Aug 5 2010

Empty Cradle, Broken Heart – Monthly Book Review

This month’s pregnancy and infant loss book review features Empty Cradle, Broken Heart.

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Empty Cradle, Broken Heart by Deborah L. Davis, Ph.D. discusses the heartache of miscarriage, stillbirth, and infant loss. This book is for parents who are grieving and looking for encouragement.

This was the first book I read after the loss of my twins. Reading these stories from others made me feel that I was not alone.  It includes information about death of one or more babies and offers support. It includes quotes from others who have experienced this heartache and who understand.

Chapter One discusses the ‘D’ word, expectations, loneliness, and our losses. As I continued reading it made me realize that I was normal. As I grieved I thought I was having thoughts that no one else had. I thought I was losing my mind. This book showed me that all my thoughts were normal and even went into detail about some of the thoughts I was having.

As a mom I found reading this book helpful in the sense that it talks about physical recovery and how to take care of our bodies. Some have had a D & C while others had a Cesarean. We have postpartum visits and some need advice for breast care. There is information on how to handle these issues. If you are anything like me you may have had trouble sleeping in the early days of grief. There are tips to help with this and I found them very helpful.

I HIGHLY recommend this book to someone who has just had a loss. There is great information about making decisions after your baby’s death. We had to make so many decisions without any knowledge or help. If I had read parts of this book while I was in the hospital I would have been so grateful. It discusses burial, memorials/funerals, keepsakes, rituals, and memorializing your baby.

At the end of each chapter there is a section of points to remember. This is a good area to go back over certain points and even highlight things you want to revisit. I found this extremely helpful in helping to organize my thoughts.

There is a special chapter especially for fathers. It talks about the social expectations that are placed on fathers and their grief. This chapter touches on many key points that could be helpful in a father coping with grief and his emotions.

Not only is this book great for parents, but doctors and nurses could also benefit from reading it. Many hospitals do not give input or advice as to making decisions. This is so important as I know too many parents who have walked away from the hospital without photos or memories of their baby. Even if a friend or family member wants to read this book, let them. The more insight they have the more they will understand your grief.

I would recommend this book to anyone who is grieving, whether it is the first stages of that raw grief or later down the road. It was great for my husband and I to read after our loss and it has now been 9 months and I continue to pick it up and revisit certain chapters. You may cry as you read, but know that it is okay to cry.

– Submitted by Jill A.

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*Interested in submitting your own pregnancy and infant loss book review? Please to have your review(s) published on Grieve Out Loud. Please include book title in your e-mail.


Jun 9 2010

The Raw Truth – June’s Submission

Each month we will be publishing a personal, in-depth pregnancy and infant loss story under the title “The Raw Truth.” Releasing the intimate details of our pregnancy and birthing stories is a very important part of the grieving process, and for some it is not easy to share. This month we feature a story from KS.

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The End
Submitted by: KS.

It is 2:34 a.m. I am crawling on my hands and knees to the bathroom while the hallway spins around me. The pain is horrible; I am going to pass out, I’m sure of it. I can’t get a grasp on what is happening, the blood is pounding in my ears, and I don’t understand why I feel this way. I stop to lie down in the hallway, hoping to emerge from the heavy fog and state of half-asleep. It only takes a second to remember and I am filled with a mixture of horrid grief and relief. It is the miscarriage, here to take my precious baby away and finally end the pain and suffering of the last two days.

I knew I was pregnant right away. I am an avid runner and I can tell something is different when I run, my pace is off, my breathing is different, and I can just tell. The same thing happened when I was pregnant with my first – I knew before any test would agree with me. I waited a couple of weeks and two pink lines confirm what I already had figured out. I am pregnant again!

I am thrilled and decide to do something special to tell my husband. I create a scavenger hunt with 10 clues, with the last clue leading to my home-made card with the announcement of my pregnancy. As suspected, he was just as excited.

To say that I am a perfectionist, an over-planner, and someone that likes to be in control all of the time is an understatement. 3 days after I told my husband, I had the office emptied out and ready for a nursery to be put in. I continued like a crazed woman with my to-do list. There would be no time after the new baby, so the time for projects was now! We put in new countertops, a new backsplash, repainted the entire interior of our house, and replaced the trim throughout the house. I planned out my maternity leave. I wrote out instructions for the woman I would be leaving in my place for twelve weeks. I knew what double stroller we’d buy, and had the nursery bedding narrowed down to 2 choices. I was so excited I could barely contain myself, my son was going to be a big brother, we would have kids!

