miscarriage after hearing heartbeat

I'm so very sorry for your loss. Did your RE have you taking progesterone? That's the only thing I can think of but you were pretty far along and one usually stops progesterone between 10-12 weeks. Sometimes, unfortunately there is just something wrong with the embryo that causes it to miscarry. Check with your doctors about it. Wishing the best and again, I'm so sorry!!!

I know this isn't easy. I have miscarried twice in last 6 months. The first time I went to 10 weeks, saw twice on ultrasound baby doing well and then started bleeding. I wasn't getting the best of care and was told to accept that I was losing baby. Haven't gotten over that one yet, but did NOT go back to that OB. New one is much better, they think progesterone was an issue and I had a clot. Now I do progesterone & lovenox (blood thinner) after ovulation until negative HPT, stop and then start again. Hoping next time will be a winner.

Malia-

I am an RN in an OBGYN office & patients have that same question all the time. What did I do wrong? What could I have done differently? How can I make sure this never happens again? This is a very natural response & I think almost anyone who goes through a loss feels this way, I know with mine I certainly have had the same reaction as well. Unfortunately, in the vast majority of cases there is nothing that can be done differently to change the outcome in the future. There are some women who have specific issues, i.e. clotting disorders as mentioned above, & these can be treated & may then allow the pregnancy to continue. Most miscarriages, however, are due to chromosomal abnormalities where the fetus just stops developing early in the pregnancy. Having a miscarriage after a heartbeat was documented is a little less common than those where the fetus never develops that far. When you had your D&C, did they send the tissue out for chromosome analysis? When it is a first M/C doctors often do not offer this option, but sometimes they will in losses that had a heartbeat. In future pregnancies you can ask to have your HCG & progesterone checked as soon as you discover you are pregnant (you may have even done this with your last pregnancy). I doubt this was a progesterone related issue because if your progesterone was low then the pregnancy would have never made it as far as it did. If you have a family history of clotting disorders then I would ask to be checked for those as well. Long story short, most likely there is not anything you can do differently to change the outcome for future pregnancies. You did everything perfectly & you should do the same next time. Hopefully you will not have to go through this ever again. Good luck & let me know if you have any other questions. Take care & I really hope you have a better outcome next time around!