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2015-07-16

Melissa had her first pregnancy ultrasound yesterday evening. It showed a small "possible" sac in the uterus, no yolk sac yet. She is only 5 weeks and 3 days so we would not expect to see much more. Let's keep our fingers crossed and repeat a scan next week. By that time we must see more. The growth is what is important at this point.

Melissa, keep doing the same medications. Can you go in next Wednesday for a follow up scan?

Anne

Q: Received the document. Thank you Anne. What does this mean "No fetal pole". She is still pregnant as we all hope.

We would not expect to see a fetal pole yet. First we see a "sac". Then about a week later we see a "yolk sac" within the sac and we may see a fetal pole. Finally we see a heart beat at about 6-7 weeks.
Anne

 

Q:  Received the document. Thank you Anne. What does this mean "No fetal pole". She is still pregnant as we all hope.

We would not expect to see a fetal pole yet. First we see a "sac". Then about a week later we see a "yolk sac" within the sac and we may see a fetal pole. Finally we see a heart beat at about 6-7 weeks.
Anne

Thursday, July 16, 2015 1:12 PM

Melissa called my office in distress because she had an episode of significant bleeding and cramping. She is doing everything correctly. I calmed her down and told her there is nothing she should be doing differently. There is no reason to go to the ER right now because they will not be able to change anything, her HCG will not tell us much right now and an ultrasound done in the ER won't either. She was comfortable checking in with me in a few hours and we will go from there. She has my cell phone number and uses it appropriately. We will most likely repeat an ultrasound tomorrow. I will keep you posted. Keep your fingers crossed.

Anne

Jul 16, 2015, at 1:15 PM,

Thank you Anne for the input. I think this is pretty critical time since one of the IPs has to go to ER since she received no support with another clinic. We are glad Melissa has you there to help her and comfort her.

 Blessing.

Thursday, July 16, 2015 1:17 PM

I can assure you I will talk to her through the day/night. She so wants this to work.

Friday, July 17, 2015 2:33 PM

It is with great sadness that I am telling you that Melissa Westgate is miscarrying. She has been bleeding heavily for the past 24 hours. I checked her hCG level this morning and it is dropping. Melissa has done everything in her power to protect this pregnancy and has diligently listened to all of my instructions. Her and I are very sad about the outcome of this pregnancy and want to express our condolences to the IP's. As to why this occurred we will never know for certain.  Typically early miscarriages are due to an embryo abnormality more often than a uterine abnormality. This does not mean that Melissa is at high-risk of it happening again should she conceive again. Melissa will have an ultrasound tomorrow morning to see if anything remains in her uterus and I will continue to follow her hCG levels until they reach zero once again. We can talk about a further management plan as soon as we see how this resolves. Again, I know how difficult this is and I am available for questions any time you need me.
Anne

Friday, July 17, 2015 2:32 PM

Dear Anne, you did best as well as surrogate lady Melissa. We are sad as well.  It is about 21 days from the day of embryo transfer. We will let IP know. There are still more embryos there for which we wish IP would like to continue with Melissa for the new cycle .  Thank you Anne for your timely report to us.

Friday, July 17, 2015 4:18 PM

5281-Melissa-代孕妈妈不幸第21天流产

尊敬的5281贵宾您好,刚收到医生的来信,告诉你的代孕妈妈不幸流产了,今天是从移植计算的第21天。翻译的内容如下(为了保持原文,没有经过文字润色,而是直接输入翻译。您多保重,知道您十分难过,我们和您一起难过,医生也十分难过,代孕妈妈十分尽力了,好在您还有胚胎,我们继续努力,您是否愿意尝试更换一个其他的代孕妈妈?

________________________________________
这是非常悲伤,我告诉你,梅丽莎在梅龙镇坠。她一直流血严重,在过去24小时。今天早上我检查了她的hCG水平,它正在下降。梅丽莎所做的一切在她的力量保护这个怀孕,并认真听取了我所有的指令。她和我都非常难过这次怀孕的结果,并想表达我们的哀悼IP的。至于为什么发生这种情况,我们将永远不会知道的肯定。通常,早期流产是由于胚胎异常往往比子宫异常。这并不意味着Melissa是在高风险的它再次发生,她应该再次怀孕的。梅丽莎将有超声波明天早上是否有任何残留在她的子宫,我将继续遵循她的hCG水平,直到他们再次达到零。我们可以谈论进一步的管理计划,只要我们看看如何解决。再次,我知道有多难,这是和我供的问题,你需要我的任何时间。
安妮

 
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