One Saturday, I am heading out for a run (I still run pregnant with my doctor’s blessing, just like last time), we have a fundraiser later that night, and an actual babysitter coming. Just as I’m about to leave, I see blood – a lot of it. We call the doctor and they put me on the standard bed rest, tell me as long as there are no cramps, it might be nothing. Within an hour, the cramps start. We are off to the emergency room.

The emergency room wait is not much of a wait, they promised to get me in right away and they do. The nurses draw blood, and send me for an ultrasound. The ultrasound technician turns on the monitor and faces it towards her. I am desperate for a glance of the monitor and trying to read her facial expressions, but she’s like a stone. Finally, she whips the monitor around and points. “Right there, that little flicker – that’s your baby’s heartbeat.” I am relived to tears and my husband squeezes my arm so tightly that it hurts. The baby’s heartbeat is strong and my little baby is the right size. My mood has lightened, I think maybe things will be ok, and we are relieved and watching cartoons back in the room. Then it dawns on me, I never asked for the ultrasound pictures.

Enter Doctor Doom (as we have named him) a very nice man, with a very serious expression. The blood work came back and my progesterone level was way too low. A miscarriage is coming no matter what. They give me progesterone pills as a last ditch effort, just to say we tried everything, but Doctor Doom assures me it’s almost inevitable, and is putting me on bed rest until it happens.

I go home to wait for the miscarriage. I spend two horrible days on the couch in pain with horrible cramps, a lower back ache that I’ve never felt before, nauseous, shaking, and sweating. I was waiting, crying, not knowing, hoping, hating, praying, not eating, not sleeping, and waiting some more. It was a horrible. Finally, it is 2:24 am, on March 1st, 2010. I get out of bed, and go down to my knees; the feelings of knives in my stomach make it unbearable to stand up. I start crawling, weak and disorientated. When it finally happens, I know it’s the baby leaving my body. I stare in morbid fascination at this tiny little body, not yet fully formed. At just eigh weeks, I can only make out the baby’s head and body. I can’t look away although I’m sure I don’t want this picture forever burned in my mind. I sit on the floor and sob before stumbling into the bedroom and waking my husband. I ask him to take care of the baby because I can’t do it and I lay back down. In my shock, it never occurred to me to be clear about what I meant and he flushed our baby down the toilet, with all the dignity of a goldfish. I came unglued when I heard the toilet flush. He felt horrible and said he didn’t know what to do, and that was the first thing that came to mind. Still my heart breaks for that baby and I long to bury our baby with love and respect, and have our baby here with us at home.

The days and weeks that follow are some of the darkest I have ever known. Full of desperation and devoid of hope. I felt alone, in the deepest sense of the word. People were nice, but uncomfortable. No one knew what to say so most people offered up the usual: God’s plan, at least it was early so you didn’t get too attached, and there was probably something wrong with the baby, etc. None of which offered much comfort. I spent my days feeling crazy, like this monumental loss has just occurred in my life and I have nothing to show for it, no proof this baby ever even existed.

I have since gotten pregnant. After waiting the obligatory month like the doctor recommended, we were told it was ok to try again. One day, I discovered I was pregnant, almost four weeks along. I was excited and happy, and then I started panicking about the long journey ahead of me. I reassured myself I could do it; just take it one day at a time. But it turns out the journey wouldn’t be that long, and all I would get is one day. The very next day, my second miscarriage took place on May 21st,2010. I was at work and suddenly there was blood again and I felt the horrible dread that comes with the hopelessness. This miscarriage progressed much, much faster and by that evening, our baby was gone.

It still feels like someone has punched a hole straight through me. It’s hard to even find the words.  Maybe we’ll try again, but maybe we won’t. Sometimes God says no.

I have created a memorial garden for my babies with a cross and a three heart stake for all three of my kids (one living, two babies gone). I am also releasing a balloon for my baby with one of my favorite quotes: “Love bears all things, believes all things, hopes all things, endures all things, Love never ends.


May 20 2010

Directing Grief – Weekly Advice

Each month we will be answering questions regarding pregnancy and infant loss under the title “Directing Grief.” We encourage anyone reading to submit their question(s) to

This weeks question comes from an anonymous mother who has recently suffered her first miscarriage at ten weeks. For the sake of this piece, we will call her Momma A.

