this clinic?
With all of that said--I can't help but be reminded of my friend who was told her daughter would be miscarried because of a hematoma-then they were told she would be born still-then when she wasn't they told her that she'd never lead a normal life, wouldn't walk, wouldn't talk, wouldn't ever eat. Well, this beautiful little girl is 3 1/2 and went to her first ballet class the other day. Her birth weight? 1lb 6 oz. So, don't count Baby C out. Just cherish ever day and be his advocate and your own!
Hugs!
I wondered the same thing. I talked to my RE who told me that the type of infection I have could not have been caused by the transfer, even if they had tried. It came about from an imbalance in my hormones. Baby C was also stored in a different "straw" than Conner and Benjamin so they have been separated from each other from nearly the beginning. Unfortunately, my MFM has a different opinion on this and we just need to wait this out and see what happens.
DeleteThat story gives me so much hope. I love hearing stories like that. My little cousin was diagnosed with a disorder in the womb as well and came out perfectly healthy. I'm hanging on to every bit of hope that I can.
Keep the faith Krystal. It will carry you far. Couldn't agree more, we so need to be advocates of our own bodies and babies. When in doubt, trust your gut and have it checked out.
ReplyDeleteI'm usually pretty good in that regard but I feel like I let Preston down when i didn't get checked for pre-eclampsia sooner. Perhaps he'd have gone full term and still be here. But that's a vicious circle I shouldn't go down ;).
Glad your OB is taking care of business as opposed to the clinic. Seems so wrong of them to not look into it more, you know? Especially with your history.
Thinking of you. Praying for you. Stay strong mama.
Thank you so much. And I totally understanding asking the "what if" questions - but you're right, no good can come from going down that road. You did not let Preston down, just remember that.
DeleteI'm so sorry that you are dealing with this. I can only imagine how scary it must be for you. I am very glad to hear that your OB has a great plan in place to monitor you and to try to keep you and Baby C healthy. I will be keeping you in my thoughts and prayers <3
ReplyDeleteThank you Ana
DeleteI have been thinking about you all day Krystal:) I am glad that your OB is taking over your care early. It sounds like you trust him and he is "invested" in your pregnancy, too. I am glad he is treating the infection in the safest way possible. Be good to yourself!
ReplyDeleteThat is so sweet, thank you :)
DeleteOh Krystal, I'm so sorry you're having to deal with this. Praying wisdom for your doctors and peace for you and your husband. Waiting is so hard when you don't know what's going to happen.
ReplyDeleteWaiting is awful! But I guess that is all I can do right now. Thank you for your prayers.
DeleteOh my goodness Krystal, I just read this. I am praying so hard for you and Baby C. You will be in my T&Ps every single day. I am so sorry about the uncertainty and fear. I will be thinking of you and always always hoping for the best <3
ReplyDeleteThank you :)
DeleteWow, one - I don't know how on earth I missed this, 2 - I am so so sorry you are having to go through this. It does provide a lot of information for you guys to keep this pregnancy as healthy and monitored as possible, and even future pregnancies with more babies! I am very happy to hear that your OB is being much more easy to work with rather than the RE, I am kind of baffled by his behavior, honestly. Thinking about you, praying for you, and I am eager for more updates!
ReplyDeleteThank you Morgan
DeleteI realized that I have to actually click the blog link to get here, its not showing up in my blog feed so sorry I haven't commented!!! I'm so optimistic and hopeful that this is a one time thing that will be gone soon and you have a pregnancy full of only happy thoughts and no worries!!!
ReplyDelete