Thursday, May 23, 2019

My Miscarriage, Part 2

Here you can read about the conclusion of my miscarriage.

February 22, 2015

"I'm sorry it's taken me so long to write this down. After it happened, all I wanted to do was talk about it, and the more time passes, the more my body recovers and my body has almost now completely forgotten the experience. It's like a dream or a lifetime ago. I'll try to tell you as much as I can remember.

After the ultrasound, we went home. Sarah and I went to Smith's, and then the ward activity at the church. I was feeling pretty well all evening. No cramps or bleeding that was strangely strong or anything. I went to bed around 11:30 pm. Matthew was pretty tired but I was feeling uncomfortable and awake, and thought I'd probably need another hour to settle down. So I asked him if I could watch Netflix on his phone. Around midnight, the pain started to get worse. I couldn't even find a single position in bed that would offer relief. I couldn't lie still, and I was starting to get sleepy, but was frustrated because I kept cramping and needing to pee. I decided to take a warm bath and that helped a lot with the pain. I was bleeding and passed some small clots. In my ignorance, I wondered if any of them could be the tiny baby. I kept Matthew's phone with me and watching Call the Midwife helped me to keep awake and not be too panicked. But after two hours of being unable to leave the tub to go to bed - I kept trying, drying off and getting a fresh pad and returning to my clothes, but then feeling so much pain and discomfort nothing would make it feel better but returning to the tub - I got scared.

I had read miscarriages take hours, days, or even weeks, so I was terrified of having to endure this for DAYS. I needed sleep badly but more than sleep I needed a break from the pain. I was exhausted and scared of having to go through this the whole night by myself, so around 2 am I woke Matthew and told him I felt really bad. He didn't know what to do, but he did try massaging me. It didn't help. I was feeling like I had a box inside my stomach pushing up and out and all around like I was going to explode. It sounds silly describing it and I can't quite recall it to my body's memory even now, but my mind was very clear that that's what it felt like at the time. Also, I was seating but couldn't leave the tub to cool off. My lower half wanted to be on fire and my upper half was dripping with sweat. And I was so exhausted. The pain never gave me a break. I could tell there were moments when it escalated, but I could never really feel it subside. The only way I recognized that it had subsided was when it shot up again.

Having Matthew awake and there for me was a great mental and emotional relief: he followed me back and forth from the bed to the tub with the computer, my clothes, towels, etc., so all I had to focus on was the pain. But there was no physical relief, and I really was starting to panic when even the tub didn't bring me any relief. We timed the pains, which by this time I was beginning to recognize were actually contractions, and the time seemed to both pass very quickly and drag on. We switched from Call the Midwife to Arrested Development when I began to be in so much pain I couldn't even pay attention to the computer for long stretches of time. Having something playing in the background was a good distraction and helped to keep me from noticing the slow passage of time.

As for pain relief, I tried everything. I took Tylenol very early on, but nothing else - perhaps I was too far gone, exhausted, and cynical to think Ibuprofen would even help? I meditated. It helped weirdly a little bit in the beginning, but not further on. Nothing helped further on. Matthew massaged me, but as all the pain was in my abdomen and not my back, it didn't really help. I tried "going with" the contractions instead of fighting them by tensing up. That felt very scary. Just giving up and letting the pain completely take over and just decide to go away or not on its own whim. Sometimes it helped a little though and the sharp hard pains went down a little to more manageable pain. And breathing. Good Lord did I breathe. I breathed every possible pattern I could think of, from quick, fast breaths to long, slow breaths to even, relaxed ones. It kept me alive but wasn't doing a whole lot else. I distinctly remember grabbing Matthew and being like, "WE ARE GETTING AN EPIDURAL!" at some point and I meant it, absolutely, 100%. I was positive that this wasn't normal and I couldn't take any more. I don't remember much of what I said. I kept saying, "I'm so tired. I'm so tired" over and over, and also, "all I want is for it to stop." At one point I felt might die? But not really? I didn't think it was worth it to try to go to the hospital and I guess I'd rather die at home than try to get in a car or call an ambulance.

Another thing that made everything more difficult was (TMI, but really, this whole post is TMI) pooping. I hadn't eaten very much, but around 3 am or something I kept having to go to the toilet. I was in awful pain and just wanted to stay in the tub but was so upset I kept having to poop. It was painful and unavoidable. I've never been in so much pain and somehow annoyed that I still had to interrupt my pain so I could take care of a bodily need.

