Miscarriage Bereavement: Tips to Handle the Grieving Process

After confirming that my baby had died at 10 weeks back in 2013, I was left trying to deal with the loss both physically and emotionally. In an aim to help other women handle their tragedy, I’ve chosen to share my story from start to finish in a series of short articles, so that other women who face what our family did are more prepared. You’ll find my story enhanced with research as well as information gleaned from talking to other women who have had miscarriages and health care professionals I met through the process to help answer questions you may find yourself asking.miscariagebereavement

Article two addresses handling the grieving process. Our family, unfortunately, suffered two miscarriages at almost the same time. My sister-in-law also had a loss at 10 weeks, one month before my own. She and I handle grief in very different ways offering a perspective from two different ends of the emotional spectrum. I tend to be quite logical. If you can “make sense” of things for me, I can cope, while my sister-in-law tends to be more emotional and less concerned with the details.

What might help you deal with your miscarriage if you are a logical thinker:

For me, research is what helped. I wanted to know why my baby died, why after three healthy pregnancies, I lost the fourth with no warning whatsoever. I never found a factual answer, it is quite difficult to determine why a miscarriage happens, but the most common reason for miscarriage is chromosomal abnormality.

Chromosomes are kind of like the genetic blueprint your baby’s body follows while developing. Sometimes that blueprint may become damaged or be missing portions. This could be from damage to the sperm or egg, poor egg or sperm quality, or just a fluke; it just happens sometimes. This is most often the cause of missed miscarriage, as the baby begins to develop properly, but is unable to finish. As there is no trauma or placental issue, there is often no bleeding and the body goes right on thinking it’s pregnant for weeks. My baby’s passing was estimated to have occurred at 8 weeks, however, I didn’t fully miscarry naturally until 11 weeks with no bleeding until just past 10.

Some outside factors are also believed to increase the risk of miscarriage in general, including hormonal imbalance (particularly low progesterone), poor maternal health, smoking, drug use, and maternal age.

When I realized that had my baby lived, he or she may not have been healthy or may have had lifelong disabilities due to chromosomal abnormality, I felt better about my loss. I asked myself the question, “If I could have chosen, between a full-term baby that wasn’t healthy and a first trimester loss, which would I choose?” The answer was the loss. It still hurt, I still wished my baby would have been OK, healthy and happy, but knowing that the miscarriage was a mercy made it hurt a little less.

What might help you deal with your miscarriage if you are more emotionally driven:

For my sister, it helped to stay surrounded by the people she loved. She didn’t just keep us around to distract her, she talked about it. She posted on Facebook about it. She wrote about it. She did everything she could to let that emotion out. Think about how you’ve handled sadness at other times in your life; maybe you journaled, listened to music, created art, went out with your friends. While this loss is different and may hurt more than others you’ve survived, those same coping mechanisms are a good place to start if you’re looking for peace.

Above all, know that no matter how you handle grief, this was not your fault. You could not have stopped it, no matter how all-powerful moms seem to be. Things happen in life that are well beyond our control. What is in our control is how we handle them. This is not to say that you can turn off the hurt, but that like all wounds this one will heal, even if it leaves a nasty scar.

You can read the next article in this series which covers what a miscarriage is like here.

3 Weeks Pregnant: Ovulation and Fertilization

Your baby may begin its journey to becoming an adorable bundle of love this week, but you still are not technically pregnant. You likely ovulated, or released a developed egg, around the end of last week or beginning of this week.fertilization 3 weeks pregnant

What happens when you are 3 weeks pregnant?

As mentioned last week, an LH surge signals the release of an egg, or ovulation, to occur followed by the final phase of the menstrual cycle, the luteal phase. The released egg travels into the fallopian tube, hopefully to be met by sperm and fertilized.  There is a roughly 5-day fertile window, generally lasting until about 24 hours after ovulation, for this to occur.

