QuestionI am 30 years old, 3 live children and one stillbirth(22 weeks) last may(2003). up until march 4th we thought we just were the vitims of an unfortunate accident, then having some breakthrough blleding and other symptoms i went to a new ob/gyn and he felt an abnormality in my uterus whuch he said more than likley caused my stillbirth, he in turn scheduled my for a hysteroscopy on the 9th my pre surgery bllodwork shows me as being pregnant, I am TOTALLY scared, by the time we found out what was going on with me it was to late, i was already pregnant, can the abnormality be removed? What are my chances of carrying this baby? I am wanting to find help My new ob Dr. wants to start me on progestrone, why? hope you can help me.
AnswerI would suggest that you get a sonogram of your uterus to see what the "abnormality" is exactly. Is it a fibroid? Where is it located in the uterus? Is it high in the uterus or is it low and will interfere with the growth of the fetus? All of these questions must be answered. The sonogram will show what and where it is. Progesterone use is merely to ensure that you can maintain the pregnancy until the placenta is formed. It is controversial as to its efficacy, but it does no harm and you should take it and follow the instructions of your doctor. Stop the progesterne by 12 weeks gestation. Sometimes, if there is a fibroid (leiomyoma) in the uterus that interferes with the growth of the baby, it can, indeed, be the cause of a failure of the fetus to grow and can cause a fetal demise. However, if it is not interfering with this fetus, you can have a normal pregnancy and may deliver either vaginally or, if the fibroid is blocking the cervix, by cesarean section. Until you know what is going on, you will not know what your chances of carrying the baby. If, unfortunately, you cannot continue with the pregnancy due to a fibroid, you can have a myomectomy, remove the fibroid, and then become pregnant again. However, don't think of that now. First find out what is going on. The sonogram will help. Of course, if you are pregnant, a hystereoscopy is out of the question at this point.