My husband and I have been married for three years and recently suffered a miscarriage at ten weeks. I want to try again right away but my husband doesn’t seem like he wants to. How do I talk to him about it? How long should we wait to try again? I’m so desperate to be pregnant again.” – Momma A.

Dear Momma A.,

It is quite common for a bereaved parent to have overwhelming feelings about a subsequent pregnant immediately after any type of loss. Things start to change drastically in your life with a pregnancy and suddenly the future is filled with excitement, hope and most of all the thrill of the unknown. Who wouldn’t miss all those feelings?

You definitely need to talk it out with your husband first. Do not assume he does not ever want to try again. Let him grieve his own way, even if it is silently. Maybe you can ask him if he would be interested in talking about a future pregnancy plan? Explain to him that you really want to try again sooner than later, and ask when he would like to start trying again? This is a perfect way to give you some hope and excitement back. You will then have something to look forward to, instead of feeling left in the dark.

Also keep in mind your body might not bounce right back into a cycle. Be gentle to yourself. While your body is healing physically, you can begin the journey towards healing mentally.

It all takes time Momma A., and there is no magic number. Incorporate new ways to occupy your time. Hobbies seem to do wonders. Hell, I started this entire organization during my toughest bouts with grief. Try not to focus on your next pregnancy without fully acknowledging and grieving the pregnancy you lost. Another pregnancy will not “fix” how you feel. You have to endure the waves of grief and we are here to help you whenever you need us! Please keep in touch!

Thank you for your question and good luck love!
Julie

*If you would like to submit your own question, please send your questions to


May 13 2010

The Raw Truth – May’s Submission

Each month we will be publishing a personal, in-depth pregnancy and infant loss story under the title “The Raw Truth.” Releasing the intimate details of our pregnancy and birthing stories is a very important part of the grieving process, and for some it is not easy to share. Some stories have been anonymous, some with name changes, while others will use real names. Some will have pictures. Some will be short, some will be broken up into different parts. All very personal and close to our hearts.

In sharing these stories with you, we hope to bring courage and light to loss. Although these might not be your typical story book endings, they are the stories of our lives – and we hope you find the courage in yourself to read and perhaps share your own one day.

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For The Child I Carried
Submitted by: Heather W.

When I remember the time before my pregnancy, I was resigned to the fact my husband and I would never be able to have children together.  Our prognosis of anovulation and low sperm count spelled in vitro fertilization, something we couldn’t afford and weren’t sure we wanted. Maybe we should just be content with the daughter he had from a previous marriage. My husband never gave up that dream but I truly did.  After so many heartbreaking months of trying, I completely and utterly gave hope back.

I began looking at websites advocating child-free living.  It wasn’t that I didn’t view my adopted step-daughter as my child, but I wanted and needed the support of those who controlled their decision to not make more children. It felt empowering.  I could even see it fitting into my values about the planet and our natural resources.  At times, it even appeared kind of fun and carefree.  We could focus solely on our one child and just be happy with the fact that our family size was never going to get any bigger.

Our inability to conceive a child was the reason I decided to join the military, go back to school, and contract with ROTC.  If I couldn’t focus my energy on making and having that baby I so desperately wanted, I needed something to replace that drive.  

I began the military and school thing in the Fall of 2008.  After a 21-credit semester with hard science classes, I managed to stay on the honor roll.  I loved how it felt to be challenged physically and mentally.  Yes, I thought to myself, this is exactly what I needed.  I worked very hard to maintain that high educational and physical standard for spring semester with a goal of getting into even better  shape than before.  I was so driven and determined that I was taking PT twice a day, three days a week.  Suddenly something changed in my body.  I fell behind on runs I hadn’t struggled with the first few weeks, and soon I was the last to finish whatever we were doing.  I thought maybe it was a sign of my age, that I just couldn’t keep up with 18, 19, or 20-year-olds.  That is, until, I experienced sharp abdominal pains unlike anything I’d felt before in my life.

I recently had a PAP smear and thought that maybe the doctor poked around a little too roughly, so I called and talked to them.  I asked to come in – they asked if I’d taken a pregnancy test.  What? I can’t be pregnant.  My husband and I were told the only way we’d have children was through in vitro.  That CANNOT be it. They convinced me to test anyway because if I was pregnant it would be cheaper to rule it out at home instead of at their office.  I conceded and immediately went to a nearby store to buy a test.