Meanwhile, the follicle your baby exited from begins to form the corpus luteum. The corpus luteum is an important, but temporary structure that tells your body to begin and continue producing progesterone. Progesterone is a hormone that maintains the uterine lining during pregnancy. It also will cause your body temperature to rise making it possible to confirm ovulation via body temperature. If you don’t become pregnant, the corpus luteum dies after 12 to 14 days, progesterone levels fall and your period will begin. If fertilization does occur, it will continue to produce progesterone until the placenta takes over around week 10 of your pregnancy.

Fertilization, or that meeting of your egg and your partner’s sperm, usually occurs within a day or two of ovulation. After fertilization, your baby is called a zygote. Cell division began immediately– your baby is already growing at an alarming rate! Your genetics have also already determined everything from eye color to height, including well over two-hundred different characteristics.

Your baby will spend the rest of this week traveling to your uterus for implantation. Once the zygote reaches your uterus, it is medically referred to as a blastocyst, though you may want to start thinking up names yourself. At this point, your baby is 0.1 to 0.2 millimeters in diameter and not even visible without a microscope.

Can you confirm pregnancy at 3 weeks pregnant?

Chances are, no. Typically, implantation occurs 6 to 12 days following ovulation landing somewhere between day 20 and day 26. While the short side of this range does fall within week 3, it takes about 48 hours after implantation for hCG levels to be sufficient to make any pregnancy test–even the most sensitive–show positive meaning you shouldn’t even try to test until a minimum of day 22. You’ll be more likely not to get a false negative if you wait until after your period should have arrived during week 4 of your pregnancy or around day 28 or 29 of your cycle. You can read about this more in-depth on our page on when to take a pregnancy test.

Pregnancy symptoms at 3 weeks:

Pregnancy symptoms are caused by pregnancy hormones, and as those don’t begin until after implantation, you won’t have pregnancy symptoms in week 3. You may, however, experience PMS-like symptoms that are often mistaken for pregnancy symptoms before a missed period.  You can read a full guide on when pregnancy symptoms start here.

 

 

 

2 Weeks Pregnant: The Follicular Phase

By week 2 of your pregnancy, you still aren’t pregnant. Your period has likely ended, and you are now about mid-way through the follicular phase. The follicular phase begins on day one of your period and continues until the second phase, ovulation, which may occur on the final day of this week.2 weeks pregnant follicular phase

What happens during the follicular phase, or when you are 2 weeks pregnant?

As menstruation ceases around day 5 of your cycle, the level of follicle-stimulating hormone (FSH) in your body will increase slightly to stimulate the development of several follicles in your ovaries. Each of these follicles contains an egg. Throughout the week,  FSH levels will decrease, and hypothetically, just one follicle will continue to develop and prompt your body to produce estrogen. Sometimes, more than one follicle may develop, which can result in twins.

Estrogen levels then begin to rise and cause your uterine lining to thicken. Once levels are sufficient, the body triggers the release of  luteinising hormone (LH) which tells your ovary to release the egg. LH can be detected by home urine tests. It’s surge indicates ovulation will occur in 24 to 48 hours. If you choose to use this testing method, you should begin “attempting” (having sex without protection) as soon as you get a positive result.

Sometimes ovulation will also cause mittleschmerz, or pain in the side, but most women don’t feel ovulation at all.

There are a few ways to know if you’re ovulating:

-You can watch the calendar. Ovulation often occurs about half way through your menstrual cycle, which would be, in most cases at the end of week 2, two weeks after your last period began.

-You can chart your basal body temperature. Body temperature will become low during menstruation and then rise immediately after, so by charting this effect every month you can get an idea which days you typically ovulate.

-You can watch your cervical mucus and position. Cervical mucus becomes more plentiful and watery as ovulation approaches, before turning “egg white” and stretchy at ovulation, and slowly dissipates after. The cervix rises, softens, and opens during ovulation and is lower, firmer and closed during infertile times.

It can take some practice to master the art of pinpointing ovulation. You may find a charting program, such as FertilityFriend helps.

Pregnancy symptoms at 2 weeks:

You still will have no pregnancy symptoms, as you are not yet pregnant.

You may also find helpful:

Vaginal Discharge
How to Check Your Cervix
Our Trying to Conceive section