I hated that I couldn't rest in the tub. I needed a floating pillow or something. My neck ached and my head and shoulders were too hot and even though I was dead tired, I could not sleep. There was one point when I almost dozed off on the bed with Matthew rubbing me and the heating pad, but it was only about a minute that I was actually asleep before the next pain jolted me awake again. I don't know how to explain that I managed to fall asleep in those minutes between contractions except for sheer exhaustion. I also remember shifting in the tub to try to find a position that offered relief and I found that going from sitting up to lying down hurt like hell, but once I was lying down, I felt a little better.

The changes in my body were very unpredictable. I felt I had 0 control over what was happening, but my body was figuring it out and taking charge without me. I am so grateful our bodies have this programmed into them. And I am amazed in retrospect at how much my body is capable of. The process of making a baby is truly awe-inspiring. Anyway, around 3 am Matthew and I discussed options. I really wanted drugs. I thought maybe my dad or the midwives could help me. We called our midwife at 4 am on the hotline and boy, she was unhelpful. A midwife had called me earlier on Thursday around 8 pm and told me to expect "a heavy period" and asked if I had any questions. Ha. Of course I was fine then and said so. So the poor tired girl at 4 am told us the pain would last "a chunk of time" and told us the usual spiel about relief methods that we'd tried and that weren't working at all. I don't remember anything else she said.

I quickly began focusing on the promise of drugs to get me through the pain. The vague hope and possibility of drugged relief was what I now clung to. At 5 am we called my parents, who knew nothing of the ultrasound or miscarriage, so it was a bit of a shock. My dad answered, said he was sorry, and said they had Lortab, which I remembered taking after getting an IUD, and it did help. So I was absolutely on board with Matthew driving to my parents' to get drugs. I was feeling a little better, just able to hold on, and my brain had become accustomed to the idea that we wouldn't be asleep for a while. Maybe it was my second wind. Matthew left me in the tub and I watched Call the Midwife and clung to the tub's soap dish holder in lieu of Matthew's hand. Fortunately, it seemed a very short time until he came back. I think the idea of "drugs on the way!" helped me get through. I took the Lortab immediately. Matt said my mom had given him a big hug and had a crumpled face and that meant a lot to me. After taking the Lortab, I waited for something to change. About 20 minutes later, the change came.

THE WORST PAIN I'd ever felt in my life. The previous stuff times 10. I couldn't hold in my screams any longer. I screamed into one hand, gripping Matthew with the other. It felt hugely powerful, overwhelming, dangerous, out of control, and if it hadn't gone away, I might have passed out. But it did. I thought we had reached a new level of pain and I'd be in this new hell for the forseeable future. I knew I couldn't bear it. I was crying. Another one came, just as awful as the last. Horrible, horrible, blackout pain. I think there were only 3 or 4 of these. I reached inside and became aware I could feel something. It felt like it could be another fold of lip or skin or something else. The more I felt it the more I realized it was coming out of me. But it was stuck. That made me excited because I finally had a measurable goal that I could work for, and if I could just get this thing out, there would be change, and possibly relief. So I started pep talking myself. "You can do this! I'm so close! You're soooo close! COME ON!" But it wouldn't come out, despite me pushing as hard as I could and giving it my all. Matthew said to wait and push with the next contraction. That was the first moment it really dawned on me that my pains were indeed contractions, and they were all building up to a big moment of pushing out something big.

I didn't want any more contractions. But ultimately, Matthew was right. I felt the exact moment the contraction came, somewhere while I was reluctantly taking a break from pushing. It was like my insides expanded suddenly and a big push, not from me but from something inside my body, forced the "thing" out all at once. It was huge - much bigger than I expected by far. Big enough to cup in two hands. Maybe the size of my fist. I felt a rush of relief and I was panting and lying back and the water was turning red all around me because so much blood had come out. I still felt a little bloated but the awful box-explosive feeling had slacked off hugely. I had trained myself not to move or do anything to disturb any amount of relief that I came across during the experience, so it took a few seconds for me to sit up, but I really wanted to see what had come out because it was so big.