I tried to study for class that night but I couldn’t concentrate.  I know from all our months trying to conceive that I should wait until the morning to pee on a stick, but the box came with two tests… I’ll just try one now and then take another one in the morning. I walked back to my car, hastily read the instructions, and returned to campus with my plastic-wrapped secret in my backpack.  I went in the nearest bathroom, dutifully held the stick in a stream for 5 seconds, and waited for the liquid to cross through the window.  This is so stupid, I’m, NOT pregnant. I wonder why I’m having these weird symptoms… oh my god, oh my god, oh my god. There were two pink lines.

The shock overcame me and I burst into tears.  This was something I waited so long to experience, this was something I wanted since I was a little girl, this was something that eluded us for nearly 2 years when we were actively trying.  But why now??  Why did this have to happen as soon as I signed my life away to the military and made so many plans without taking a newborn into consideration??  I was MAD.  Mad at life and whatever twisted cosmic fate there was that wouldn’t allow us to get pregnant before, but as soon as I committed to the military THEN it decided it was the right time.  It felt as though we were given a miracle, and I don’t even believe in God. Our number got called, we were picked for the team, it just happened and it felt amazing.

Our baby’s first official picture at 7 weeks. He had a healthy heart pumping 154 times a minute.  It was awe-inspiring to see something so little and so fragile show signs of independent life so early.  The doctor said everything looked good as far as baby was concerned.  However, I knew something wasn’t right because I was spotting intermittently.  He said to take it easy and the placenta would attach properly in the coming weeks.

 I went through typical pregnancy symptoms, loathing them when I had them and relieved at the time when they went away.  I mentioned to a girlfriend that my morning sickness was getting better at 10 weeks and her reaction was one of concern.  I had no clue that was potentially a bad thing.  Every woman is different, though, right?  Maybe I was one of the lucky ones who never actually throw up.  The girls, on the other hand, were swelling rapidly and HURT. SO. MUCH.  The spotting was still a concern, but one woman I talked to said she spotted throughout her entire pregnancy and went on to have a healthy baby.  I rationalized all my fears and tried very hard to put them out of mind.  My doctor offered to let me come in weekly to monitor the baby’s growth, but I didn’t want to burden by doing that.  Knowing everything I do now, it probably would not have affected the outcome, but I am aware now that in recurrent loss, studies reflect that a woman who receives frequent care from a physician has a greater chance of carrying her baby to term.

I shared the news and loved how it felt to say, “I’m pregnant!”  It was the same feeling I had as a newlywed when I couldn’t wait to say I was married or, “My husband this…” or “My husband that…”  It felt foreign and strange, like joining a club to which I thought I would never be invited.  At the same time, I was also terrified of saying it for fear that revealing it so early and getting my hopes up so high that it would somehow set things down a doomed path.  I remember verbalizing that fear to my husband before he called his mom.  Oh, the guilt we pile on ourselves when we think we have control over things.

At 10 weeks I spent time with a friend and we went walking around a local organic store I had never been to before.  We had fun looking at all the items not sold at chain grocery stores like soy pizza, organic chocolate, organic lipstick, even organic feminine products!  We bought chocolate and then left to hang out at her apartment.  Once there, we watched a movie and spent time enjoying each other’s company.  At one point I used the restroom and when I wiped my heart skipped a beat.  Bright red blood, that’s not good.  That’s bad… it’s bright red.  I have to lay down, I have to get out of here. I left as fast as I could, not mentioning the spotting for fear it would be more real, and I drove home straight-faced and in denial.  I had gotten so far, I made it to 10 weeks. Only a couple more weeks and I’m in the clear.  I just have to make it to the second trimester and then things will get better – must make it to the second trimester, DAMMIT. I laid down for several days. The spotting let up but it did not completely go away.

 Right before our 12 week appointment I noticed a change in the spotting.  There were now tiny little clots but nothing bigger than a few millimeters.  Everything could still be okay, I kept telling myself, but when I shared my fears I was told I might be the problem – that popular medical websites suggested too much stress may cause a miscarriage.

