Postpartum Planning After Pregnancy Loss: A 35-Year-Old's Story

Question
I am 35 years old.  I have 2 living children (boys) at home (11 and 4) My last menstrual period was 1/13/05.

I lost my daughter last June at 35 weeks due to massive fetal maternal hemorrhage.  I had no risk factors and the doctors were unable to come up with an explanation as to why it happened (there was no abruption or anything like that).  No health problems during pregnancy except I had Mono when I got pregnant.  They told me that it was just a "fluke" and the likelyhood of it happening again was next to none - I should conceive when I felt ready and not worry about anything.  I am 27 weeks pregnant now and suddenly finding myself very nervous about things the further this pregnancy goes.  I have been trying to do some research on the internet about massive fetal maternal hemorrhage and I have read a few articles that claim the it is a recurring problem, especially givn my age and the fact that I have conceived less than 18 months after giving birth.  I realize that too much reading is a bad thing.  I guess I would just like your opinion as to whether you think this is a problem that is likely to repeat itself.  I try to do the kick count thing and when the baby is moving I certaining get 10 in an hour, but I can't always get the baby to move when I would like - which freaks me out.  And what is considered to be a diminishment in movement?  Somedays the baby is more active than others.  Any input from you would certainly be much appreciated.


Answer
Since you have two living children, and there was no abruption or blood dyscrasia, or any antiphospholipid syndrome diagnosed, the last pregnancy loss was, most likely, a "fluke" as you were told. As long as you feel at least 10 movements in 10 hours, the baby is fine. The fetus goes through sleep/wake cycles and there can be extended periods of time when you do not feel any movement at all. As long as you feel some movement each day, the baby is fine. If you are not having any bleeding or cramps, and the baby appears to be growing adequately, you have no cause for concern.