So I sat up, slowly, and then - WHOOSH! - a flipping over, compression, release, turning over feeling happened in my abdomen and another huge object shot out of me like a torpedo. And then INSTANT relief. Powerful, overwhelming, beautiful relief. I've never felt anything so good. I felt I'd been reborn and had a new body. The exhaustion even seemed to go away. I felt like I'd immediately returned to normal, that everything sick, dead, and bad had come out of me, and my body was new, healed, and wonderful. I couldn't believe how the fast the change from pain to relief had happened. It was like a magical potion.

Matthew put the two objects on the bathtub edge. They seemed foreign and otherworldly, even though they had come out of me. He determined that what I'd thought was the baby was actually the placenta and the second object, a completely enclosed ball held together like a balloon, was the baby and amniotic sac. I was afraid to look too closely, but I knew that I had to, that I had to look and see if I could recognize our baby. So Matthew cut open the sac with his knife and immediately found the baby. It was so small but still very recognizable as a fetus. Matthew asked if I wanted him to take pictures. I wasn't sure, but I said yes. And I'm glad I did.

Looking at the pictures helped me feel a sense of reality, as in yes, this actually, really happened to me. And closure. And peace. And awe. So much awe. I felt that his baby had not suffered and that it had been dead for a while, it didn't have the means to feel pain yet. So seeing it was purely for us. We flushed it down the toilet afterwards, though I gave it a little almost-kiss first. I was worried I would feel very sad or emotional afterwards, but instead I was elated with relief and in shock and what my body had just gone through. There wasn't really room for anything else. A lot of blood came out after that, but I felt nothing. No pain. Maybe the Lortab kicked in by that point. I wasn't even tired any more. We stayed up recap-ing it and talking about what had happened for an hour. So many things made sense re: how my experience had built up and progressed just like labor. I was so grateful that in the end, my miscarriage only took a total of six hours, Matthew was there before the worst contractions, and the baby and placenta came out so wholly and entirely. Some people don't have complete miscarriages and then they can lose another baby when they get pregnant because the uterus is still coughing out parts. But I really felt absolutely certain that my miscarriage had been complete.

After Friday, I had cramping and bleeding very much like - surprise! - a heavy period. It lasted about three days. Every day after that, I felt stronger and stronger. I was even able to go swimming and have sex later that week. It was surprising, but one of the first feelings I had after the miscarriage was that I was ready to get pregnant again. I was inexplicably excited and giddy about it. Lortab? Inspiration? Hormones? No clue. It seemed that most of my friends who had experienced miscarriages had had D&Cs that were a lot more controlled and less violent. I definitely hope to never go through what I went through again, but the recovery was undeniably amazing, and it felt great to have all that strength and power to heal already within me. And we saved a ton of money by not going to hospital. Go me!"

Friday, March 15, 2019

My Miscarriage, Part 1

Okay, deep breath... my name is Ruth, and I'm addicted to birth stories. I guess it's not really that odd, considering I'm still technically in the "baby" phase and most of my friends have or have had or are planning on having babies. Lately, I've been poking around a lot of my friends' blogs and reading their birth stories, just because I find them so fascinating and powerful. I've even popped back here to my own blog just to read my birth stories, and capture a little memory of those intense feelings and experiences.

But one story I hadn't shared on the blog kept popping up also as a part of my birthing memories. And that was my first, my rawest, my this-is-the-closest-I've-ever-been-to-giving-birth experience. And it was, in some ways, a tragedy.  Yet I felt strongly impressed that I wanted and needed to share it on the blog, so if anyone were like me, stalking around blogs to read birth stories, they wouldn't miss what has been an essential part of my body's journey in pregnancy and childbirth. 

When we got pregnant in December 2014 (after trying for a little over a month, no less), I was so naive and unprepared, blissfully certain that everything would go perfectly according to plan and already telling people about our new addition to the family at Christmas, even though my due date wasn't until August (I thought I would never forget the due date, but lo and behold, four years later, all I remember is that it was in August - my journal tells me it was August 23, 2015). 

I felt very tired throughout the month of January, but not particularly nauseous, and I never even came close to throwing up. I was also having more headaches, and gradually learning that I needed to start eating smaller, closer-together meals to stave them off. In late January, my energy started coming back, which made me feel pretty good. Later I learned that this is when the baby had stopped growing. In my journal, I am full of optimism though. Baby is the size of a lime, now! I'm finally 10 weeks pregnant! Hooray, double-digits! 