The appointment…

They walked us back to the exam room and handed me a cup for to take to a nearby bathroom for a sample.  I told them I didn’t feel the urge and that I also had some concerns about spotting.  They sent me over to an ultrasound room to see what was going on before they wasted any time on a potentially non-viable pregnancy.  The tech tried an abdominal scan first but couldn’t see much.  I knew it right then and there.  When she left so I could prepare for an internal ultrasound I said to my husband, “It looked pretty empty in there.”  I braced for the worst.  She came in again and performed the other ultrasound.  She found the baby immediately which surprised me and made me smile.  There he was!  Just floating on the screen.  Wait a minute… he’s not moving, where’s his heartbeat?  He looks way too small.  Then the tech sighed and said, “Ohh, Heather, this doesn’t look good.”  She took some measurements.  “There’s no heartbeat, and baby only measures 9 weeks. I’m so sorry.”  She rubbed my shoulder and got me a tissue.  It was over.

 I thought I steeled myself up for that moment but seeing my baby melted my dying heart.  I cried.  My husband held me.  The ultrasound tech escorted us back to the exam room and the doctor talked at length about our options.  I asked him why I carried our baby so long after he had already died.  He said that sometimes it takes the body a while to figure out it’s not pregnant anymore.

He gave us his pager number so we could contact him directly about what we wanted to do after this point.  Either we could go the natural way or I could have a D&C.  

The next few days were spent keeping people at bay.  I didn’t want to talk to anyone.  I didn’t want to see anyone because I didn’t want to come unglued.  I didn’t want to have to act strong when I broken.  I didn’t want to face that it was coming to an end. I didn’t want to lose our baby!  I felt terribly conflicted over the fact that I was mourning the dead child I was still carrying.  After three agonizing days, I finally asked for the D&C.  It scared me that I was going to have my uterus scraped and my baby discarded in a biohazard waste bin.  As we prepared for it April 15th, 2009, I began feeling strong cramps.  My abdomen felt like a tight fist, I could feel my uterus contracting.  I took Advil, a medicine I painstakingly avoided the past few months, in bitter acceptance of what would come.  I took the first and last photo of my pregnant belly, and I asked my husband to be with me.

Twenty minutes later it happened.  Like the whistle on a tea pot, the pressure built until there was nowhere for everything to go but out.  It was sudden and profuse, and painfully emotional.  I thought the worst part was finding out our baby was dead.  No, the worst part was giving birth to a baby long before he was due.  In a toilet.  I felt ashamed that not only did my body fail to provide a nourishing environment for my baby to live, but that I was giving him such an undignified end.

The blood, dear god, the blood.  It sounded like someone had turned a faucet on.  We almost went to the hospital but the on-call doctor advised us to wait an hour and if it was still going that strong then to go ahead and come in.  It is fairly normal for someone as far along as I was to experience a lot of bleeding in those first couple of hours.  I soaked pads as soon as I stood up, so I spent most of the night in the bathroom on the toilet.  I frantically scoured the contents of my womb in the toilet.  I was obsessed with finding anything that might look like a baby or placenta.  It was gross and it was weird, but I didn’t care.  I saw one clot that contained gray tissue but it looked like a string.  As I reflect on it, that was the umbilical cord.  Not long after that, I bore down and passed a large amount of tissue.  Sure enough, my baby was there. 

I sobbed harder and louder and submerged myself in grief.  I told my husband he could come in if he wanted to, but I wasn’t sure he would want that.  He was outside the door the entire time and I could hear him weep.  He came in and he saw our baby in my hands and it just tore him up even more.  I was strangely comforted in knowing I wasn’t going through this alone, and the love I had for him grew in that moment because it wasn’t just my loss, it wasn’t just my pain.  This was hurting him, too. 

I didn’t know what to do with the baby.  Who talks about that sort of thing?  Who prepares you?  I hastily posted a message online asking for advice and several women immediately replied.  They said I could put him in a shoebox and bury him.  Or plant a tree in remembrance.  And they were so sorry and really meant it.  It helped to know they’d been there before.

I placed cotton balls inside a shoebox and laid our baby on a tissue floating on top.  I covered him with a clear plastic bag.  I wanted to remember him like that.  I needed to take a picture.  I secretly grabbed the camera, embarrassed my husband might see me and think I was acting crazy.  The urge was too strong to ignore.  I’m never going to see him again, this is my only chance to memorialize him.  Come to find out, taking a picture of your baby is quite common, and I don’t regret it.  Instead of one picture, I now have two.  Until recently, I really only looked at him with sadness, but a dear friend recently told me that when she looked at my little peanut that he was beautiful.  That he grew from the love my husband and me share.  That’s how I want to remember him, and that’s why I’m sharing him.

Mommy and Daddy love you, Pumpkin.