Now I'm mostly going to start quoting my journal, since my memories get very detail-vague and feeling-specific (as in, I remember the details wrong but the feelings that accompanied the events are still burned very strongly into my mind). 

February 8, 2015: "2nd trimester this weekend, baby! Honestly I haven't felt very pregnant the past two weeks. Since the nausea has gone away, I've just felt a little bloated. Like having gas (oh, and I have that too). I probably won't be able to feel the baby move for another month. I haven't had any other trouble. I was really energetic and bouncing off the walls on Monday, so on on a whim, I went to work out at my parents' after work. It felt awesome, but after about 10 minutes of fantastic workout mode, I got really tired and kept having to lie down and breathe. I listened to my body and slowed down and did everything to stay comfortable. My workout took me a lot longer, but I felt great. Mom sent me an email reminding me to be careful about exercising while pregnant and recommended swimming. I thought that was kinda sweet. Glad she's thinking about me and Baby.

Matthew and I went to the birth clinic this week. The appointment was a little dull. They didn't check Baby at all, just took my blood pressure and asked me questions about my period and insurance. The midwife made a worried face when I said my November period was super light, but didn't explain any of her thoughts. I could guess what she was thinking since I thought myself, hey! Maybe I was pregnant back then! But I took a negative test in early December, so probably not. I felt this would be an awesome place to have a birth away from doctors and hospitals and epidurals. But I am really impatient to meet Baby or just have some proof of his/her existence. I want to hear a heartbeat, see a picture on a screen, find out the gender, and get a belly! I am automatically thinking of the baby as a boy because I want a David so bad. But if it's a little girl, that would be great too.

One more baby thing: after I worked out on Monday, I thought I had fixed my energy problem, but I kept getting waves or bursts of energy that burned out when I tried to work out after 5 minutes, but drove me crazy if I did nothing. Also, I was super horny. After one time [okay, we had sex, y'all], a little bit of brown fluid came out. I'd read this was fairly normal [sidenote: this is because the Internet will tell you whatever it is you want to hear when you're Google searching stuff about babies and pregnancies. The Internet has seen it all], but was still a little worried and grateful when nothing more brown came out later. It would be devastating to lose a baby, and I'm not even that far along! I can't imagine how awful it would be in the 2nd/3rd trimester."

My next journal entry is on February 12, 2015, and I want to note that I had not actually yet had the miscarriage at this point:

"The last 24 hours have been very difficult, physically and emotionally. I lost the baby. I was only 10 weeks (I was actually 12, but the ultrasound measured me at 10) and the baby stopped growing at about 7 weeks. We had an ultrasound today after I started cramping and bleeding pretty heavily over the past 24 hours. I had a sinking feeling ever since our appointment when the midwife couldn't find a heartbeat. I'd waited so long for that moment of reassurance and it was really hard to have more uncertainty. By Wednesday it was killing me. I was afraid I'd done too much heavy lifting on Monday or Tuesday moving books, but knowing that Baby had stopped growing three weeks ago meant it didn't really matter what I'd done. Even though I'm full on cramping/bleeding, I feel much more clear-headed and put together. The hard part now is telling people. My co-workers were very sweet, so sweet their texts made me cry almost more than I did finding out. The more the technician apologized to me and said she was sorry, the worse I felt. I had to go to the bathroom and have a meltdown and took ten minutes to come out. Then Matthew and I drove home and I got Sarah and we spent the evening together. 

I'm just ready to get this period over with. It should hopefully only last a few days. Maybe in a week or two we'll be trying again. I hope so. It will be a little fun to be in the "Are we pregnant?" phrase again [sidenote: as anyone who has been in the position of trying and wanting desperately to be pregnant after a miscarriage knows, it was not fun. It was stressful and heartbreaking.]. Not looking forward to a second first (ha!) trimester again though.... ah, whatever. I'm ABSOLUTELY looking forward to it. And now I'm writing furiously to get through these painful cramps. Bring them on. "

Another note: I'm actually editing quite a bit from these journal entries. I tend to ramble a lot when I'm writing, and spun off into a couple of side-thoughts about Sarah having a potential boyfriend (which came to nothing, but hey, now she's GETTING MARRIED SO THAT OBVIOUSLY WORKED OUT OKAY), how sweet and thoughtful my co-workers were/are, and some other personal thoughts/feelings that are actually a bit too painful for me to type up and relive here. Anyway, if you're looking for the ACTUAL miscarriage story without all the painful build-up, it starts here:

February 15, 2015:

"It's strange to look at my last journal entry because I don't even feel like the same person any more. As I was writing it, I was thinking about how little I knew in the previous entries and how naive I had been. Well, this entry is here to explain how little I knew and naive I was just in that last entry! I've learned more in the past few days about pain, myself, what I am capable of, what my purpose is, and what really matters to me than I might have learned or experienced in my entire life. I do feel that I've come closer to understanding life and death, and I feel that I have walked through the valley of the shadow of death. And yet, I feel  incredibly, amazingly, wonderfully blessed. It still hurts to see other people pregnant and to know that it will be longer than we hoped before we get to have a baby. But I am feeling confident in our decision to get pregnant and more prepared physically, spiritually, and mentally for the experience of birth and labor. I also feel in awe of the great power and miracles at work within my body without my knowledge or control. I took a while to write this entry, even though the experience of my miscarriage was barely a few hours after I wrote my previous entry, because I struggle to find words strong and meaningful enough to convey the sensation, feelings, and events that took place on Friday, February 13, from about midnight to 6 am.

Once the pain began to subside, my words were just "Oh my God. Oh my God. Oh my God," and the relief/shock/awe/amazement/fear that I was going through still seems inexpressible. The memories of agony were replaced so quickly and profoundly with relief and awe that they faded almost immediately. It is only with some tough mental effort that I can recall just how terrifying and painful what I went through was. I'll do my best to write it down. Since it happened, I've told the story over and over again. It never feels complete. It feels like I must be leaving something out because how could a story with such powerful and incredible moments ever possibly be really told fully? Although miscarriage is very common, it does not seem that we talk very much about what it is LIKE and above all I want to change that so my sisters and daughters will know the truth of my experience, the fact, what to expect, what is happening. Knowing these things would have been hugely reassuring to me. I was fortunate to know as much as I did. If we hadn't had the ultrasound, I might have panicked even further, worried over whether the baby was alive/in pain, and been emotionally overwrought over the traumatic taking away of my last piece of hope for a healthy pregnancy.

By the way, emotional is not a word I would use to describe the miscarriage. I believe I was blessed, after my long period of crying in the bathroom (post-ultrasound), to let my emotions go and to focus instead on the physical healing of my body, which took 100% of my concentration. I honestly had no room to spare for emotion while going through the miscarriage (or m/c, as the Internet labels it). I found it to be a very mentally exhausting process, having to keep my panic and paranoia under control, managing pain and fatigue, and essentially keeping myself in survivor mode. But above all else it was PHYSICAL. The most physical experience I've ever had that I recall. I tried to think of things to compare it to in terms of pain, exhaustion, duration, intensity, fear, uncertainty, etc., and everything I come up with just seems ridiculous. Post-IUD cramps? Pretty bad, but I was able to stay on the bed the whole time and never felt I was going to be ripped apart or explode. Hiking Timp? Ha, please. I could stop and rest whenever I wanted. Workouts? Nope. I was always in control and never pushed myself to the point of searing pain, thanks. Depression/grad school? Well... this was grueling because it took so long to go through, I'll grant you, but even then I had breaks from hating myself and hating school and there were good times mixed in with the bad. Oh, and my favorite comparison? A heavy period. Ha ha ha ha hahahahahaha. If that's a heavy period, you're going to need your uterus removed. But here's the frustrating thing: the ultrasound tech, the midwives, the Internet - they all said the same thing, that a m/c at this stage would be like a heavy period, with "clots and tissues." I read helpful suggestions like taking a shower, massage, peaceful music, heat pads, and rest would help. I've done heavy periods before, so I though, okay. I can do this. It will be harder emotionally than physically, right? WRONG."

Okay, at this point I had to take a break from writing about the miscarriage and I didn't get back to it until ten days later. My next journal entry (about the details of the actual miscarriage itself) is over 16 pages long, and this blog post already feels pretty long by itself, so I'm going to go ahead and post this.

Christmas Day 2014: The morning we found out we were pregnant

February 2015: This was about a week before I found out I had lost the baby

11 weeks pregnant